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Shestakov A.L.

Petrovsky National Research Center of Surgery;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Yurasov A.V.

Petrovsky National Research Center of Surgery

Bitarov T.T.

Petrovsky National Research Center of Surgery

Boeva I.A.

Petrovsky National Research Center of Surgery

Tskhovrebov A.T.

Petrovsky National Research Center of Surgery

Tarasova I.A.

Petrovsky National Research Center of Surgery;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Afanasiev D.V.

Smolensk State Medical University

Moskvin A.A.

Petrovsky National Research Center of Surgery

Cameron syndrome and iron deficiency anemia in hiatal hernias

Authors:

Shestakov A.L., Yurasov A.V., Bitarov T.T., Boeva I.A., Tskhovrebov A.T., Tarasova I.A., Afanasiev D.V., Moskvin A.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(10‑2): 64‑69

DOI: 10.17116/hirurgia202510264

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Table of contents

CAMERON SYNDROME AND IRON DEFICIENCY ANEMIA IN HIATAL HERNIAS
CAMERON SYNDROME AND IRON DEFICIENCY ANEMIA IN HIATAL HERNIAS

To cite this article:

Shestakov AL, Yurasov AV, Bitarov TT, et al. Cameron syndrome and iron deficiency anemia in hiatal hernias. Pirogov Russian Journal of Surgery. 2025;(10‑2):64‑69. (In Russ.)
https://doi.org/10.17116/hirurgia202510264

 
Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

BACKGROUND

Hiatal hernia (HH) can cause iron deficiency anemia (IDA) development. In 5—10% patients with HH, the anemia syndrome is refractory to conservative ferrotherapy, which necessitates the antireflux surgery.

MATERIAL AND METHODS

A prospective study includes 42 patients with verified HH and comorbid IDA who underwent fundoplication by the method of Petrovsky National Research Center of Surgery for the period from 2023 to 2024. A complex diagnostic algorithm including extensive laboratory testing with determination of red blood cells and ferrokinetic parameters was used in all patients. The effectiveness of intervention was assessed 6 and 12 months after surgery with analysis of clinical and laboratory parameters.

RESULTS

A complete regression of gastroesophageal reflux disease symptoms was achieved in 39 (92.8%) patients. Laboratory monitoring after 6 months demonstrated normalization of haemoglobin and serum iron levels in 35 (94.5%) of 37 examined patients. It is noteworthy that the preservation of normal haematological parameters was observed 12 months after the surgery despite the absence of additional ferrotherapy during the second half of the year that indicates a persistent clinical effect of the surgical treatment and the elimination of main anemia pathogenetic factor.

CONCLUSION

The obtained data confirm a high effectiveness of HH surgery in the treatment of refractory IDA associated with Cameron syndrome and emphasize the necessity of timely detection of this pathology to optimize treatment tactics for patients.

Keywords:

fundoplication
hiatal hernia
iron deficiency anemia

Authors:

Shestakov A.L.

Petrovsky National Research Center of Surgery;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Yurasov A.V.

Petrovsky National Research Center of Surgery

Bitarov T.T.

Petrovsky National Research Center of Surgery

Boeva I.A.

Petrovsky National Research Center of Surgery

Tskhovrebov A.T.

Petrovsky National Research Center of Surgery

Tarasova I.A.

Petrovsky National Research Center of Surgery;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Afanasiev D.V.

Smolensk State Medical University

Moskvin A.A.

Petrovsky National Research Center of Surgery

Received:

27.07.2025

Accepted:

13.08.2025

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References:

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