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Repair of Hiatus Hernia

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Esophageal and Gastric Disorders in Infancy and Childhood

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Abstract

Hiatus hernia represents protrusion of abdominal content into the chest via the oesophageal hiatus. The different types of hiatus hernia are type I or sliding hernia which is almost synonymous with gastroesophageal reflux in terms of symptoms, investigation, management and complications. All other forms are rare. Type II hiatal hernia is also known as paraoesophageal or rolling hiatus hernia. In this defect, the gastroesophageal junction remains within the abdomen, and the gastric fundus herniates alongside the oesophagus. In a type III or mixed hiatus hernia, the gastroesophageal junction is mobile as well. In type IV hiatus hernia, other abdominal viscera such as the small bowel, colon and spleen may be found within the chest. Paraoesophageal hiatus hernia with more than a third to half of the stomach in the chest has been variously described as giant or massive paraoesophageal hernia. In addition, hiatus hernia may be seen in conjunction with congenital diaphragmatic hernia and following repair of oesophageal atresia. This chapter discusses the aetiopathogenesis, epidemiology, clinical features, treatment and outcome of this diverse group of conditions.

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Authors and Affiliations

  1. Queens Medical Centre, Nottingham, NG7 2UH, UK

    Balgopal Eradi

  2. Queens Medical Centre, Nottingham Childre´s Hospital at NUH, Derby Road, Nottingham, NG7 2UH, UK

    Richard J. Stewart

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  1. Balgopal Eradi
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  2. Richard J. Stewart
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Correspondence to Richard J. Stewart .

Editor information

Editors and Affiliations

  1. Medical University of Graz, Graz, Austria

    Holger Till

  2. Sheffield Children’s Hospital, Paediatric Gastroenterology Centre, Sheffield, United Kingdom

    Mike Thomson

  3. Division of Cardiothoracic Surgery, Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota, USA

    John E. Foker

  4. Department Surgery, University of Missouri, Kansas City Children’s Mercy Hospital, Kansas City, Missouri, USA

    George W. Holcomb III

  5. University of Arizona, Tucson, Arizona, USA

    Khalid M. Khan

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Eradi, B., Stewart, R.J. (2017). Repair of Hiatus Hernia. In: Till, H., Thomson, M., Foker, J., Holcomb III, G., Khan, K. (eds) Esophageal and Gastric Disorders in Infancy and Childhood. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11202-7_96

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  • DOI: https://doi.org/10.1007/978-3-642-11202-7_96

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