Journal of Shandong University (Health Sciences) ›› 2024, Vol. 62 ›› Issue (1): 71-75.doi: 10.6040/j.issn.1671-7554.0.2023.0565

• Clinical Medicine • Previous Articles    

Five cases of hiatal hernia complicated with pneumonia during painless gastroscopy and literature review

CHEN Wenjun, SONG Lijun, WANG Junjuan   

  1. The Affiliated Weihai Second Municipal Hospital of Qingdao University, Weihai 264200, Shandong, China
  • Published:2024-02-02

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Abstract: Objective To investigate the treatment and prevention measures of hiatal hernia complicated with pneumonia during painless gastroscopy. Methods A total of 5 patients with hiatus hernia complicated with pneumonia undergoing painless gastroscopy during Nov. 2021 and Feb. 2023 were involved. The clinical characteristics, diagnosis and treatment were analyzed, and relevant literature was reviewed. Results Residual fluid in the esophagus was found in 4 out of 5 patients during the insertion of the gastroscope; all 5 patients had fever, cough, excessive phlegm and chills. The total number of white blood cells or the proportion of neutrophils were increased in all patients. CT showed that all patients had left lung pneumonia. Four patients were given oxygen inhalation and intravenous dexamethasone during gastroscopy; four patients were given levofloxacin, and one was given ceftizoxime sodium for anti-infection. The body temperature of all patients returned to normal within 48 hours; re-examination of lung CT suggested lesion absorption in 4 patients; CT follow-up of the other patient revealed a thick-walled cavity in the left lung, which disappeared after prolonged anti-infective therapy. Conclusion Pneumonia is a serious complication in patients with hiatal hernia during painless gastroscopy. Due attention should be paid and active prevention measures should be adopted.

Key words: Hiatal hernia, Painless gastroscopy, Aspiration, Pneumonia

CLC Number: 

  • R563.1
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