Erschienen in:
01.12.2007
Measurement of the esophageal hiatus by calculation of the hiatal surface area (HSA). Why, when and how?
verfasst von:
Frank A. Granderath
Erschienen in:
Surgical Endoscopy
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Ausgabe 12/2007
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Excerpt
I read with great pleasure the “Letters to the editor” by Dr. Fourtanier and Dr. Reardon [
1,
2] regarding the problem of hiatal closure and particularly the definition and measurement of the hiatal defect. The growing discussion of this issue is distinguishing for its importance and relevance. The prevention of postoperative dysphagia caused by a too tight hiatal closure on the one hand as well as the prevention of a postoperative recurrent intrathoracic migration of the fundic wrap caused by inadequate crural closure on the other hand appears to be like being caught between a rock and a hard place. …