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Schwartz's Principles of Surgery, 8e
2/22/2007: Laparoscopic Approach to Giant Paraesophageal Hernia
Swee H. Teh
Instructor of Surgery, Department of Surgery, Oregon Health & Science University, Portland
John G. Hunter
Professor and Chairman, Department of Surgery, Oregon Health & Science University, Portland
Topics Discussed: hernia repair; laparoscopic surgery; paraesophageal hernia.
Related to Oelschlager BK, Pellegrini CA, Hunter J, Soper N, Brunt M, Sheppard B, Jobe B, Polissar N, Mitsumori L, Nelson J, Swanstrom L.; Frantzides CT, Madan AK, Carlson MA, Stavropoulos GP.; Granderath FA, Schweiger UM, Kamolz T, Asche KU, Pointner R.; Trus TL, Bax T, Richardson WS, Branum GD, Mauren SJ, Swanstrom LL, Hunter JG.; Gangopadhyay N, Perrone JM, Soper NJ, Matthews BD, Eagon JC, Klingensmith ME, Frisella MM, Brunt LM.;
Excerpt:
"Giant paraesophageal hernia (PEH) is typically a combination of sliding-rolling hiatus hernia characterized by an upward displacement of the gastroesophageal junction and gastric fundus into the posterior mediastinum. Clinical features include dysphagia, postprandial fullness, gastroesophageal reflux and anemia. Surgical repair is indicated for most symptomatic PEH and for selected asymptomatic PEH to prevent disastrous complications like strangulation, incarceration or gastric volvulus...."
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