Iron deficiency anemia in patients with hiatal hernias

Shestakov A.L.; Bitarov T.T.; Boeva I.A.; Tskchovrebov A.T.; Tarasova I.A.; Afanasyev D.V.; Moskvin A.A.

doi:https://doi.org/10.17116/hirurgia202412277

Shestakov A.L.

Petrovsky National Research Center of Surgery

ORCID: 0000-0003-3387-7442

Bitarov T.T.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-0484-5022

Boeva I.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0003-2646-0729

Tskchovrebov A.T.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-4445-2530

Tarasova I.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-9344-7351

Afanasyev D.V.

Smolensk State Medical University

ORCID: 0000-0002-7474-3873

Moskvin A.A.

Sechenov First Moscow State Medical University (Sechenov University)

Iron deficiency anemia in patients with hiatal hernias

Authors:

Shestakov A.L., Bitarov T.T., Boeva I.A., Tskchovrebov A.T., Tarasova I.A., Afanasyev D.V., Moskvin A.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(12‑2): 77‑82

DOI: 10.17116/hirurgia202412277

Read: 2066 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Shestakov AL, Bitarov TT, Boeva IA, Tskchovrebov AT, Tarasova IA, Afanasyev DV, Moskvin AA. Iron deficiency anemia in patients with hiatal hernias. Pirogov Russian Journal of Surgery. 2024;(12‑2):77‑82. (In Russ.)
https://doi.org/10.17116/hirurgia202412277

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

Close metadata

MATERIAL AND METHODS

A prospective examination of 42 patients with hiatal hernia and concomitant iron deficiency anemia was conducted between 2023 and 2024. To identify latent iron deficiency anemia, patients underwent in-depth laboratory tests. All patients underwent original fundoplication. The results were assessed in 6 and 12 months after surgery.

RESULTS

Favorable functional results with disappearance of reflux esophagitis symptoms were obtained in 39 patients (92.8%). The follow-up laboratory tests after 6 months revealed higher hemoglobin and normal serum iron in 35 (94.5%) out of 37 available patients. Patients did not take iron supplements during the second half of the year, but hemoglobin and serum iron were normal.

CONCLUSION

Original fundoplication demonstrates high efficiency in patients with hiatal hernia and concomitant chronic iron deficiency anemia.

Keywords:

fundoplication

hiatal hernia

iron deficiency anemia

Authors:

Shestakov A.L.

Petrovsky National Research Center of Surgery

ORCID: 0000-0003-3387-7442

Bitarov T.T.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-0484-5022

Boeva I.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0003-2646-0729

Tskchovrebov A.T.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-4445-2530

Tarasova I.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-9344-7351

Afanasyev D.V.

Smolensk State Medical University

ORCID: 0000-0002-7474-3873

Moskvin A.A.

Sechenov First Moscow State Medical University (Sechenov University)

Received:

11.09.2024

Accepted:

24.09.2024

Close metadata

References:

American Gastroenterological Association (AGA) Institute Medical Position Statement on Obscure Gastrointestinal Bleeding. Gastroenterology. 2007; 133: 1694-1696
Cameron A.J., Higgins J.A. Linear gastric erosion. A lesion associated with large diaphragmatic hernia and chronic blood loss anemia. Gastroenterology. 1986; 91:338-342
Gray D. M., Kushnir V., Kalra G., Rosenstock A., Alsakka M. A., Patel A., Sayuk G., Gyawali C. P. Cameron lesions in patients with hiatal hernias: prevalence, presentation, and treatment outcome. Dis Esophagus. 2015; 28(5): 448-452
WHO/NHD. Iron Deficiency Anaemia. Assessment, Prevention and Control: a guide for programme managers, 2001.
Yakut M., Soylan I., Kabacam G. Clinical Characteristics and Evaluation of Patients with Large Hiatal Hernia and Cameron Lesions. Southern. medical journal. 2011; 104(3): 179-184
Vasilenko V.V., Vinogradov D., Khamidulina M.S. Cameron syndrome: literature review and description of a clinical case. Archives of Internal Medicine. 2016. Vol.6.№6 (32).P.72-78.
Vasilenko V.V., Vyazkova N.V., Lopatina I.A., Timofeev S.E. Cameron syndrome as a cause of chronic posthemorrhagic anemia. Russian Journal of Gastroenterology, Hepatology, Proctology (Supplement No. 38, Proceedings of the Seventeenth Russian Gastroenterology Week). 2011; 5: 5
Dicheva D.T., Partsvania-Vinogradova E.V., Lebedeva E.G., Baeva T.A., Marushchak A.V. Features of the clinical course of hernia of the esophageal opening of the diaphragm: own clinical observation. Handbook of a polyclinic doctor. 2017. No. 1. P. 60-62.
Kozlovskaya L.V., Rameev V.V., Sarkisova I.A. Pathogenesis and clinical significance of anemia of chronic diseases. Anemia. 2005. No. 4. P. 4-10.
Lukanin D.V., Sokolov A.A., Sokolov A.A., Klimenko M.S. Clinical case of development of severe iron deficiency anemia in a patient with hernia of the esophageal opening of the diaphragm. Medical alphabet. 2021. No. 23. P. 104-109.
Maev I.V., Dicheva D.T., Andreev D.N., Subbotina Yu.S. Difficulties in diagnosing iron deficiency anemia. Russian Journal of Gastroenterology, Hepatology, Proctology. 2014. Vol. 24. No. 3. P. 98-103.
Mikheeva O.M., Komissarenko I.A., Akopova A.O. Anemia as the only symptom of hernia of the esophageal opening of the diaphragm. Experimental and Clinical Gastroenterology. 2013. No. 9. P. 26-28.
Mikheeva O.M., Komissarenko I.A., Akopova A.O. Iron deficiency anemia as the main manifestation of hernia of the esophageal opening of the diaphragm. Effective pharmacotherapy. 2014. No. 7. P. 8-10.
Nizovtseva O.A. Features of treatment of iron deficiency conditions in gastroenterology. Difficult patient. 2012. No. 6. P. 24—28.
Chernousov F.A., Abdullaev B.A. Diagnostics of hernias of the esophageal opening of the diaphragm complicated by bleeding. Annals of surgery. 2007. No. 4. P. 42-45.
Korchazhkina N.B., Mikhailova A.A., Kovalev S.A., Portnov V.V., Rzhevsky V.S. Effectiveness of early rehabilitation methods in accelerated recovery programs for patients after surgery. Physiotherapy, balneology and rehabilitation. 2019. Vol. 18. No. 6. P. 408-411.
Timofeeva O.A., Korchazhkina N.B. Experience of using alternating electrostatic low-frequency field in complex treatment of primary chronic gastroduodenitis in military personnel. Physiotherapy, balneology and rehabilitation. 2008. No. 1. P. 36.
Korchazhkina N.B., Mikhailova A.A., Kovalev S.A., Rzhevsky V.S., Portnov V.V. Justification for the use of the method of deep oscillation with a pulsed low-frequency electrostatic field in the early rehabilitation period after surgical interventions. Physiotherapy, balneology and rehabilitation. 2020. Vol. 19. No. 4. P. 244-248.
Korchazhkina N.B., Mikhailova A.A., Kolgaeva D.I., Kovalev S.A., Rzhevsky V.S. Justification for the inclusion of pulsed low-frequency electrostatic massage in complex treatment and rehabilitation programs. Physiotherapy, balneology and rehabilitation. 2019. Vol. 18. No. 3. P. 191-194.
Kotenko K.V., Eremin I.I., Okrugina S.A., Naumova A.V., Ishchenko V.L., Stavitsky S.B., Mikhailova A.A., Nadelyaeva I.I., Korchazhkina N.B., Goryagin A.O. Types of microorganisms from the composition of individual human microflora for obtaining an autologous probiotic for use in rehabilitation programs for surgical patients. Evidence-Based Gastroenterology. 2022. Vol. 11. No. 4. P. 77-79.
Levshin R.N., Kotenko K.V., Kruglova L.S., Korchazhkina N.B. Evaluation of the effectiveness of structural resonance therapy in patients with lichen planus and comorbid pathology of the gastrointestinal tract. Physiotherapy, balneology and rehabilitation. 2016. Vol. 15. No. 6. P. 305-308.