Complex Hiatal Hernias

  • Dirk WeyheEmail author
  • Pradeep Chowbey


Hiatial hernia often develops due to a combination of insufficient hiatial fixation of the cardia region and concurrent intra-abdominal pressure, which mainly arise due to age and/or obesity [1]. The amount of dislocated tissue is used to classify hiatial hernia:
  • Type I: axial hernia

  • Type II: paraesophageal hernia

  • Type III: combination of I and II

  • Type IV: large hiatial hernia with additional abdominal organs dislocated into the thorax


Upside-Down Stomach

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Short Esophagus

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Medical Campus University of Oldenburg, School of Medicine and Health Sciences, University Hospital for Visceral Surgery, Pius-Hospital OldenburgOldenburgGermany
  2. 2.Minimal Access, Metabolic and Bariatric Surgery, Max Super Specialty Hospital SaketNew DelhiIndia

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