Massive hiatal hernia: a review

Duranceau, André

doi:10.1111/dote.12328

Cited by 21 publications

(24 citation statements)

References 77 publications

(199 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, it is often unable to visualize and appreciate a large hiatal hernia, especially when it comes to the organo-axial rotation of the stomach [18]. Duranceau et al describe the challenges of providing an accurate endoscopic description of massive hernias, thus it is important to also perform a Barium swallow X-ray in order to decribe the hernia in an exact manner [16]. Roman et al point out that when performing endoscopy, one must keep in mind that excess air insufflation of the stomach may exaggerate the size of the hernia [5].…”

Section: Diagnosis Of Esophageal Hiatal Herniamentioning

confidence: 99%

“…pH testing is not essential in the diagnosis of a hiatal hernia, but it has proven helpful in providing a quantitative analysis of reflux episodes as it correlates pH level with the patient’s complaints of reflux [1]. In Duranceau et al’s study, it is considered the gold standard to document acid reflux exposure in the esophageal lumen [16].…”

Section: Diagnosis Of Esophageal Hiatal Herniamentioning

confidence: 99%

See 1 more Smart Citation

The management of hiatal hernia: an update on diagnosis and treatment

Sfara

Dumitraşcu

2019

Medicine and Pharmacy Reports

View full text Add to dashboard Cite

Background and aim. Hiatal hernia (HH) occurs quite frequently in the general population and is characterized by a wide range of non-specific symptoms, most of them related to gastroesophageal reflux disease. Treatment can be challenging at times, depending on the existence of complications. The most recent guideline regarding the management of hiatal hernia was released by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) in the year 2013. This review aims to present the most recent updates on the diagnosis and management of hiatal hernia for clinical practitioners. Methods. The PubMed database was screened for publications using the terms: “hiatal hernia”, “paraesophageal hernia”, “management”, “treatment”, “hiatal repair”. A literature review of contemporary and latest studies was completed. The studies that we looked into include prospective, randomized trials, systematic reviews, clinical reviews and original articles. The information was compiled in narrative review format. Results. This narrative review presents new data on the diagnosis and management of hiatal hernia. While the diagnostic pathway has remained virtually unchanged, new data have come to light regarding the surgical treatment of hiatal hernia. We present the imaging methods used for its diagnosis, as well as the medical and surgical treatment currently available. Conclusions. In the last five years, there has been vast research in the field of hiatal hernia management, especially regarding the surgical treatment. However, unanswered questions still remain and solid updates on the guidelines have yet to be formulated. To address this, more randomized studies need to be done on subsets of patients, stratified by age, gender, symptoms and comorbidities.

show abstract

Section: Diagnosis Of Esophageal Hiatal Herniamentioning

confidence: 99%

Section: Diagnosis Of Esophageal Hiatal Herniamentioning

confidence: 99%

The management of hiatal hernia: an update on diagnosis and treatment

Sfara

Dumitraşcu

2019

Medicine and Pharmacy Reports

View full text Add to dashboard Cite

show abstract

“…Considering that the capability to perform the operation laparoscopically has provided further impetus to surgeons favoring the surgical approach, 37,[46][47][48][49][50][51] for all these patients, elective repair may be a more appropriate solution, provided that a comprehensive review of the risks, benefits, and alternatives available is thoroughly discussed with the patients as well as incidence of recurrence, complications, and expected quality of life. 56…”

Section: Diagnostic Testingmentioning

confidence: 99%

Surgical Treatment of Paraesophageal Hernias: A Review

Andolfi

Jalilvand²,

Plana

et al. 2016

Journal of Laparoendoscopic & Advanced Surgical Techniques

View full text Add to dashboard Cite

The management of paraesophageal hernia (PEH) can be challenging due to the lack of consensus regarding indications and principles of operative treatment. In addition, data about the pathophysiology of the hernias are scant. Therefore, the goal of this review is to shed light and describe the classification, pathophysiology, clinical presentation, and indications for treatment of PEHs, and provide an overview of the surgical management and a description of the technical principles of the repair.

show abstract

“…Since the introduction of laparoscopic surgery perioperative complications and hospital stay reduced dramatically (4). On the other hand the magnitude of these operations, the high recurrence rates and the debate among experts for the addition of antireflux procedures or the use of prosthetic material, keeps management of large paraesophageal hernias as a matter of skepticism (5).…”

Section: Introductionmentioning

confidence: 99%

Large Paraesophageal Hiatus Hernia: Is Surgery Mandatory?

Dellaportas¹,

Papaconstantinou²,

Nastos³

et al. 2018

chr

View full text Add to dashboard Cite

Purpose/Aim: Paraesophageal hiatus hernias are seldom found, however the incidence is increasing accounting for 5-10% of all hiatal hernias. The aim of this review is to emphasize controversies in clinical presentation, essential workup investigations and highlight non-surgical and surgical management options. Materials and Methods: A PubMed literature search using the keywords 'large or giant paraesophageal hernia', 'hiatus or hiatal hernia', 'laparoscopic surgery', 'antireflux surgery', 'mesh', 'gastric volvulus' and 'diaphragmatic hernia' published between 1998 until 2017 was conducted. Results: Presenting symptoms are non-specific and can be erroneously attributed to various more common medical conditions. Significant complications as gastric volvulus and stomach necrosis, may occur and the obscured clinical presentation can be confusing for the clinician. Management options in the elective setting are controversial, and surgical repair cannot be easily justified for a minimally symptomatic condition, especially in an elderly and perhaps frail patient. However, in the era of laparoscopic surgery around the hiatus, reduced operative stress makes surgical repair appealing in the elective setting. Surgical matters as the adjunct of an antireflux procedure or not, the use of prosthetic mesh to reinforce the hiatus, gastropexy and the clinical importance of radiological or endoscopic recurrence are still under debate. Conclusions: The laparoscopic treatment of paraesophageal hiatus hernias is effective with low morbidity rates, offered in symptomatic patients and good operative risk asymptomatic individuals. More studies are needed to assess improvement suggestions, as the use of prosthetic mesh or gastropexy, regarding complications and recurrence risks.

show abstract

Massive hiatal hernia: a review

Cited by 21 publications

References 77 publications

The management of hiatal hernia: an update on diagnosis and treatment

The management of hiatal hernia: an update on diagnosis and treatment

Surgical Treatment of Paraesophageal Hernias: A Review

Large Paraesophageal Hiatus Hernia: Is Surgery Mandatory?

Contact Info

Product

Resources

About