Concept: Operations for Reflux Esophagitis, Stricture, Short Esophagus, and Paraesophageal Hernia

  • Jameson L. Chassin

Abstract

Most acquired diaphragmatic hernias enter the chest through the esophageal hiatus. In the typical case, this constitutes a sliding hernia of the esophagogastric junction up into the mediastinum, dragging a fold of peritoneum along with it, just as is the case with a sliding hernia of the cecum. When the abdominal esophagus remains properly attached to the preaortic fascia by means of the phrenoesophageal ligaments, a herniation of the fundus or body of the stomach through the diaphragmatic hiatus into the chest is termed a “paraesophageal” hernia.

Keywords

Adenocarcinoma Anemia Radio Nuclide Perforation Dition 

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References

  1. Akiyama H (1980) Surgery for carcinoma of the esophagus. Curr Probl Surg 17: 56CrossRefGoogle Scholar
  2. Baue AE, Belsey R (1967) The treatment of sliding hiatus hernia and reflux esophagitis by the Mark IV technique. Surgery 62: 396Google Scholar
  3. Belsey R (1965) Reconstruction of the esophagus with left colon. J Thorac Cardiovasc Surg 49: 33PubMedGoogle Scholar
  4. DeMeester TR, Johnson LF, Kent AH (1974) Evaluation of current operations for the prevention of gastroesophageal reflux. Ann Surg 180: 511PubMedCrossRefGoogle Scholar
  5. Dilling EW, Peyton MD, Cannon JP, Kanaly PJ et al. (1977) Comparison of Nissen fundoplication and Belsey Mark IV in the management of gastroesophageal reflux. Am J Surg 134: 730PubMedCrossRefGoogle Scholar
  6. Donahue PC, Bombeck CT (1977) The modified Nissen fundoplication-reflux prevention without gas bloat. Chir Gastroenterol 11: 15Google Scholar
  7. Glasgow JC, Cannon JP, Elkins RC (1979) Colon interposition for benign esophageal disease. Am J Surg 137: 175PubMedCrossRefGoogle Scholar
  8. Henderson RD (1977) Reflux control following gastroplasty. Ann Thorac Surg 24: 206PubMedCrossRefGoogle Scholar
  9. Henderson RD (1979) Nissen hiatal hernia repair: problems of recurrence and continued symptoms. Ann Thorac Surg 28: 587PubMedCrossRefGoogle Scholar
  10. Henderson RD, Marryatt G (1981) Recurrent hiatal hernia: management by thoracoabdominal total fundoplication gastroplasty. Can J Surg 24: 151PubMedGoogle Scholar
  11. Hill LD (1967) An effective operation for hiatal hernia: an eight year appraisal. Ann Surg 166: 681PubMedCrossRefGoogle Scholar
  12. Hill LD (1977) Progress in the surgical management of hiatal hernia. World J Surg 1: 425PubMedCrossRefGoogle Scholar
  13. MacDougall JI, Abbott AC, Goodhand TK (1963) Herniation through congenital diaphragmatic defects in adults. Can J Surg 6: 301Google Scholar
  14. Mansour KA, Burton HG, Miller JI Jr, Hatcher CR Jr (1981) Complications of intra-thoracic Nissen fundoplication. Ann Thorac Surg 32: 173PubMedCrossRefGoogle Scholar
  15. Merendino KA, Dillard DH (1955) The concept of sphincter substitution by an interposed jejunal segment for anatomic and physiological abnormalities at the esophagogastric junction. Ann Surg 142: 486PubMedCrossRefGoogle Scholar
  16. Orringer MB, Orringer JS (1982) The combined Collis—Nissen operation: early assessment of reflux control. Ann Thorac Surg 33: 543CrossRefGoogle Scholar
  17. Orringer MB, Schneider R, Williams GW, Sloan H (1980) Intraoperative esophageal manometry: is it valid? Ann Thorac Surg 30: 13PubMedCrossRefGoogle Scholar
  18. Orringer MB, Skinner DB, Belsey RHR (1972) Long-term results of the Mark IV operation for hiatal hernia and analyses of recurrences and their treatment. J Thorac Cardiovasc Surg 63: 25PubMedGoogle Scholar
  19. Orringer MB, Sloan H (1977) Complications and failings of the combined Collis—Belsey operation. J Thorac Cardiovasc Surg 74: 726PubMedGoogle Scholar
  20. Orringer MB, Sloan H (1978) Combined Collis—Nissen reconstruction of the esophagogastric junction. Ann Thorac Surg 25: 16PubMedCrossRefGoogle Scholar
  21. Payne WS (1970) Surgical treatment of reflux esophagitis and stricture associated with permanent incompetence of the cardia. Mayo Clin Proc 45: 553PubMedGoogle Scholar
  22. Pearson FG, Henderson RD (1973) Experimental and clinical studies of gastroplasty in the management of acquired short esophagus. Surg Gynecol Obstet 136: 737PubMedGoogle Scholar
  23. Pennell TC (1981) Supradiaphragmatic correction of esophageal reflux structures. Ann Surg 193: 655PubMedCrossRefGoogle Scholar
  24. Polk HC Jr (1980) Jejunal interposition for reflux esophagitis and esophageal stricture unresponsive to valvuloplasty. World J Surg 4: 731PubMedCrossRefGoogle Scholar
  25. Richardson JD, Larson GM, Polk HC Jr (1982) Intrathoracic fundoplication for shortened esophagus. Am J Surg 143: 29PubMedCrossRefGoogle Scholar
  26. Royston CMS, Dowling BL, Spencer J (1975) Antrectomy with Roux-en-Y anastomosis in the treatment of peptic esophagitis with stricture. Br J Surg 62: 605PubMedCrossRefGoogle Scholar
  27. Skinner DB, Belsey R (1967) Surgical management of esophageal reflux and hiatus hernia. J Thorac Cardiovasc Surg 53: 33PubMedGoogle Scholar
  28. Skinner DB, DeMeester TR (1976) Gastroesophageal reflux. Curr Probl Surg 13: 1PubMedCrossRefGoogle Scholar
  29. Smith J, Payne WS (1975) Surgical technique for management of reflux esophagitis after esophagogastrectomy for malignancy; further application of the Roux-en-Y principle. Mayo Clin Proc 50: 588PubMedGoogle Scholar
  30. Urschel HC, Razzuk MA, Wood RE, Galbraith NF, et al. (1973) An improved surgical technique for the complicated hiatal hernia with gastroesophageal reflux. Ann Thorac Surg 15: 443PubMedCrossRefGoogle Scholar
  31. Wilkins EW Jr (1980) Long-segment colon substitution for the esophagus. Ann Surg 192: 722PubMedCrossRefGoogle Scholar
  32. Woodward ER, Rayl JE, Clarke JM (1970) Esophageal hiatus hernia. Curr Probl Surg 7: 1CrossRefGoogle Scholar
  33. Zucker K, Peskin GW, Saik RP (1982) Recurrent hiatal hernia repair; a potential surgical dilemma. Arch Surg 117: 413PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1984

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.New York University School of MedicineUSA
  2. 2.Booth Memorial Medical CenterFlushingUSA
  3. 3.University Hospital, New York University Medical CenterUSA
  4. 4.New York Veterans Administration HospitalUSA
  5. 5.Bellevue HospitalUSA

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