HIATAL HERNIA AND ASSESSMENT OF GASTRIC MOTOR-EVACUATION FUNCTION

Authors

DOI:

https://doi.org/10.11603/2414-4533.2025.2.15391

Keywords:

hiatal hernia, reflux esophagitis, Dor, Nissen, Tupe fundoplasty, motor-evacuator function of the stomach, vagus nerve

Abstract

The aim of the work: to analyze the results of treatment of hiatal hernias by assessing the motor-evacuation function of the stomach.

Materials and Methods. A retrospective analysis of 234 medical records of inpatients with hiatal hernia and gastroesophageal reflux disease who were in the surgical department of the Kyiv Regional Clinical Hospital in the period from 2017 to 2022 was conducted. Three types of surgical interventions were performed on patients. There were 150 (64.10 %) patients who underwent Nissen surgery, 50 (21.37 %) patients who underwent Tupe surgery, and 34 (14.53 %) patients who underwent Dor surgery. Long-term results were evaluated after 1, 6, 12, and 24 months.

Results. The study revealed that in the preoperative period, 232 (99.15 %) patients complained of reflux and discomfort behind the sternum, and only 2 (0.85 %) patients noted one of the symptoms. Subjectively, all patients noted improvement after surgery. Surgery led to complete relief of reflux symptoms in 183 patients (78.21 %). Mild complaints of abdominal discomfort were present in 34 (14.53 %) patients one month and in 23 (9.83 %) patients six months after surgery. One month after surgery, 15 patients experienced nausea, sometimes leading to vomiting, 3 patients experienced nausea after six months, and no symptoms were noted after twelve and twenty-four months. According to the half-life of solid food, 63 (26.92 %) patients had delayed evacuation and it was 133.12±4.59 minutes in the perioperative period. After the surgical intervention, the time was reduced to 87.57±13.61 minutes (p=0.001, α˂0.05). In 171 (73.08 %) patients, normal motor–evacuator function was noted. The average duration of the half-life before surgical intervention was 113.31±8.41 minutes, which statistically decreased in the postoperative period to 79.28±6.19 minutes (p=0.007, α˂0.05).

Conclusions. Surgical intervention in patients with hiatal hernia accelerates the motor–evacuator function of the stomach by an average of 34 minutes. Delayed evacuator function of the stomach may be a relative contraindication to surgical intervention, but performing fundoplication in such patients helps to reduce the half-life of solid food.

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Published

2025-05-28

How to Cite

SHATKOVSKYI, O. R., HONCHARENKO, P. S., TKACHUK, O. V., & KEBKALO, A. B. (2025). HIATAL HERNIA AND ASSESSMENT OF GASTRIC MOTOR-EVACUATION FUNCTION. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 49–53. https://doi.org/10.11603/2414-4533.2025.2.15391

Issue

No. 2 (2025)

Section

ORIGINAL INVESTIGATIONS

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