Work

Review of Perioperative Care in Elderly Patients With Esophageal Hiatal Hernia and Cardiopulmonary Disease

Year: 2025

Type: article

Abstract: ABSTRACT: This article aims to explore the clinical characteristics and corresponding nursing points of elderly patients with massive hiatal hernia. A case study of an elderly patient with massive hiatal hernia and severe cardiopulmonary disease was reviewed, along with relevant literature. Nursing points are the following: multidisciplinary team to estimate surgical risks and develop individualized pre-rehabilitation management strategies; assessment and intervention for thrombosis and bleeding risks; postoperative hemodynamic monitoring and precise fluid management; dynamic observation of inflammatory indicators and infection prevention and care; and follow-up visits and health guidance after discharge. Hiatal hernia is common clinically, but it is rare in elderly patients with severe cardiopulmonary disease. Thorough literature review, familiarity with the characteristics of this condition in elderly patients, and proper perioperative nursing management and guidance are crucial for the successful recovery of elderly patients with massive hiatal hernia.

Source: Gastroenterology Nursing

DOI: 10.1097/sga.0000000000000926

Authors: Haibin Zhang, Fangyan Lu, Di Meng

Institutions: First Affiliated Hospital Zhejiang University, Zhejiang University

Language: English

Topic: Gastroesophageal reflux and treatments

Subfield: Gastroenterology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Funder: Zhejiang University