重视肥胖合并食管裂孔疝外科治疗的特殊性

Emphasis on the surgical treatment of hiatal hernia complicated with obesity

食管裂孔疝是一种外科常见疾病,肥胖是引起食管裂孔疝的独立危险因素之一。肥胖促进食管裂孔疝发生的机制尚不明确,理解肥胖促进食管裂孔疝发生的机制,综合临床症状、辅助检查及术中探查的方式,提高肥胖合并食管裂孔疝的诊断能力,依据患者肥胖分级的个体化评估,对于选择合适的外科治疗方案具有重要意义。本文拟从不同诊断时机、不同手术方式探讨肥胖合并食管裂孔疝的诊疗体验与思考。

Hiatal hernia is a common surgical disease,and obesity is one of the independent risk factors for hiatal hernia.However,the mechanism by which obesity promotes the occurrence of hiatal hernia is still unclear.With better recognition regarding the relationship between obesity and hiatal hernia,as well as with the clinical symptoms,examinations,and intraoperative exploration,we can improve the diagnostic ability of hiatal hernia complicated with obesity.In addition,individualized evaluation of hiatal hernia according to the patient's obesity classification are of great significance for selecting the appropriate surgical treatment plan.In this article,we aim to discuss the diagnosis and treatment of hiatal hernia complicated with obesity with regards to the diagnostic timing and surgical methods.