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. 2023 Sep 26;23(1):293.
doi: 10.1186/s12893-023-02184-3.

Laparoscopic hiatal hernia repair for treating patients with massive hiatal hernia and iron-deficiency anaemia

Aikebaier Aili #  1   2   3 , Maimaitiaili Maimaitiming #  1   2   3 , Yiliang Li #  1   2   3 , Alimujiang Maisiyiti  1   2   3 , Zhi Wang  1   2   3 , Yusujiang Tusuntuoheti  4 , Kelimu Abudureyimu  5   6   7
Affiliations

Laparoscopic hiatal hernia repair for treating patients with massive hiatal hernia and iron-deficiency anaemia

Aikebaier Aili et al. BMC Surg. .

Abstract

Background: Massive hiatal hernias may result in extraoesophageal symptoms, including iron-deficiency anaemia. However, the role played by hiatal hernias in iron-deficiency anaemia is not clearly understood. We examined the prevalence of anaemia in patients with massive hiatal hernias and the frequency of anaemia resolution after laparoscopic hiatal hernia repair at long term follow-up.

Methods: Patients who underwent laparoscopic hiatal hernia repair from June 2008 to June 2019 were enrolled in this study. We collected the patients' demographic and clinical data from their medical records, and compared the pre-surgical and post-surgical findings (at 1 week and 3 months post-surgery). All patients with adequate documentation underwent post-surgical follow-up to evaluate improvements in clinical symptoms and signs.

Results: A total of 126 patients with massive hiatal hernias underwent laparoscopic hiatal hernia repair. Of these, 35 (27.8%) had iron-deficiency anaemia. Anaemia was resolution in all the patients and they had significantly reduced GERD-Q scores at 3 months postoperatively (P<0.01) .The mean follow-up period was 60 months. Iron-deficiency anaemia resolution after hiatal hernia repair was achieved in 93.9% of the patients.

Conclusion: Anaemia is common in patients with massive hiatal hernias, and most of our patients were symptomatic because of their anaemia. Moreover, in patients with massive hiatal hernias, iron-deficiency anaemia resolution is likely after laparoscopic hiatal hernia repair.

Keywords: Extraoesophageal symptom; Iron-deficiency anaemia; Laparoscopic surgery; Massive hiatal hernia.

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Conflict of interest statement

The authors have no conflict of interest or financial ties to disclose.

Figures

Fig. 1
Fig. 1
Box and whisker plot depicting the Hemoglobin levels at baseline, Preoperative, 1 week post-operation, and 3 months post-operation
See this image and copyright information in PMC

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