TY - CHAP M1 - Book, Section TI - Techniques for Repair of Paraesophageal Hiatal Hernia A1 - Lerut, Toni A1 - Deschamps, Claude A2 - Sugarbaker, David J. A2 - Bueno, Raphael A2 - Burt, Bryan M. A2 - Groth, Shawn S. A2 - Loor, Gabriel A2 - Wolf, Andrea S. A2 - Williams, Marcia A2 - Adams, Ann PY - 2020 T2 - Sugarbaker’s Adult Chest Surgery, 3e AB - A multiplicity of terms has been used over the years to describe paraesophageal hernia. These reflect the considerable confusion that persists to this day concerning its pathophysiology and treatment. Terms like upside-down stomach, rolling hernia, intrathoracic stomach, and parahiatal or paraesophageal hernia have all been used to describe this clinical condition. Any herniation of the fundus and/or body of the stomach into the chest anterior or lateral to the esophagus is considered to be a paraesophageal hernia. Although paraesophageal hernia was once considered an immediate indication for surgical repair, the role of surgery in this operation is changing and patients receive treatment appropriate to their complaints. Persistent symptoms, in particular those related to the mechanical effects of paraesophageal hernia, eventually will result in an indication for surgery. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/15 UR - accesssurgery.mhmedical.com/content.aspx?aid=1170408187 ER -