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The unexpected consequence of hernias: Did you know that Cameron lesions may be lurking in your stomach?
In many medical discussions, the topic of hernia is often mentioned. However, health problems associated with hernias, such as Cameron's lesions, rarely receive enough attention. These lesions are linear erosions or ulcers in the stomach, particularly when the stomach is compressed by the diaphragm, as many patients with large hernias may experience, resulting in chronic blood loss and iron deficiency anemia.
Cameron lesions and their symptomsThe pathological characteristic of Cameron lesions is that they usually occur in the narrow area formed by the diaphragm and are often associated with chronic bleeding. Although these lesions may cause heart pain or other reflux symptoms, they are generally not noticeably painful. Many people with large hernias are found to have Cameron lesions during examination.
According to research, up to 42% of patients with anemia may develop Cameron lesions, while this proportion is only 24% among patients without anemia.
Causes and mechanisms
The esophagus connects to the stomach through an opening in the diaphragm that separates the chest cavity from the abdominal cavity. Large hernias can cause part of the stomach to be located in the chest cavity, which can cause chronic gastrointestinal bleeding and may eventually lead to iron deficiency anemia.
A study found that patients with anemia had an average daily blood loss of 15 ml, while patients without anemia lost 3 ml.
Diagnosis of Cameron Lesions
The diagnosis of Cameron's lesions usually relies on esophagogastroduodenoscopy. Many patients may be found incidentally when being investigated for other symptoms such as regurgitation or dysphagia.
If a patient with iron deficiency anemia is found on endoscopy, the diagnosis of a large hernia and Cameron's lesion usually explains the blood loss.
Treatment Options
Iron supplementation and antacids, such as proton pump inhibitors (PPIs), are usually the first options for anemia associated with Cameron lesions. In some cases, surgery may be needed to repair the hernia, especially if anemia requires constant blood transfusions or other more serious symptoms occur.
Impact on patients’ lives
For many patients, the symptoms of chronic anemia affect their quality of life. Symptoms associated with Cameron lesions make daily life difficult for them due to persistent fatigue, shortness of breath, and pale appearance.
ConclusionAccording to a survey, about 20% of patients who undergo major hernia surgery have anemia problems at the time of surgery.
By understanding Cameron lesions and their potential impact, patients can better communicate with their healthcare professionals and choose appropriate treatment options. For many people, early intervention and appropriate treatment can make a significant difference in their health. However, whether these lesions will have a lasting impact on each patient's future is still a question worth our deep consideration.
