{
  "abstract": "Introduction and importance:: We present a very rare postoperative complication following gastrectomy.\n\nCase presentation:: A patient 30 months after total gastrectomy was diagnosed with herniation of the small intestine into the mediastinum and left hemithorax. A laparotomy was performed to release the strangulated ischemic small intestine, after which its viability improved. The finding did not require bowel resection, which was confirmed by a second operation within 48 hours.\n\nClinical discussion:: Hiatal hernia after gastrectomy is rare. It manifests itself as abdominal pain with nausea and vomiting. Surgical treatment is always indicated. Early diagnosis with acute revision is important for a favorable treatment outcome. A second examination is indicated in patients with unclear intestinal viability. Hiatal plasty should always be performed to prevent further hiatal herniation.\n\nConclusion:: Acute symptomatic hiatal hernia after gastric surgery is indicated for early surgery to prevent the development of serious, life-threatening complications.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Surgery, Faculty of Medicine and Dentistry, Palacký University Olomouc, Olomouc, Czech Republic"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Radek Vrba",
      "orcid": "0000-0003-1027-8949"
    },
    {
      "affs": [
        0
      ],
      "name": "Petr Špička",
      "orcid": "0000-0003-3166-2624"
    },
    {
      "affs": [
        0
      ],
      "name": "Tomáš Řezáč",
      "orcid": "0000-0003-1326-0349"
    },
    {
      "affs": [
        0
      ],
      "name": "Katherine Vomáčková",
      "orcid": "0000-0001-7082-9349"
    },
    {
      "affs": [
        0
      ],
      "name": "Dušan Klos",
      "orcid": "0000-0002-3097-4418"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/9h8wvj27k7m90.bib",
  "cited_by": 0,
  "doi": "10.1097/rc9.0000000000000891",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13747592/",
  "id": "9h8wvj27k7m90",
  "issns": [
    "2210-2612"
  ],
  "landing_url": "https://doi.org/10.1097/rc9.0000000000000891",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Case Report"
    ],
    [
      "openalex",
      "2746|Hernia repair and management"
    ]
  ],
  "openalex": "W7224872527",
  "pdf_url": "https://europepmc.org/articles/PMC13747592?pdf=render",
  "pmcid": "PMC13747592",
  "pmid": "43005859",
  "published": "2026-10-07",
  "publisher": "Wolters Kluwer Health",
  "ris": "https://research.draconitic.com/paper/9h8wvj27k7m90.ris",
  "sources": [
    {
      "first_seen": "2026-11-12T12:23:37Z",
      "native_id": "PMC13747592",
      "source": "pmc",
      "url": "https://doi.org/10.1097/rc9.0000000000000891"
    },
    {
      "first_seen": "2026-11-12T15:22:43Z",
      "native_id": "MED:43005859",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/43005859"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Hernia repair and management",
      "subfield": "surgery"
    }
  ],
  "title": "Incarcerated post-gastrectomy hiatal hernia: a case report",
  "title_text": "Incarcerated post-gastrectomy hiatal hernia: a case report",
  "type": "peer-reviewed",
  "updated_at": "2026-11-13T12:24:36Z",
  "url": "https://research.draconitic.com/paper/9h8wvj27k7m90",
  "venue": "International Journal of Surgery Case Reports",
  "versions": []
}