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KMID : 0364019930260040337
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Korean Journal of Thoracic and Cardiovascular Surgery
1993 Volume.26 No. 4 p.337 ~ p.342
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Paraesophageal Hernia with Gastric Erosion -A Case Report-
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Abstract
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Since the first deliberate repair of hiatal hernia by Wm. J. Mayo in 1911, counterless procedure have been performed to correct herniation of the stomach into the posterior mediastinum. Recently, we experienced 51 years old female patient with
large
paraesophageal hernia and complete intrathoracic stomach which combined with multiple gastric erosion with chronic blood loss. So gastric ulcer within a diaphragmatic hernia is a distinct physiophathologic and clinical entity that our patient
suffered
from severe anemia due to chronic blood loss.
The hernia was repaired transabdominally including reduction of stomach, excision of sac, closure of defect. Anterior gastropexy, and gastrostomy. Because of absent gastroesophageal reflux, no another antireflux procedure was required and erosion
was
managed by H2 receptor blocker. (Korean J Thoracic Cardiovas Surg 1994; 27:337-341)
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KEYWORD
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