2013 Volume 33 Issue 7 Pages 1177-1179
We report herein on a patient with an esophageal hiatus hernia after an open total gastrectomy. The patient was a 73-year-old male who underwent open total gastrectomy and Roux-en-Y reconstruction for cardiac gastric cancer. Six months postoperatively he visited our hospital with dysphagia, which became progressively worse. A computed tomography scan showed that the dilated intestine was located in the left thoracic space, leading us to make a diagnosis of esophageal hiatus hernia after total gastrectomy. The repair of the esophageal hiatus hernia was performed. The operative findings showed that the small intestine was incarcerated in the thoracic cavity through the esophageal hiatus. The protrusion of the intestines was reduced into the abdominal cavity, and the hernia orifice was occluded by suturing the diaphragm crus. The postoperative course was uneventful.
