Skip to main content

Management of Paraesophageal Hernia

  • Chapter
  • First Online:
Foregut Surgery

Abstract

Paraesophageal hernias (PEH) account for 5% of all hiatal hernias. While some patients remain asymptomatic and their hernias are diagnosed accidentally, others present with a wide variety of symptoms secondary to gastroesophageal reflux or intermittent obstruction. Rarely, patients present with acute severe symptoms and potentially lethal complications such as volvulus, strangulation, incarceration, and perforation. Surgical repair is indicated mainly for symptomatic PEH. The laparoscopic PEH repair is the preferred approach in most patients. This procedure can be very challenging and has potential life-threatening complications. Therefore, it should be done by experienced surgeons who respect important technical elements in each step of the operation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Davis SS Jr. Current controversies in paraesophageal hernia repair. Surg Clin North Am. 2008;88(5):959–78.

    Article  Google Scholar 

  2. Dallemagne B, Quero G, Lapergola A, et al. Treatment of giant paraesophageal hernia: pro laparoscopic approach. Hernia. 2018;22(6):909–19.

    Article  CAS  Google Scholar 

  3. Cuschieri A, Shimi S, Nathanson LK. Laparoscopic reduction, crural repair, and fundoplication of large hiatal hernia. Am J Surg. 1992;163(4):425–30.

    Article  CAS  Google Scholar 

  4. Schlottmann F, Strassle PD, Farrell TM, et al. Minimally invasive surgery should be the standard of care for paraesophageal hernia repair. J Gastrointest Surg. 2017;21(5):778–84.

    Article  Google Scholar 

  5. Oelschlager BK, Pellegrini CA, Hunter J, et al. Biologic prosthesis reduces recurrence after laparoscopic paraesophageal hernia repair: a multicenter, prospective, randomized trial. Ann Surg. 2006;244(4):481–90.

    PubMed  PubMed Central  Google Scholar 

  6. Oelschlager BK, Pellegrini CA, Hunter JG, et al. Biologic prosthesis to prevent recurrence after laparoscopic paraesophageal hernia repair: long-term follow-up from a multicenter, prospective, randomized trial. J Am Coll Surg. 2011;213(4):461–8.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Schlottmann, F., Di Corpo, M., Patti, M.G. (2020). Management of Paraesophageal Hernia. In: Patti, M., Di Corpo, M., Schlottmann, F. (eds) Foregut Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-27592-1_17

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-27592-1_17

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-27591-4

  • Online ISBN: 978-3-030-27592-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics