Modern diagnosis and treatment of hiatal hernias

master's thesis

• Title (english): Suvremeni pristup dijagnosticiranju i liječenju ošitnih kila
• Author: Oliver Marcel Koltay
• Mentor: Petar Matošević (mentor)
• Committee member: Petar Matošević (predsjednik povjerenstva)
• Committee member: Davor Mijatović (član povjerenstva)
• Committee member: Tomislav Meštrović (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Surgery); Zagreb
• Defense date and country: 2024-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Hiatal hernias are an entity that was first clinically defined in the 20th century and went from an obscure, overlooked disease to a well known clinical entity with several diagnostic and treatment modalities, which are developing to this day.
Hiatal hernias are defined as a condition in which elements of the abdominal cavity, most commonly the stomach, herniate through the esophageal hiatus into the mediastinum. They are closely associated to gastroesophageal reflux disease.
Due to the specific nature of classification of hiatal hernias and their diverse presentation, it has lead to different treatment modalities, which vary from pharmaceutical, through the use of proton pump inhibitors and H2 blockers, to surgical, through the use of numerous techniques. Whilst the pharmaceutical options remained relatively unaltered since their inception, the surgical treatments developed from an open transthoracic, transabdominal approach to laparoscopic approaches and beyond.
This graduate thesis intends to present the various modern surgical treatment modalities, which were built upon the experiences of pioneers in the field of antireflux surgery throughout the last 80 years. The main focus of this paper is the presentation of the newest surgical techniques, which aim to improve the outcomes of surgical procedures related to hiatal hernias and gastroesophageal reflux.

Abstract (croatian)

Hiatalne kile ili ošitne kile su entitet koji je prvi put klinički definirao u 20. stoljeću i prešao je iz opskurne, zanemarene bolesti u poznati klinički entitet s nekoliko dijagnostičkih i terapijskih modaliteta, koji se razvijaju do danas.
Hiatalne kile definiraju se kao stanje u kojem elementi trbušne šupljine, najčešće želudac, hernijiraju kroz hijatus jednjaka u medijastinum. Hiatalne hernije su usko povezane sa gastroezofagealnom refluksnom bolešću.
Zbog specifičnih kriterija za klasifikacije hijatalnih kila i njihove raznolike prezentacije, dolazi do različitih modaliteta liječenja. Modalitet ukljucuju korištenje farmaceutske lijekova poput inhibitora protonske pumpe i blokatora H2 do korištenjem brojnih kirurskih tehnika. Dok su farmaceutske opcije ostale relativno nepromijenjene od svog osnutka, kirurški tretmani razvili su se kroz niz godina iz otvorenog transtorakalnog, transabdominalnog pristupa do laparoskopskih pristupa.
U ovom diplomskom radu namjeravamo prikazati različite suvremene modaliteti kirurškog liječenja, koji su dograđeni na iskustvima pionira u području antirefluksne kirurgije tijekom posljednjih 80 godina. Glavni fokus ovog rada je prezentacija najnovijih kirurških tehnika, čiji je cilj poboljšanje ishoda kirurških zahvata vezanih uz hijatalne kile i gastroezofagealni refluks.

• Keywords: Gastroesophageal reflux disease; Hiatal Hernias; Nissen Fundoplication
• Keywords (croatian): Gastroezofagealna refluksna bolest; hiatalne kile; fundoplokacija po Nissenu
• Language: english
• URN:NBN: urn:nbn:hr:105:744411
• Study programme: Title: Medicine (in English language); Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-10-18 08:08:04