Zusammenfassung
Bei der »Hiatushernie«, der häufigsten Form der Zwerchfellhernie, ist der Hiatus oesophageus die Bruchpforte. Durch ihn ist der Magen (und evtl. andere abdominelle Strukturen) teilweise oder ganz (totaler Thoraxmagen, »upside-down stomach«) in den Thorax verlagert. Die Kontinuität des Zwerchfells kann durch angeborene oder erworbene Lücken und Defekte sowie durch traumatische Läsionen beeinträchtigt sein. Durch die Lücken können abdominelle Organe nach thorakal verlagert werden.
Preview
Unable to display preview. Download preview PDF.
Literatur
Andujar JJ, Papasavas PK, Birdas T, Robke J, Raftopoulos Y, Gagne DJ, Caushaj PF, Landreneau RJ, Keenan RJ (2004) Laparoscopic repair of large paraesophageal hernia is associated with a low incidence of recurrence and reoperation. Surg Endosc 18:444–447
Christensen J, Miftakhov R (2000) Hiatus hernia: a review of evidence for its origin in esophageal longitudinal muscle dysfunction. Am J Med 108 (Suppl 4a):3–7
Diaz S, Brunt LM, Klingensmith ME, Frisella PM, Soper NJ (2003) Laparoscopic paraesophageal hernia repair, a challenging operation: medium-term outcome of 116 patients. J Gastrointest Surg 7:59–66
Edye MB, Canin-Endres J, Gattorno F, Salky BA (1998) Durability of laparoscopic repair of paraesophageal hernia. Ann Surg 228:528–535
Frantzides CT, Richards CG, Carlson MA (1999) Laparoscopic repair of large hiatal hernia with polytetrafluoroethylene. Surg Endosc 13:906–908
Geha AS, Massad MG, Snow NJ, Baue AE (2000) A 32-year experience in 100 patients with giant paraesophageal hernia: the case for abdominal approach and selective antireflux repair. Surgery 128:623–630
Hashemi M, Peters JH, DeMeester TR et al. (2000) Laparoscopic repair of large type III hiatal hernia: objective followup reveals high recurrence rate. J Am Coll Surg 190:553–560
Horgan S, Eubanks TR, Jacobsen G, Omelanczuk P, Pellegrini CA (1999) Repair of paraesophageal hernias. Am J Surg 177:354–358
Horvath KD, Swanstrom LL, Jobe BA (2000) The short esophagus: pathophysiology, incidence, presentation, and treatment in the era of laparoscopic antireflux surgery. Ann Surg 232:630–40.
Kahrilas PJ, Lin S, Chen J, Manka M (1999) The effect of hiatus hernia on gastro-oesophageal junction pressure. Gut 44:476–482
Luketich JD, Raja S, Fernando HC et al. (2000) Laparoscopic repair of giant paraesophageal hernia: 100 consecutive cases. Ann Surg 232:608–618
Mattioli S, D’Ovidio F, Di Simone MP et al. (1998) Clinical and surgical relevance of the progressive phases of intrathoracic migration of the gastroesophageal junction in gastroesophageal reflux disease. J Thorac Cardiovasc Surg 116:267–275
Matz A, Alis M, Charuzi I, Kyzer S (2000) The role of laparoscopy in the diagnosis and treatment of missed diaphragmatic rupture. Surg Endosc 14:537–539
Naunheim KS (1998) Adult presentation of unusual diaphragmatic hernias. Chest Surg Clin N Am 8:359–369
Nissen R, Rossetti M, Siewert JR (1981) Fundoplicatio und Gastropexie bei Refluxkrankheit und Hiatushernie. Thieme, Stuttgart
Patel HJ, Tan BB, Yee J, Orringer MB, Iannettoni MD (2004) A 25-year experience with open primary transthoracic repair of paraesophageal hiatal hernia. J Thorac Cardiovasc Surg 127:843–849
Oddsdottir M (2000) Paraesophageal hernia. Surg Clin North Am 80:1243–1252
Ruf G, Mappes HJ, Kohlberger E, Baumgartner U, Farthmann EH (1996) Diagnosis and therapy of diaphragmatic rupture after blunt thoracic and abdominal trauma. Zentralbl Chir 121:24–29
Rossetti M (1990) Hiatushernien und andere Erkrankungen des Zwerchfells. In: Siewert JR et al. (Hrsg) Chirurgische Gastroenterologie, Bd 2, 2. Aufl. Springer, Berlin, Heidelberg New York Tokyo, S 555–565
Schauer PR, Ikramuddin S, McLaughlin RH et al. (1998) Comparison of laparoscopic versus open repair of paraesophageal hernia. Am J Surg 176:659–665
Schumpelick V, Steinau G, Schluper I, Prescher A (2000) Surgical embryology and anatomy of the diaphragm with surgical applications. Surg Clin North Am 80:213–239
Shah R, Sabanathan S, Mearns AJ, Choudhury AK (1995) Traumatic rupture of diaphragm. Ann Thorac Surg 60:1444–1449
Siewert JR, Stein HJ (1998) Zwerchfell. In: Siewert JR et al. (Hrsg) Chirurgie, 6. Aufl. Springer, Berlin Heidelberg New York Tokyo, S 569–572
Siewert JR, Stein HJ (2001) Zwerchfell. In: Siewert JR et al. (Hrsg) Chirurgie, 7. Aufl. Springer, Berlin Heidelberg New York Tokyo, S 579–582
Simpson J, Lobo DN, Shah AB, Rowlands BJ (2000) Traumatic diaphragmatic rupture: associated injuries and outcome. Ann R Coll Surg Engl 82:97–100
Stadlhuber RJ, Sherif AE, Mittal SK, Fitzgibbons RJ Jr, Michael Brunt L, Hunter JG, Demeester TR, Swanstrom LL, Daniel Smith C, Filipi CJ (2009) Mesh complications after prosthetic reinforcement of hiatal closure: a 28-case series. Surg Endosc 23:1219–1226
Stein HJ, Siewert JR (2001) Hiatushernie, Refluxkrankheit und BarrettÖsophagus (Endobrachyösophagus). In: Bruch H-P, Trentz O, Berchtholt R (Hrsg) Chirurgie. Urban & Fischer, München Jena, S 511–520
Swanstrom LL, Jobe BA, Kinzie LR, Horvath KD (1999) Esophageal motility and outcomes following laparoscopic paraesophageal hernia repair and fundoplication. Am J Surg 177:359–363
Watson DI, Davies N, Devitt PG, Jamieson GG (1999) Importance of dissection of the hernial sac in laparoscopic surgery for large hiatal hernias. Arch Surg 134:1069–1073
Wiechmann RJ, Ferguson MK, Naunheim KS, McKesey P, Hazelrigg SJ, Santucci TS, Macherey RS, Landreneau RJ (2001) Laparoscopic management of giant paraesophageal herniation. Ann Thorac Surg 71:1080–1086
Wu JS, Dunnegan DL, Soper NJ (1999) Clinical and radiologic assessment of laparoscopic paraesophageal hernia repair. Surg Endosc 13:497–502
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag Berlin Heidelberg New York
About this chapter
Cite this chapter
Stein, H., von B.H.A., R., Feussner, H. (2011). Hiatushernien und andere Erkrankungen des Zwerchfells. In: Siewert, J.R., Rothmund, M., Schumpelick, V. (eds) Praxis der Viszeralchirurgie. Gastroenterologische Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-14223-9_25
Download citation
DOI: https://doi.org/10.1007/978-3-642-14223-9_25
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-14222-2
Online ISBN: 978-3-642-14223-9
eBook Packages: Medicine (German Language)