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Laparoscopic treatment of large paraesophageal hernias

Both excision of the sac and gastropexy are imperative for adequate surgical treatment

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Abstract

Background: We set out to evaluate the results of the laparoscopic treatment of large paraesophageal hernias in 22 patients.

Methods: Between 1993 and 1998, we operated on 22 consecutive patients. Preoperative assessment consisted of endoscopy, barium esophagogram, 24-h pH testing, manometry, and gastric emptying times.

Results: In the first three patients, the sac was not excised and gastropexy was not performed. Because of recurrences, we decided to change the technique in an attempt to avoid further complications. During middle- to long-term follow-up, only three recurrences were seen in the subsequent 19 patients. There were no deaths in this series.

Conclusions: Laparoscopic treatment of large paraesophageal hernias is feasible. Because recurrences may occur after successful laparoscopic treatment, both resection of the sac and some form of gastropexy are imperative.

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Authors and Affiliations

  1. Department of Surgery, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands

    D. L. van der Peet, A. Alonso Poza, C. Sietses, Q. A. J. Eijsbouts & M. A. Cuesta

  2. Department of Gastroenterology, Vrije Universiteit Hospital, De Boelelaan 1117, Amsterdam, The Netherlands

    E. C. Klinkenberg-Knol

Authors
  1. D. L. van der Peet
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  2. E. C. Klinkenberg-Knol
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  3. A. Alonso Poza
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  4. C. Sietses
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  5. Q. A. J. Eijsbouts
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  6. M. A. Cuesta
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Additional information

Received: 22 March 2000/Accepted: 30 April 2000/Online publication: 20 September 2000

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van der Peet, D., Klinkenberg-Knol, E., Poza, A. et al. Laparoscopic treatment of large paraesophageal hernias. Surg Endosc 14, 1015–1018 (2000). https://doi.org/10.1007/s004640000199

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  • DOI: https://doi.org/10.1007/s004640000199

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