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Erschienen in: Surgical and Radiologic Anatomy 4/2012

01.05.2012 | Review

Hiatal hernias

verfasst von: Chase Dean, Denzil Etienne, Bianca Carpentier, Jerzy Gielecki, R. Shane Tubbs, Marios Loukas

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 4/2012

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Abstract

Esophageal hiatal hernias have been reported to affect anywhere from 10 to 50% of the population. Hiatal hernias are characterized by a protrusion of the stomach into the thoracic cavity through a widening of the right crus of the diaphragm. There are four types of esophageal hiatal hernias: sliding (type I), paraesophageal (type II), and combined (type III), which include elements of types I and II, and giant paraesophageal (type IV). Each type may present with different symptoms and complications. The potential severity of symptoms necessitates proper and prompt diagnosis. Diagnosis is established with the use of barium swallow on chest radiographs. Treatment for sliding hernias involves laparoscopic fundoplication. The aim of our paper is to review the extensive literature regarding hiatal hernias in an effort to enhance awareness and diagnosis of this pathology.
Literatur
1.
Zurück zum Zitat Al-Assiri A, Wiseman N, Bunge M (2005) Prenatal diagnosis of intrathoracic stomach gastric herniation. J Pediatr Surg 40:E15–E17PubMedCrossRef Al-Assiri A, Wiseman N, Bunge M (2005) Prenatal diagnosis of intrathoracic stomach gastric herniation. J Pediatr Surg 40:E15–E17PubMedCrossRef
2.
Zurück zum Zitat Allison PR (1951) Reflux esophagitis, sliding hiatal hernia, and the anatomy of repair. Surg Gynecol Obstet 92:419–431PubMed Allison PR (1951) Reflux esophagitis, sliding hiatal hernia, and the anatomy of repair. Surg Gynecol Obstet 92:419–431PubMed
3.
Zurück zum Zitat Alrabeeah A, Giacomantonio M, Gillis DA (1988) Paraesophageal hernia after Nissen fundoplication: a real complication in pediatric patients. J Pediatr Surg 23:766–768PubMedCrossRef Alrabeeah A, Giacomantonio M, Gillis DA (1988) Paraesophageal hernia after Nissen fundoplication: a real complication in pediatric patients. J Pediatr Surg 23:766–768PubMedCrossRef
4.
Zurück zum Zitat Al-Salem AH (2000) Intrathoracic gastric volvulus in infancy. Pediatr Radiol 12:842–845CrossRef Al-Salem AH (2000) Intrathoracic gastric volvulus in infancy. Pediatr Radiol 12:842–845CrossRef
5.
Zurück zum Zitat Altorki NK, Yankelevitz D, Skinner DB (1998) Massive hiatal hernias: the anatomic basis of repair. J Thorac Cardiovasc Surg 115:828–835PubMedCrossRef Altorki NK, Yankelevitz D, Skinner DB (1998) Massive hiatal hernias: the anatomic basis of repair. J Thorac Cardiovasc Surg 115:828–835PubMedCrossRef
6.
Zurück zum Zitat Apaydin N, Uz A, Elhan A, Loukas M, Tubbs RS (2008) Does an anatomical sphincter exist in the distal esophagus? Surg Radiol Anat 30:11–16PubMedCrossRef Apaydin N, Uz A, Elhan A, Loukas M, Tubbs RS (2008) Does an anatomical sphincter exist in the distal esophagus? Surg Radiol Anat 30:11–16PubMedCrossRef
7.
Zurück zum Zitat Apaydin N, Uz A, Evirgen O, Loukas M, Tubbs RS, Elhan A (2008) The phrenico-esophageal ligament: an anatomical study. Surg Radiol Anat 30:29–36PubMedCrossRef Apaydin N, Uz A, Evirgen O, Loukas M, Tubbs RS, Elhan A (2008) The phrenico-esophageal ligament: an anatomical study. Surg Radiol Anat 30:29–36PubMedCrossRef
8.
Zurück zum Zitat Awais O, Luketich JD (2009) Management of giant paraesophageal hernia. Minerva Chir 64:159–168PubMed Awais O, Luketich JD (2009) Management of giant paraesophageal hernia. Minerva Chir 64:159–168PubMed
9.
Zurück zum Zitat Botha GS (1958) The gastro-oesophageal region in infants; observations on the anatomy, with special reference to the closing mechanism and partial thoracic stomach. Arch Dis Child 33:78–94PubMedCrossRef Botha GS (1958) The gastro-oesophageal region in infants; observations on the anatomy, with special reference to the closing mechanism and partial thoracic stomach. Arch Dis Child 33:78–94PubMedCrossRef
10.
Zurück zum Zitat Brunicardi FC (2004) Schwartz’s principles of surgery, 8th edn. McGraw-Hill, New York, pp 859–862 Brunicardi FC (2004) Schwartz’s principles of surgery, 8th edn. McGraw-Hill, New York, pp 859–862
11.
Zurück zum Zitat Carlson MA, Richards CG, Frantzides CT (1999) Laparoscopic prosthetic reinforcement of hiatal herniorrhaphy. Dig Surg 16:407–410PubMedCrossRef Carlson MA, Richards CG, Frantzides CT (1999) Laparoscopic prosthetic reinforcement of hiatal herniorrhaphy. Dig Surg 16:407–410PubMedCrossRef
12.
Zurück zum Zitat Catarci M, Gentileschi P, Papi C et al (2004) Evidence-based appraisal of antireflux fundoplication. Ann Surg 239:325–337PubMedCrossRef Catarci M, Gentileschi P, Papi C et al (2004) Evidence-based appraisal of antireflux fundoplication. Ann Surg 239:325–337PubMedCrossRef
13.
Zurück zum Zitat Chandrasekar S, Welch RJ, Watson H (2006) Congenital mixed hiatus hernia in a neonate. Arch Dis Child Fetal Neonatal 91:F317CrossRef Chandrasekar S, Welch RJ, Watson H (2006) Congenital mixed hiatus hernia in a neonate. Arch Dis Child Fetal Neonatal 91:F317CrossRef
14.
Zurück zum Zitat Cuschieri A, Shimi S, Nathanson LK (1992) Laparoscopic reduction, crural repair, and fundoplication of large hiatal hernia. Am J Surg 163:425–430PubMedCrossRef Cuschieri A, Shimi S, Nathanson LK (1992) Laparoscopic reduction, crural repair, and fundoplication of large hiatal hernia. Am J Surg 163:425–430PubMedCrossRef
15.
Zurück zum Zitat Davis SS Jr (2008) Current controversies in paraesophageal hernia repair. Surg Clin N Am 88:959–978PubMedCrossRef Davis SS Jr (2008) Current controversies in paraesophageal hernia repair. Surg Clin N Am 88:959–978PubMedCrossRef
16.
Zurück zum Zitat Del Genio G, Collard JM (2006) Acute complications of antireflux surgery. In: Ferguson MK, Fennerty MB (eds) Managing failed anti-reflux therapy. Springer, London, p 73 Del Genio G, Collard JM (2006) Acute complications of antireflux surgery. In: Ferguson MK, Fennerty MB (eds) Managing failed anti-reflux therapy. Springer, London, p 73
17.
Zurück zum Zitat Delattre JF, Avisse C, Marcus C, Flament JB (2000) Functional anatomy of the gastroesophageal junction. Surg Clin N Am 80:241–260PubMedCrossRef Delattre JF, Avisse C, Marcus C, Flament JB (2000) Functional anatomy of the gastroesophageal junction. Surg Clin N Am 80:241–260PubMedCrossRef
18.
Zurück zum Zitat Delattre JF, Palot JP, Ducasse A et al (1985) The crura of the diaphragm and the diaphragmatic passage. Applications to gastroesophageal reflux, its invention and treatment. Clin Anat 7:271–283CrossRef Delattre JF, Palot JP, Ducasse A et al (1985) The crura of the diaphragm and the diaphragmatic passage. Applications to gastroesophageal reflux, its invention and treatment. Clin Anat 7:271–283CrossRef
19.
Zurück zum Zitat Delmas A, Roux J (1938) Les gaines de l’oesophagediaphragmatique. Ann Anat Pathol 15:635–640 Delmas A, Roux J (1938) Les gaines de l’oesophagediaphragmatique. Ann Anat Pathol 15:635–640
20.
Zurück zum Zitat Draaisma WA, Gooszen HG, Tournoij E, Broeders IA (2005) Controversies in paraesophageal hernia repair: a review of literature. Surg Endosc 19:1300–1308PubMedCrossRef Draaisma WA, Gooszen HG, Tournoij E, Broeders IA (2005) Controversies in paraesophageal hernia repair: a review of literature. Surg Endosc 19:1300–1308PubMedCrossRef
21.
Zurück zum Zitat Drake RL, Vogl AW, Mitchell AWM (2010) Gray’s anatomy for students, 2nd edn. Churchill Livingstone, Philadelphia, p 352 Drake RL, Vogl AW, Mitchell AWM (2010) Gray’s anatomy for students, 2nd edn. Churchill Livingstone, Philadelphia, p 352
22.
23.
Zurück zum Zitat Fei L, Del Genio G, Rossetti G et al (2009) Hiatal hernia recurrence: surgical complication or disease? Electron microscope findings of the diaphragmatic pillars. J Gastrointest Surg 13:459–464PubMedCrossRef Fei L, Del Genio G, Rossetti G et al (2009) Hiatal hernia recurrence: surgical complication or disease? Electron microscope findings of the diaphragmatic pillars. J Gastrointest Surg 13:459–464PubMedCrossRef
24.
Zurück zum Zitat Fei L, Di Martino N, Amato G et al (1984) Effect of a slipped hiatal hernia on the activity of the lower esophageal sphincter and of the abdominal portion of the esophagus. A pH-manometric study. Minerva Med 75:2155–2160PubMed Fei L, Di Martino N, Amato G et al (1984) Effect of a slipped hiatal hernia on the activity of the lower esophageal sphincter and of the abdominal portion of the esophagus. A pH-manometric study. Minerva Med 75:2155–2160PubMed
25.
Zurück zum Zitat Ferri LE, Feldman LS, Stanbridge D et al (2005) Should laparoscopic paraesophageal hernia repair be abandoned in favor of the open approach? Surg Endosc 19:4–8PubMedCrossRef Ferri LE, Feldman LS, Stanbridge D et al (2005) Should laparoscopic paraesophageal hernia repair be abandoned in favor of the open approach? Surg Endosc 19:4–8PubMedCrossRef
26.
Zurück zum Zitat Fischer JE, Bland KI, Calley MP et al (2007) Surgical anatomy of the diaphragm, mastery of surgery. Lippincott Williams & Wilkins, Philadelphia, pp 598–618 Fischer JE, Bland KI, Calley MP et al (2007) Surgical anatomy of the diaphragm, mastery of surgery. Lippincott Williams & Wilkins, Philadelphia, pp 598–618
27.
Zurück zum Zitat Fitzgibbons RJ, Greenburg AG, Nyhus LM (2001) Nyhus and Condon’s hernia, 5th edn. Lippincott Williams & Wilkins, Philadelphia, pp 480–505 Fitzgibbons RJ, Greenburg AG, Nyhus LM (2001) Nyhus and Condon’s hernia, 5th edn. Lippincott Williams & Wilkins, Philadelphia, pp 480–505
28.
Zurück zum Zitat Gonzalez de Santander R (1962) Contribucional estudo de la morfología desciurollo de la bursaomentalis en embriones humanos. An Desarrollo 10:269–298 Gonzalez de Santander R (1962) Contribucional estudo de la morfología desciurollo de la bursaomentalis en embriones humanos. An Desarrollo 10:269–298
29.
Zurück zum Zitat Granderath FA, Schweiger UM, Pointner R (2007) Laparoscopic antireflux surgery: tailoring the hiatal closure to the size of hiatal surface area. Surg Endosc 21:542–548PubMedCrossRef Granderath FA, Schweiger UM, Pointner R (2007) Laparoscopic antireflux surgery: tailoring the hiatal closure to the size of hiatal surface area. Surg Endosc 21:542–548PubMedCrossRef
30.
Zurück zum Zitat Hashemi M, Peters JH, DeMeester TR et al (2000) Laparoscopic repair of large type III hiatal hernia: objective follow-up reveals high recurrence rate. J Am Coll Surg 190:553–560PubMedCrossRef Hashemi M, Peters JH, DeMeester TR et al (2000) Laparoscopic repair of large type III hiatal hernia: objective follow-up reveals high recurrence rate. J Am Coll Surg 190:553–560PubMedCrossRef
31.
32.
Zurück zum Zitat Hill LD, Aye RW, Ramel S (1990) Antireflux surgery: a surgeon’s look. Gastroenterol Clin North Am 19:745–775PubMed Hill LD, Aye RW, Ramel S (1990) Antireflux surgery: a surgeon’s look. Gastroenterol Clin North Am 19:745–775PubMed
34.
Zurück zum Zitat Hogan S, Pohi D, Bogetti D, Eubanks T, Pellegrini C (1999) Failed antireflux surgery. Arch Surg 134:809–817CrossRef Hogan S, Pohi D, Bogetti D, Eubanks T, Pellegrini C (1999) Failed antireflux surgery. Arch Surg 134:809–817CrossRef
35.
Zurück zum Zitat Horstmann R, Klotz A, Classen C et al (2004) Feasibility of surgical technique and evaluation of postoperative quality of life after laparoscopic treatment of intrathoracic stomach. Langenbecks Arch Surg 389:23–31PubMedCrossRef Horstmann R, Klotz A, Classen C et al (2004) Feasibility of surgical technique and evaluation of postoperative quality of life after laparoscopic treatment of intrathoracic stomach. Langenbecks Arch Surg 389:23–31PubMedCrossRef
36.
Zurück zum Zitat Imamoglu M, Cay A, Kosucu P et al (2005) Congenital paraesophageal hiatal hernia: pitfalls in the diagnosis and treatment. J Pediatr Surg 40:1128–1133PubMedCrossRef Imamoglu M, Cay A, Kosucu P et al (2005) Congenital paraesophageal hiatal hernia: pitfalls in the diagnosis and treatment. J Pediatr Surg 40:1128–1133PubMedCrossRef
37.
Zurück zum Zitat Jawad AJ, Al-Samarrai Al-MofadaS et al (1998) Congenital paraesophageal hiatal hernia in infancy. Pediatr Surg Int 13:91–94PubMedCrossRef Jawad AJ, Al-Samarrai Al-MofadaS et al (1998) Congenital paraesophageal hiatal hernia in infancy. Pediatr Surg Int 13:91–94PubMedCrossRef
38.
Zurück zum Zitat Jetley NK, Al-Assiri AH, Al Awadi D (2009) Congenital para esophageal hernia: a 10 year experience from Saudi Arabia. Indian J Pediatr 76:489–493PubMedCrossRef Jetley NK, Al-Assiri AH, Al Awadi D (2009) Congenital para esophageal hernia: a 10 year experience from Saudi Arabia. Indian J Pediatr 76:489–493PubMedCrossRef
39.
Zurück zum Zitat Kahrilas PJ, Lin S, Chen J, Manka M (1999) The effect of hiatus hernia on gastro-esophageal junction pressure. Gut 44:476–484PubMedCrossRef Kahrilas PJ, Lin S, Chen J, Manka M (1999) The effect of hiatus hernia on gastro-esophageal junction pressure. Gut 44:476–484PubMedCrossRef
40.
Zurück zum Zitat Karpelowsky JS, Wieselthaler N, Rode H (2006) Primary paraesophageal hernia in children. J Pediatr Surg 41:1588–1593PubMedCrossRef Karpelowsky JS, Wieselthaler N, Rode H (2006) Primary paraesophageal hernia in children. J Pediatr Surg 41:1588–1593PubMedCrossRef
41.
Zurück zum Zitat Kramer P (1969) Does a sliding hiatus hernia constitute a distinct clinical entity? Gastroenterology 57:442–448PubMed Kramer P (1969) Does a sliding hiatus hernia constitute a distinct clinical entity? Gastroenterology 57:442–448PubMed
42.
Zurück zum Zitat Kuster GG, Gilroy S (1993) Laparoscopic technique for repair of paraesophageal hiatal hernias. J Laparoendosc Surg 3:331–338PubMedCrossRef Kuster GG, Gilroy S (1993) Laparoscopic technique for repair of paraesophageal hiatal hernias. J Laparoendosc Surg 3:331–338PubMedCrossRef
43.
Zurück zum Zitat Kwok H, Marriz Y, Al-Ali S, Windsor JA (1999) Phrenoesophageal ligament revisited. Clin Anat 12:164–170PubMedCrossRef Kwok H, Marriz Y, Al-Ali S, Windsor JA (1999) Phrenoesophageal ligament revisited. Clin Anat 12:164–170PubMedCrossRef
44.
Zurück zum Zitat Liebermann-Meffert D, MeVert LD, Allgöwer M et al (1979) Muscular equivalent of the lower esophageal sphincter. Gastroenterology 76:31–38PubMed Liebermann-Meffert D, MeVert LD, Allgöwer M et al (1979) Muscular equivalent of the lower esophageal sphincter. Gastroenterology 76:31–38PubMed
45.
Zurück zum Zitat Loukas M, Bellary SS, Tubbs SR et al (2011) Congenital diaphragmatic hernias: a review. Clin Anat (in press) Loukas M, Bellary SS, Tubbs SR et al (2011) Congenital diaphragmatic hernias: a review. Clin Anat (in press)
46.
Zurück zum Zitat Loukas M, Wartman CT, Tubbs RS et al (2008) Morphologic variation of the diaphragmatic crura: a correlation with pathologic processes of the esophageal hiatus? Folia Morphol 67:1–7 Loukas M, Wartman CT, Tubbs RS et al (2008) Morphologic variation of the diaphragmatic crura: a correlation with pathologic processes of the esophageal hiatus? Folia Morphol 67:1–7
47.
Zurück zum Zitat Maziak DE, Todd TR, Pearson FG (1998) Massive hiatus hernia: evaluation and surgical management. J Thorac Cardiovasc Surg 115:53–60PubMedCrossRef Maziak DE, Todd TR, Pearson FG (1998) Massive hiatus hernia: evaluation and surgical management. J Thorac Cardiovasc Surg 115:53–60PubMedCrossRef
48.
Zurück zum Zitat McVay CB (1984) Anson and McVay surgical anatomy, 6th edn. Saunders Co., Philadelphia, pp 357–369 McVay CB (1984) Anson and McVay surgical anatomy, 6th edn. Saunders Co., Philadelphia, pp 357–369
49.
Zurück zum Zitat Michelson E, Siegel CI (1964) The role of the phrenico-esophageal ligament in the lower esophageal sphincter. Surg Gynecol Obst 118:1291–1294 Michelson E, Siegel CI (1964) The role of the phrenico-esophageal ligament in the lower esophageal sphincter. Surg Gynecol Obst 118:1291–1294
50.
Zurück zum Zitat Nissen R (1956) Eineeinfache Operation zurBeeinflussung der Refluxo-esophagitis. Schwiez med Wochenschr 86:590–592 Nissen R (1956) Eineeinfache Operation zurBeeinflussung der Refluxo-esophagitis. Schwiez med Wochenschr 86:590–592
51.
Zurück zum Zitat Ochsner JL, Hughes JP, Mills NL (1975) Repair of hiatal hernia: description and long-term results of a technique. Am Surg 41:629–631 Ochsner JL, Hughes JP, Mills NL (1975) Repair of hiatal hernia: description and long-term results of a technique. Am Surg 41:629–631
52.
Zurück zum Zitat Olsen AM, Holman CB, Harris LE (1960) Hiatal hernia in children: special reference to the short esophagus. Chest 38:495–506 Olsen AM, Holman CB, Harris LE (1960) Hiatal hernia in children: special reference to the short esophagus. Chest 38:495–506
53.
Zurück zum Zitat Patel HJ, Tan BB, Yee J et al (2004) A 25-year experience with open primary transthoracic repair of paraesophageal hiatal hernia. J Thorac Cardiovasc Surg 127:843–849PubMedCrossRef Patel HJ, Tan BB, Yee J et al (2004) A 25-year experience with open primary transthoracic repair of paraesophageal hiatal hernia. J Thorac Cardiovasc Surg 127:843–849PubMedCrossRef
54.
Zurück zum Zitat Pearson FG, Cooper JD, Ilves R et al (1983) Massive hiatal hernia with incarceration: a report of 53 cases. Ann Thorac Surg 35:45–51PubMedCrossRef Pearson FG, Cooper JD, Ilves R et al (1983) Massive hiatal hernia with incarceration: a report of 53 cases. Ann Thorac Surg 35:45–51PubMedCrossRef
55.
Zurück zum Zitat Pellegrini CA (1998) Invited Commentary. In: Gantert WA, Patti MG, Arcerito M, et al. Laparoscopic repair of paraesophageal hiatal hernias. J Am Coll Surg 186:428–432CrossRef Pellegrini CA (1998) Invited Commentary. In: Gantert WA, Patti MG, Arcerito M, et al. Laparoscopic repair of paraesophageal hiatal hernias. J Am Coll Surg 186:428–432CrossRef
56.
Zurück zum Zitat Salem AH (2000) Congenital paraesophageal hernia in infancy and childhood. Saudi Med J 21:164–167 Salem AH (2000) Congenital paraesophageal hernia in infancy and childhood. Saudi Med J 21:164–167
57.
Zurück zum Zitat Samujh R, Kumar D, Rao KL (2004) Paraesophageal hernia in the neonatal period: suspicion on chest X-ray. Indian Pediatr 41:189–191PubMed Samujh R, Kumar D, Rao KL (2004) Paraesophageal hernia in the neonatal period: suspicion on chest X-ray. Indian Pediatr 41:189–191PubMed
58.
Zurück zum Zitat Schauer PR, Ikramuddin S, McLaughlin RH et al (1998) Comparison of laparoscopic versus open repair of paraesophageal hernia. Am J Surg 176:659–665PubMedCrossRef Schauer PR, Ikramuddin S, McLaughlin RH et al (1998) Comparison of laparoscopic versus open repair of paraesophageal hernia. Am J Surg 176:659–665PubMedCrossRef
59.
Zurück zum Zitat Schoenwolf GL, Bleyl SB, Brauer PR, Francist-West PH (2009) Development of the respiratory system and body cavities, Larsen’s human embryology. Elsevier, Philadelphia, pp 329–336 Schoenwolf GL, Bleyl SB, Brauer PR, Francist-West PH (2009) Development of the respiratory system and body cavities, Larsen’s human embryology. Elsevier, Philadelphia, pp 329–336
60.
Zurück zum Zitat Sinaki B, Jayabose S, Sandoval C (2010) Iron-deficiency anemia associated with hiatal hernia: case reports and literature review. Clin Pediatr 49:984–985CrossRef Sinaki B, Jayabose S, Sandoval C (2010) Iron-deficiency anemia associated with hiatal hernia: case reports and literature review. Clin Pediatr 49:984–985CrossRef
61.
Zurück zum Zitat Skandalakis JE, Skandalakis PN, Skandalakis LJ (1995) Openings of the diaphragm, surgical anatomy and technique: a pocket manual. Springer, New York Skandalakis JE, Skandalakis PN, Skandalakis LJ (1995) Openings of the diaphragm, surgical anatomy and technique: a pocket manual. Springer, New York
62.
Zurück zum Zitat Skandalakis JE (2005) Surgical anatomy, the embryologic and anatomic basis of modern medicine. Diaphragm, Chap 8. Paschalidis Medical Publication, Athens, pp 367–372 Skandalakis JE (2005) Surgical anatomy, the embryologic and anatomic basis of modern medicine. Diaphragm, Chap 8. Paschalidis Medical Publication, Athens, pp 367–372
63.
Zurück zum Zitat Skandalkis JE, Gray SW (1972) The diaphragm in Gray and Skandalakis. In: Skandalkis JE, Gray SW (eds) Embryology for surgeons, the embryological basis for the treatment of congenital defects. WB Saunders, Philadelphia, pp 359–362 Skandalkis JE, Gray SW (1972) The diaphragm in Gray and Skandalakis. In: Skandalkis JE, Gray SW (eds) Embryology for surgeons, the embryological basis for the treatment of congenital defects. WB Saunders, Philadelphia, pp 359–362
64.
Zurück zum Zitat Skinner DB (1985) Hernias (hiatal, traumatic, and congenital). In: Berk JE (ed) Bockus gastroenterology, 4th edn. WB Saunders, Philadelphia, pp 705–747 Skinner DB (1985) Hernias (hiatal, traumatic, and congenital). In: Berk JE (ed) Bockus gastroenterology, 4th edn. WB Saunders, Philadelphia, pp 705–747
65.
Zurück zum Zitat Standring S, Ellis H, Healy JC et al (2005) Diaphragm and phrenic nerve. In: Gray’s anatomy, 39th edn. Churchill Livingstone, New York, pp 1081–1086 Standring S, Ellis H, Healy JC et al (2005) Diaphragm and phrenic nerve. In: Gray’s anatomy, 39th edn. Churchill Livingstone, New York, pp 1081–1086
66.
Zurück zum Zitat Vas W, Malpani AR, Singer J et al (1989) Computed tomographic evaluation of paraesophageal hernia. Gastrointest Radiol 14:91–94 Vas W, Malpani AR, Singer J et al (1989) Computed tomographic evaluation of paraesophageal hernia. Gastrointest Radiol 14:91–94
67.
Zurück zum Zitat Walther B, DeMeester TR, Lafontaine E et al (1984) Effect of paraesophageal hernia on sphincter function and its implication on surgical therapy. Am J Surg 147:111–116PubMedCrossRef Walther B, DeMeester TR, Lafontaine E et al (1984) Effect of paraesophageal hernia on sphincter function and its implication on surgical therapy. Am J Surg 147:111–116PubMedCrossRef
68.
Zurück zum Zitat 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 134:1069–1073PubMedCrossRef 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 134:1069–1073PubMedCrossRef
69.
Zurück zum Zitat Williams PL, Bannister LH, Berry MM et al (1995) Alimentary system. In: Gray’s anatomy, 38th edn. Churchill Livingstone, Edinburgh, pp 1751–1753 Williams PL, Bannister LH, Berry MM et al (1995) Alimentary system. In: Gray’s anatomy, 38th edn. Churchill Livingstone, Edinburgh, pp 1751–1753
70.
Zurück zum Zitat Wu JS, Dunnegan DL, Soper NJ (1999) Clinical and radiologic assessment of laparoscopic paraesophageal hernia repair. Surg Endosc 13:497–502PubMedCrossRef Wu JS, Dunnegan DL, Soper NJ (1999) Clinical and radiologic assessment of laparoscopic paraesophageal hernia repair. Surg Endosc 13:497–502PubMedCrossRef
71.
Zurück zum Zitat Yadav K, Myers NA (1997) Paraesophageal hernia in the neonatalperiod-another differential diagnosis of esophageal atresia. Pediatr Surg Int 12:420–421PubMedCrossRef Yadav K, Myers NA (1997) Paraesophageal hernia in the neonatalperiod-another differential diagnosis of esophageal atresia. Pediatr Surg Int 12:420–421PubMedCrossRef
Metadaten
Titel
Hiatal hernias
verfasst von
Chase Dean
Denzil Etienne
Bianca Carpentier
Jerzy Gielecki
R. Shane Tubbs
Marios Loukas
Publikationsdatum
01.05.2012
Verlag
Springer-Verlag
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 4/2012
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-011-0904-9

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