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Classification and Evaluation of Diaphragmatic Hernias

  • Adham R. Saad
  • Britney L. CoreyEmail author
Chapter

Abstract

Diaphragmatic hernias can be intimidating diagnoses for physicians who are unfamiliar with their workup and treatment. Often these hernias are incidental findings from diagnostic evaluations for reflux or ulcer disease, but they can also present in dire need of urgent surgery. Understanding the basics of evaluation and determining the urgency of treatment are essential in caring for this patient population. The large majority of these cases are not emergencies, and it is imperative for these patients to get a complete workup prior to surgical intervention. Through a discussion of the anatomy of the diaphragm and the esophageal hiatus, the pathophysiology of these hernias is more easily understood. In addition, the classification of these hernias and the appropriate diagnostic evaluation will be discussed. Our goal is to provide a fundamental guide for their classification and evaluation.

Keywords

Diaphragmatic hernia Hiatal hernia Paraesophageal hernia Congenital diaphragmatic hernia Gastroesophageal junction Classification of hiatal hernia 

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Copyright information

© SAGES 2019

Authors and Affiliations

  1. 1.Minimally Invasive GI Surgery, Department of SurgeryUniversity of Alabama at BirminghamBirminghamUSA
  2. 2.Department of SurgeryUniversity of Alabama at Birmingham, Birmingham Veteran’s Affairs Medical CenterBirminghamUSA

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