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Related Experiment Videos

Paraesophageal hiatus hernia.

F H Ellis, R E Crozier, J A Shea

    Archives of Surgery (Chicago, Ill. : 1960)
    |April 1, 1986
    PubMed
    Summary

    Paraesophageal hiatus hernia surgery is effective, with 88.4% benefiting. Adding gastrostomy helps prevent hernia recurrence, while antireflux procedures are only recommended for specific cases.

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    Area of Science:

    • Gastroenterology
    • Surgical Oncology

    Background:

    • Paraesophageal hiatus hernias present with varied symptoms, including pain, anemia, and vomiting.
    • Reflux symptoms are infrequent in patients with paraesophageal hiatus hernias.

    Purpose of the Study:

    • To evaluate the outcomes of surgical repair for paraesophageal hiatus hernias.
    • To determine the efficacy of combined procedures like gastrostomy and antireflux surgery.

    Main Methods:

    • A retrospective review of 55 paraesophageal hiatus hernia operations performed between 1970 and 1985.
    • Analysis of patient symptoms, manometric findings (lower esophageal sphincter pressure), and surgical techniques (anterior crural repair, gastrostomy, Nissen fundoplication).

    Main Results:

    • 88.4% of patients experienced significant benefit from the surgery.
    • Hernial recurrence was the primary cause of poor outcomes (4 out of 5 cases).
    • The addition of Stamm gastrostomy was associated with protection against recurrence.

    Conclusions:

    • Surgical correction of paraesophageal hiatus hernia yields favorable results.
    • Antireflux procedures should be reserved for patients with confirmed hypotensive lower esophageal sphincter.
    • Gastrostomy may be a valuable adjunct in preventing hernia recurrence.

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