RT Book, Section
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
SR Print(0)
ID 1170408187
T1 Techniques for Repair of Paraesophageal Hiatal Hernia
T2 Sugarbaker’s Adult Chest Surgery, 3e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260026931
LK accesssurgery.mhmedical.com/content.aspx?aid=1170408187
RD 2024/10/15
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.