APPLICATION OF LAPAROSCOPIC SURGERY TO TREATMENT FOR LONG-LASTING HICCUPS
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Abstract
Gastroesophageal reflux disease (GERD) is one of the causes of hiccup. We presented a case who suffered from hiccup for 12 years because of GERD. To the best of our knowledge, this was the first case that hiccup was treated by laparoscopic surgery. The patient underwent a number of different treatment approaches which were ineffective before undergoing endoscopic surgery. Observationally, the cardia appeared to adhere to the diaphragm and was pulled toward the diaphragm on the right. The small omentum and a part of the greater omentum stuck to the diaphragm. After dissecting, we found that the X cranial nerve was pressed between the cardia and the membrane of the herniation. After separating the nerve from fibrous regions, we sewed the diaphragm and performed a Toupet’s fundoplication. The patient had no reflux nor hiccup for the two months after the surgery. An electrocardiogram at the two-month follow-up showed normal cardiac and no herniation. Laparoscopic surgery thus should be considered as a novel surgical option for the treatment of persistent hiccups due to GERD and hiatal hernia.
Article Details
Keywords
Laparoscopic surgery, GERD, hiccup
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