Abstract
Paraesophageal herniation is a potentially devastating condition of the gastroesophageal hiatus commonly manifesting in patients of advanced age with other significant medical problems. Surgical treatment is generally indicated to avoid catastrophe related to gastric volvulus. The operative approach utilized should be individualized to the patient's pathophysiologic condition rather than attempting to apply a single repair for all patients with this heterogeneous clinical problem.
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Larson NE, Larson RH, Dorsey JM: Mechanisms of Obstruction and Strangulation in Hernias of the Esophageal Hiatus. Surg Gynecol Obstet 119:835–841, 1964
Hill LD: Incarcerated paraesophageal hernia: A surgical emergency. Am J Surg 126:286–291, 1973
Ozdemir IA, Burke WA, Ikins PM: Paraesophageal hernia: A life-threatening disease. Ann Thorac Surg 16:547–554, 1973
Herrington JL, Ellis FH: Paraesophageal hernia.In Current Modalities in Surgery, Vol 14. SI Schwartz (ed). West Berlin, New Jersey, Innovative Publishing, 1985, pp 1–16
Sutton D: Textbook of Radiology. New York, Churchill Livingstone, 1979, p 711
Treacy PJ, Jamieson GG: An approach to the management of para-oesophageal hiatus hernias. Aust NZ J Surg 57:813–817, 1987
Walther B, Demeester TR, Lafontaine E, Courtney JV, Little AG, Skinner DB: Effect of paraesophageal hernia on sphincter function and its implication on surgical therapy. Am J Surg 147:111–116, 1984
Pearson FG, Cooper JD, Ilves R, Todd TRJ, Jamieson WRE: Massive hiatal hernia with incarceration: A report of 53 cases. Ann Thorac Surg 35:45–51, 1983
Wichterman K, Geha AS, Cahow CE, Baue AE: Giant paraesophageal hiatus hernia with intrathoracic stomach and colon: The case for early repair. Surgery 86:498–506, 1979
Skinner DB, Belsey RHR, Russell PS: Surgical management of esophageal reflux and hiatus hernia: Long term results with 1030 patients. J Thorac Cardiovasc Surg 53:33–44, 1967
Ellis FH, Crozier RE, Shea JA: Paraesophageal hiatus hernia. Arch Surg 121:416–420, 1986
Demeester TR, Wernly JA, Bryant GH, Little AG, Skinner DB: Clinical andin vitro analysis of determinants of gastroesophageal competence: A study of the principles of antireflux surgery. Am J Surg 137:39–46, 1979
Holloway RH, Hongo M, Berger K, et al: Gastric distention: A mechanism for postprandial gastroesophageal reflux. Gastroenterology 89:779–784, 1985
Csendes A, Braghetto I: Highly selective vagotomy, posterior gastropexy, and calibration of the cardia for reflux esophagitis.In The Esophagus. Medical and Surgical Management. L Hill, R Kozarek, R McCallum, D Mercer (eds). Philadelphia, WB Saunders, 1988, pp 128–135
Maher JW, Hocking MP, Woodward ER: Re-operation for esophagitis following failed antireflux procedures. Ann Surg 201:723–727, 1985
Collis JL: Surgical control of reflux in hiatus hernia. Am J Surg 115:465–471, 1968
Landreneau RJ, Hazelrigg SR, Johnson JA, Marshall JB, Gifford DL, Boley TM, Curtis JJ: The giant paraesophageal hernia: A particularly morbid condition of the esophageal hiatus. Mo Med 87:884–888, 1990
Orringer MB, Stirling MC: Esophagectomy for esophageal disruption. Ann Thorac Surg 49:35–43, 1990
Streitz JM, Ellis FH: Iatrogenic paraesophageal hiatal hernias. Ann Thorac Surg 50:446–449, 1990
Weinstein EC, Kohn BS: Paraesophageal hiatus hernia in the aged. J Am Geriatr Soc 24:37–40, 1976
Polk HC: Fundoplication for reflux esophagitis: Misadventures with the operation of choice. Ann Surg 6:645–652, 1976
Cordiano C, Inaspettato G, Rodella L: The Hill procedure.In The Esophagus. Medical and Surgical Management. L Hill, R Kozarek, R McCallum, D Mercer (eds). Philadelphia, WB Saunders, 1988, pp 124–129
Landreneau RJ: Surgical management of gastroesophageal reflux disease. Postgrad Med 85:117–126, 1989
Deitel M: Chronic or recurring organoaxial rotation of the stomach. Can J Surg, 10:195–205, 1973
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Landreneau, R.J., Johnson, J.A., Marshall, J.B. et al. Clinical spectrum of paraesophageal herniation. Digest Dis Sci 37, 537–544 (1992). https://doi.org/10.1007/BF01307577
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DOI: https://doi.org/10.1007/BF01307577