Current Treatment Options in Gastroenterology

, Volume 4, Issue 1, pp 83–88 | Cite as

Paraesophageal hernia

  • Valerie J. Halpin
  • Nathaniel J. Soper

Opinion statement

The definitive management of paraesophageal hernia is surgical repair. The current standard of care is the laparoscopic paraesophageal hernia repair in patients who are medically fit for general anesthesia and operation. When patients are considered for operative repair, they should undergo diagnostic testing, including upper endoscopy, upper gastrointestinal series, and esophageal manometry.


Hiatal Hernia Laparoscopic Repair Paraesophageal Hernia Gastric Volvulus Paraesophageal Hernia Repair 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References and Recommended Reading

  1. 1.
    Wu JS, Dunnegan DL, Soper NJ: Clinical and radiologic assessment of laparoscopic paraesophageal hernia repair. Surg Endosc 1999, 13:497–502.PubMedCrossRefGoogle Scholar
  2. 2.
    Christensen J, Miftakhov R: Hiatus hernia: a review of evidence for its origin in esophageal longitudinal muscle dysfunction. Am J Med 2000, 108:3–7S.CrossRefGoogle Scholar
  3. 3.
    Oddsdottir M, Franco AL, Laycock WS, et al.: Laparoscopic repair of paraesophageal hernia: new access, old technique. Surg Endosc 1995, 9:164–168.PubMedCrossRefGoogle Scholar
  4. 4.
    Pitcher DE, Curet MY, Martin DT, et al.: Successful laparoscopic repair of paraesophageal hernia. Arch Surg 1995, 130:590–596.PubMedGoogle Scholar
  5. 5.
    Casabella F, Sinanan M, Horgan S, et al.: Systematic use of gastric fundoplication in laparoscopic repair of paraesophageal hernias. Am J Surg 1996, 171:485–489.PubMedCrossRefGoogle Scholar
  6. 6.
    Behrns KE, Schlinkert RT: Laparoscopic management of paraesophageal hernia: early results. J Laparoendosc Surg 1996, 6:311–317.PubMedGoogle Scholar
  7. 7.
    Trus TL, Bax T, Richardson WS, et al.: Complications of laparoscopic paraesophageal hernia repair. J Gastrointest Surg 1997, 1:221–228.PubMedCrossRefGoogle Scholar
  8. 8.
    Willekes CL, Edoga JK, Frezza EE: Laparoscopic repair of paraesophageal hernia. Ann Surg 1997, 225:31–38.PubMedCrossRefGoogle Scholar
  9. 9.
    Perdikis G, Hinder RA, Filipi CJ, et al.: Laparoscopic paraesophageal hernia repair. Arch Surg 1997, 132:586–591.PubMedGoogle Scholar
  10. 10.
    Huntington TR: Short-term outcome of laparoscopic paraesophageal hernia repair. Surg Endosc 1997, 11:894–898.PubMedCrossRefGoogle Scholar
  11. 11.
    Gantert WA, Patti MG, Arcerito M, et al.: Laparoscopic repair of paraesophageal hiatal hernias. J Am Coll Surg 1998, 186:428–433.PubMedCrossRefGoogle Scholar
  12. 12.
    Krahenbuhl L, Schafer M, Farhad J, et al.: Laparoscopic treatment of large paraesophageal hernia with totally intrathoracic stomach. J Am Coll Surg 1998, 187:231–237.PubMedCrossRefGoogle Scholar
  13. 13.
    Schauer PR, Ikramuddin S, McLaughlin RH, et al.: Comparison of laparoscopic versus open repair of paraesophageal hernia. Am J Surg 1998 176:659–665.PubMedCrossRefGoogle Scholar
  14. 14.
    Edye MB, Canin-Endres J, Gattorno F, et al.: Durability of laparoscopic repair of paraesophageal hernia. Ann Surg 1998, 228:528–535.PubMedCrossRefGoogle Scholar
  15. 15.
    Frantzides CT, Richards CG, Carlson MA: Laparoscopic repair of large hiatal hernia with polytetrafluoroethylene. Surg Endosc 1999, 13:906–908. The only randomized trial patients comparing primary repair with polytetrafluoroethylene mesh in 35 patients.PubMedCrossRefGoogle Scholar
  16. 16.
    Horgan S, Eubanks TR, Jacobsen G, et al.: Repair of paraesophageal hernias. Am J Surg 1999, 177:354–359.PubMedCrossRefGoogle Scholar
  17. 17.
    Swanstrom LL, Jobe BA, Kinzie LR, et al.: Esophageal motility and outcomes following laparoscopic paraesophageal hernia repair and fundoplication. Am J Surg 1999, 177:359–363.PubMedCrossRefGoogle Scholar
  18. 18.
    Hashemi M, Peters JH, DeMeester TR, et al.: Laparoscopic repair of large type III hiatal hernia: objective follow-up reveals high recurrence rate. J Am Coll Surg 2000, 190:553–561.PubMedCrossRefGoogle Scholar
  19. 19.
    Luketich JD, Raja S, Fernando HC, et al.: Laparoscopic repair of giant paraesophageal hernia: 100 consecutive cases. Ann Surg 2000, 232:608–618. The largest case series of laparoscopic paraesophageal hernia repair, with excellent intermediate term results. The authors review the rational for specific surgical techniques.PubMedCrossRefGoogle Scholar
  20. 20.
    Ozdemir IA, Burke WA, Ikins PM: Paraesophageal hernia. Ann Thorac Surg 1973, 16:547–554.PubMedCrossRefGoogle Scholar
  21. 21.
    Pearson FG, Cooper JD, Ilves R, et al.: Massive hiatal hernia with incarceration: a report of 53 cases. Ann Thorac Surg 1982, 35:45–51.CrossRefGoogle Scholar
  22. 22.
    Ellis FH, Crozier RE, Shea JA: Paraesophageal hiatus hernia. Arch Surg 1986, 121:416–420.PubMedGoogle Scholar
  23. 23.
    Menguy R: Surgical management of large paraesophageal hernia with complete intrathoracic stomach. World J Surg 1988, 12:425–422.CrossRefGoogle Scholar
  24. 24.
    Landreneau RJ, Johnson JA, Marshall JB, et al.: Clinical spectrum of paraesophageal herniation. Dig Dis Sci 1992, 37:537–544.PubMedCrossRefGoogle Scholar
  25. 25.
    Myers GA, Harms BA, Starling JR: Management of paraesophageal hernia with a selective approach to antireflux surgery. Am J Surg 1995, 170:375–380.PubMedCrossRefGoogle Scholar
  26. 26.
    Williamson WA, Ellis FH, Streitz JM, et al.: Paraesophageal hiatal hernia: is an antireflux procedure necessary? Ann Thorac Surg 1993, 56:447–452.PubMedCrossRefGoogle Scholar
  27. 27.
    Altorki NK, Yankelevitz D, Skinner DB: Massive hiatal hernias: the anatomic basis of repair. J Thorac Cardiovasc Surg 1998, 115:828–835.PubMedCrossRefGoogle Scholar
  28. 28.
    Maziak DE, Todd TRJ, Pearson FG: Massive hiatus herniae: evaluation and surgical management. J Thorac Cardiovasc Surg 1998, 115:53–62.PubMedCrossRefGoogle Scholar
  29. 29.
    Geha AS, Massad MG, Snow NJ, et al.: A 32-year experience in 100 patients with giant paraesophageal hernia: the case for abdominal approach and selective antireflux repair. Surgery 2000, 128:623–630. The most recent case series of 100 open paraesophageal hernia repairs with excellent long-term results. Arguments for open abdominal repair are reviewed.PubMedCrossRefGoogle Scholar
  30. 30.
    Edelman DS: Laparoscopic paraesophageal hernia repair with mesh. Surg Laparosc Endosc 1995, 5:32–37.PubMedGoogle Scholar
  31. 31.
    Paul MG, DeRosa RP, Petrucci PE, et al.: Laparoscopic tension-free repair of large paraesophageal hernias. Surg Endosc 1997, 11:303–307.PubMedCrossRefGoogle Scholar
  32. 32.
    Morrison JE, Jacobs VR: New method of closure of large or recurrent diaphragm hernias with bovine pericardium (Periguard). J Soc Laparoendoscop Surg 2000, 4:80.Google Scholar
  33. 33.
    Swanstrom LL, Marcus DR, Galloway GQ: Laparoscopic collis gastroplasty is the treatment of choice for the shortened esophagus. Am J Surg 1996, 171:477–481.PubMedCrossRefGoogle Scholar

Copyright information

© Current Science Inc 2001

Authors and Affiliations

  • Valerie J. Halpin
    • 1
  • Nathaniel J. Soper
    • 1
  1. 1.Department of SurgeryWashington University School of MedicineSt. LouisUSA

Personalised recommendations