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Management of Paraesophageal Hernias.

Management of Paraesophageal Hernias. Thoracic surgery clinics Randle, R. J., Liou, D. Z., Lui, N. S. 2024; 34 (2): 163-170

Abstract

Paraesophageal hernias are classified according to the altered anatomic relationships between the gastroesophageal junction or stomach and the diaphragmatic hiatus. Herniation of these structures into the mediastinum may produce common complaints such as reflux, chest pain, and dysphagia. The elective repair of these hernias is well tolerated and significantly improves quality of life among patients with symptomatic disease. The hallmarks of a quality repair include the circumferential mobilization of the esophagus to generate 3cm of tension-free intra-abdominal length and the performance of a fundoplication.

View details for DOI 10.1016/j.thorsurg.2024.01.005

View details for PubMedID 38705664