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Shestakov A.L.

Petrovsky National Research Center of Surgery

Yurasov A.V.

Petrovsky National Research Centre of Surgery

Bitarov T.T.

Petrovsky National Research Center of Surgery

Boeva I.A.

Petrovsky National Research Centre of Surgery

Tskchovrebov A.T.

Petrovsky National Research Center of Surgery

Tarasova I.A.

Petrovsky Russian Scientific Center of Surgery

Afanasiev D.V.

Smolensk State Medical University

Moskvin A.A.

Petrovsky National Research Center of Surgery

Cameron lesions and iron-deficiency anemia in patients with hiatal hernia

Authors:

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

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(11‑2): 46‑51

DOI: 10.17116/hirurgia202511246

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Table of contents

CAMERON LESIONS AND IRON-DEFICIENCY ANEMIA IN PATIENTS WITH HIATAL HERNIA
CAMERON LESIONS AND IRON-DEFICIENCY ANEMIA IN PATIENTS WITH HIATAL HERNIA

To cite this article:

Shestakov AL, Yurasov AV, Bitarov TT, et al. Cameron lesions and iron-deficiency anemia in patients with hiatal hernia. Pirogov Russian Journal of Surgery. 2025;(11‑2):46‑51. (In Russ.)
https://doi.org/10.17116/hirurgia202511246

 
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:

OBJECTIVE

To analyze the effectiveness of original laparoscopic fundoplication in correction of iron-deficiency anemia (IDA) following chronic blood loss from erosive and ulcerative lesions of esophageal and gastric mucosa in patients diagnosed with hiatal hernia (HH).

MATERIAL AND METHODS

A prospective study included 42 patients with verified HH and concomitant IDA who underwent original laparoscopic fundoplication between 2023 and 2024. All patients underwent a comprehensive diagnostic algorithm including extended laboratory testing with assessment of red blood cell parameters and iron metabolism. Treatment efficacy was evaluated after 6 and 12 months through analysis of clinical and laboratory parameters.

RESULTS

Complete regression of gastroesophageal reflux disease was achieved in 39 patients (92.8%). Six-month laboratory monitoring demonstrated normalization of hemoglobin and serum iron levels in 35 out of 37 patients (94.5%). Normal hematological parameters were maintained after 12 months despite the absence of additional iron therapy during the second six-month period. This indicated stable clinical effect of surgical treatment and elimination of primary pathogenetic factor of anemia.

CONCLUSION

These data confirm high efficacy of surgical HH correction in treating refractory IDA associated with Cameron lesions and emphasize the need for timely detection of this pathology to optimize treatment strategy.

Keywords:

fundoplication
hiatal hernia
iron-deficiency anemia

Authors:

Shestakov A.L.

Petrovsky National Research Center of Surgery

Yurasov A.V.

Petrovsky National Research Centre of Surgery

Bitarov T.T.

Petrovsky National Research Center of Surgery

Boeva I.A.

Petrovsky National Research Centre of Surgery

Tskchovrebov A.T.

Petrovsky National Research Center of Surgery

Tarasova I.A.

Petrovsky Russian Scientific Center of Surgery

Afanasiev D.V.

Smolensk State Medical University

Moskvin A.A.

Petrovsky National Research Center of Surgery

Received:

13.09.2025

Accepted:

10.10.2025

Close metadata

References:

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