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Table 4 Clinical characteristics and outcomes of the patients

From: Acute paraesophageal hernia with gastric volvulus. Results of surgical treatment: a systematic review and meta-analysis

Variables

No. cases

%

Reported symptoms (n = 157 articles; 654 cases) *, **

  

 Epigastric pain

 Nausea

 Vomits

 Chest pain

 Hematemesis

 Borchardt triad

465

329

387

122

86

112

71.1

50.3

58.7

18.7

13.1

17.1

Type of volvulus (n = 165 articles; 1,107 cases) *, ***

  

 Organo-axial

 Mesentero-axial

 Not reported

202

71

834

18.3 (73.9)

6.4 (26.1)

75.3

Type of PEH (n = 142 articles; 702 patients) *, ***

  

 II

 III

 IV

 Not reported

14

222

110

356

2.0

31.6

15.7

50.7

Time of the surgery after admission (n = 141 articles; 532 patients)

  

 Urgent (within the first 24 h)

 Up to 7 days

 8 to 14 days

 15 to 30 days

 After 30 days (deferred, elective)

325

115

18

11

63

61.1

21.6

3.4

2.1

11.8

Surgical approach (n = 164 articles; 11,518 cases) *,

  

 Open

 Laparoscopic

 Conversion to open surgery

 Other options (thoracic and robotic approach)

 Not surgical treatment

9,934

1,463

41

37

43

86.2

12.7

0.4

0.3

0.4

AGV treatment (n = 154 articles; 2,011 cases) *, **

  

 Nissen fundoplication

 Gastropexy

 Toupet fundoplication

 Use of mesh

 Total or partial gastric resection

 Gastrostomy

 Collis operation

 Dor fundoplication

787

480

191

165

146

127

84

31

39.1

23.9

9.5

8.2

7.3

6.3

4.2

1.5

POC - Clavien & Dindo (n = 70 articles; 1,989 POC in 9,010 patients) *, #

  

 Grade II

 Grade IIIa

 Grade IIIb

 Grade IVa

 Grade IVb

 Grade V

 NR

82

520

632

408

153

20

174

4.1

26.1

31.8

20.5

7.7

1.0

8.8

  1. *: The values represent the number of studies in which the variable was reported
  2. **: In some cases, more than one was reported
  3. ***: The proportion of presentation among reported cases is shown in parentheses
  4. #: Other options of treatment: Thoracotomy approach (10 cases) and robotic surgery (two cases)
  5. ##: Some patients developed more than one POC
  6. NR: Not reported