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Difficult Decisions in Thoracic Surgery pp 350–355Cite as

Management of Minimally Symptomatic Giant Paraesophageal Hernias

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Abstract

Hiatal hernias are a common finding in patients undergoing imaging procedures for various abdominal and thoracic complaints. Most hiatal hernias do not cause symptoms per se. Hiatal hernias are categorized as type I to IV, with type I or sliding hernias being the most common type. Type II or true paraesophageal hernias are defined as having the gastroesophageal junction below the diaphragm in a normal anatomic position. Type II hernias are quite rare. In their review of 46,236 patients with hiatal hernia seen at the Mayo Clinic between 19 80 and 1990, Allen and colleagues found only 51 patients with type II hernia defects.

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Author information

Authors and Affiliations

  1. Division of General and Gastrointestinal Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    David W. Rattner MD & Nathaniel R. Evans MD

Authors
  1. David W. Rattner MD
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  2. Nathaniel R. Evans MD
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Editor information

Editors and Affiliations

  1. Department of Surgery, The University of Chicago, Chicago, IL, USA

    Mark K. Ferguson MD (Professor and Head) (Professor and Head)

  2. Thoracic Surgery Service, The University of Chicago Hospitals, Chicago, IL, USA

    Mark K. Ferguson MD (Professor and Head) (Professor and Head)

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© 2007 Springer-Verlag London Limited

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Rattner, D.W., Evans, N.R. (2007). Management of Minimally Symptomatic Giant Paraesophageal Hernias. In: Ferguson, M.K. (eds) Difficult Decisions in Thoracic Surgery. Springer, London. https://doi.org/10.1007/978-1-84628-474-8_43

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  • DOI: https://doi.org/10.1007/978-1-84628-474-8_43

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-384-0

  • Online ISBN: 978-1-84628-474-8

  • eBook Packages: MedicineMedicine (R0)

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