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Internal hernias after gastric operations.

S Renvall1, J Niinikoski

  • 1Department of Surgery, University of Turku, Finland.

The European Journal of Surgery = Acta Chirurgica
|October 1, 1991
PubMed
Summary

Internal hernias are a rare complication (0.3%) following specific gastrojejunal surgeries. Early diagnosis is crucial due to nonspecific symptoms, potentially leading to severe outcomes like death or complications.

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Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Abdominal Surgery

Background:

  • Internal hernias are uncommon complications following gastrojejunal and oesophagojejunal anastomoses.
  • A review of 2,146 procedures between 1969 and 1990 identified 7 cases of internal hernias.

Purpose of the Study:

  • To investigate the incidence and characteristics of internal hernias after specific gastrojejunal surgeries.
  • To highlight the diagnostic challenges and outcomes associated with these hernias.

Main Methods:

  • Retrospective analysis of 2,146 oesophagojejunal and gastrojejunal anastomoses performed between 1969 and June 1990.
  • Identification and review of patients operated on for internal hernias.

Main Results:

  • Seven patients (0.3%) were operated on for internal hernias.
  • Most hernias occurred after Billroth II gastrectomy with antecolic gastrojejunostomy and enteroanastomosis.
  • Two patients died (29%), and three experienced complications; thin patients were more common.
  • No hernias were noted after simple gastrojejunostomy or surgery for malignancy.

Conclusions:

  • Internal hernias are a rare but serious complication of certain gastrojejunal reconstructions.
  • Nonspecific symptoms like abdominal pain, nausea, and vomiting necessitate considering internal hernia diagnosis.
  • Prompt diagnosis and treatment are vital to improve patient outcomes and reduce mortality.

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