Abstract
Diaphragmatic herniation after esophagectomy for carcinoma of the esophagus is a rare but preventable postoperative complication. For patients with symptoms, surgical repair of the hernia is recommended to prevent the potentially disastrous complications. In patients with asymptomatic hernias, a watchful waiting approach is reasonable. To prevent diaphragmatic herniation, we emphasize the importance of routine narrowing of the hiatus so that the surgeon can introduce three or four fingers and recommend awareness of the possibility of diaphragmatic herniation in patients with symptoms of intestinal obstruction. We report two cases of diaphragmatic herniation after esophagectomy for carcinoma of the esophagus, and estimate the incidence of herniation and assess surgical results on the basis of reported cases in the English-language literature.
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Axon PR, Whatling PJ, Dwerryhouse S, Forrester-Wood CP. Strangulated iatrogenic diaphragmatic hernia: a late diagnosed complication. Eur J Cardiothorac Surg 1995;9:664–666.
van Sandick JW, Knegjens JL, van Lanschot JJ, Obertop H. Diaphragmatic herniation following oesophagectomy. Br J Surg 1999;86:109–112.
Heitmiller RF, Gillinov AM, Jones B. Transhiatal herniation of colon after esophagectomy and gastric pull-up. Ann Thorac Surg 1997;63:554–556.
Aly A, Watson DI. Diaphragmatic hernia after minimally invasive esophagectomy. Dis Esophagus 2004;17:183–186.
Choi YU, North JH Jr. Diaphragmatic hernia after Ivor-Lewis esophagectomy manifested as lower gastrointestinal bleeding. Am Surg 2001;67:30–32.
Cordero JA Jr, Moores DW. Thoracic herniation of the transverse colon after transhiatal esophagectomy. J Thorac Cardiovasc Surg 2000;120:416.
Fumagalli U, Rosati R, Caputo M, Bona S, Zago M, Lutmann F, et al. Diaphragmatic acute massive herniation after laparoscopic gastroplasty for esophagectomy. Dis Esophagus 2006;19:40–43.
Granke K, Hoshal VL Jr, Vanden Belt RJ. Extrapericardial tamponade with herniated omentum after transhiatal esophagectomy. J Surg Oncol 1990;44:273–275.
Hamaloglu E, Topaloglu S, Torer N. Diaphragmatic herniation after transhiatal esophagectomy. Dis Esophagus 2002;15:186–188.
Kaushik R, Sharma R, Attri AK. Herniation of colon following transhiatal esophagectomy. Indian J Gastroenterol 2005;24:122–123.
Reich H, Lo AY, Harvey JC. Diaphragmatic hernia following transhiatal esophagectomy. Scand J Thorac Cardiovasc Surg 1996;30:101–103.
Terz JJ, Beatty JD, Kokal WA, Wagman LD. Transhiatal esophagectomy. Am J Surg 1987;154:42–48.
Vallbohmer D, Holscher AH, Herbold T, Gutschow C, Schroder W. Diaphragmatic hernia after conventional or laparoscopicassisted transthoracic esophagectomy. Ann Thorac Surg 2007;84:1847–1852.
Orringer M. Transhiatal esophagectomy without thoracotomy. Philadelphia, PA: Saunders; 1996. p. 414–445.
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Daiko, H., Nishimura, M. & Hayashi, R. Diaphragmatic herniation after esophagectomy for carcinoma of the esophagus: a report of two cases. Esophagus 7, 169–172 (2010). https://doi.org/10.1007/s10388-010-0244-6
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DOI: https://doi.org/10.1007/s10388-010-0244-6