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Systematic Review

Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review

1
Matsue Seikyo General Hospital, 8-8-8 Nishituda, Matsue 690-8522, Shimane, Japan
2
Department of Community Medicine Management, Faculty of Medicine, Shimane University, Izumo 693-8501, Shimane, Japan
3
Huchu Hospital, 1-10-17, Huchu-Town, Izumi 594-0076, Osaka, Japan
4
Community Care, Unnan City Hospital, 96-1 Iida, Daito-cho, Unnan 699-1221, Shimane, Japan
*
Author to whom correspondence should be addressed.
Academic Editor: Theodore Chan
Medicina 2022, 58(2), 279; https://doi.org/10.3390/medicina58020279
Received: 7 January 2022 / Revised: 10 February 2022 / Accepted: 11 February 2022 / Published: 13 February 2022
(This article belongs to the Section Geriatrics/Aging)
Background and Objectives: Given Japan’s superaging population, an increasing number of older adults in the country need surgical treatment for esophageal hiatal hernias. Accordingly, this systematic review examines surgical interventions for symptomatic esophageal hiatal hernias in older Japanese patients and explores treatment outcomes. Materials and Methods: Articles on single operations for hiatal hernias published after 1991 were found on Google Scholar and Ichushi using specific keywords. Subsequently, articles fulfilling the predetermined inclusion criteria were considered in the study. Results: The mean patient age was 81.4 years, and the male-to-female ratio was 1:11.5. The main reasons for surgery were vomiting, dyspnea, and chest tightness. In terms of hernia classification, type IV was the most common (48%). Surgical modalities were laparoscopy in 15 cases, and laparotomy in 10 cases. Mean postoperative course was 26.47 days until hospital discharge, and there were no cases of perioperative death. Conclusions: Findings showed that multiple factors were involved in older adults’ prognoses, and age was not the only biological factor. Therefore, aggressive surgical intervention should be considered for symptomatic older patients, even in the absence of surgery indicators. View Full-Text
Keywords: esophageal hiatal hernia; surgery; Japan; older adults; ageism esophageal hiatal hernia; surgery; Japan; older adults; ageism
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MDPI and ACS Style

Horinishi, Y.; Shimizu, K.; Sano, C.; Ohta, R. Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review. Medicina 2022, 58, 279. https://doi.org/10.3390/medicina58020279

AMA Style

Horinishi Y, Shimizu K, Sano C, Ohta R. Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review. Medicina. 2022; 58(2):279. https://doi.org/10.3390/medicina58020279

Chicago/Turabian Style

Horinishi, Yuta, Kai Shimizu, Chiaki Sano, and Ryuichi Ohta. 2022. "Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review" Medicina 58, no. 2: 279. https://doi.org/10.3390/medicina58020279

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