Abstract
Hiatal hernias are relatively common in the aging population. Most patients will remain asymptomatic, and are often diagnosed incidentally after abdominal imaging for unrelated complaints. Of those diagnosed, the percentage that will develop symptoms remains unclear. Most symptomatic hiatal hernias are Type I, sliding hiatal hernias that present with reflux and/or postprandial pain. These are generally amenable to an elective repair with good results. Rarely, larger paraesophageal hernias will present acutely with signs of obstruction, bleeding, and/or sepsis. This is a surgical emergency and must be managed immediately. An organized approach to the diagnosis and management of this patient population is important for the acute care surgeon to minimize morbidity and mortality.
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Gochnour, D.C. (2017). Acute Paraesophageal Hernia. In: Moore, L., Todd, S. (eds) Common Problems in Acute Care Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-42792-8_19
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DOI: https://doi.org/10.1007/978-3-319-42792-8_19
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