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[Therapeutic approach to para-esophageal hernia].
Helv Chir Acta. 1994 Dec; 60(6):971-5.HC

Abstract

The charts of all the patients operated upon for paraesophageal hernia (HPO) were reviewed. 24 patients could be found between 1976 and 1992. The mean age was 64 years, with 15 men and 9 women. 15 patients had a pure HPO, whereas 9 had a mixed hernia (HPO and laxial hiatal hernia). 3 patients presented with acute symptoms, and 2 of them were operated on emergently. The remaining patients had elective surgery, consisting of reduction of the stomach (all cases), excision of the hernia sac (12), closure of the diaphragm (17) and gastropexy (8). There was no mortality. Due to the fact that acute complications occur in as much as 30-40% of the cases, elective surgery should be proposed to any patient with a known paraesophageal hernia if the operative risks are not prohibitive. A careful preoperative assessment including endoscopy and pH-manometry of the esophagus will provide arguments to add a antireflux procedure to the standard operation, which should include reduction of the stomach, resection of the sac, closure of the hiatal defect and gastropexy.

Authors+Show Affiliations

Service de chirurgie générale, CHUV, Lausanne.No affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

7876024

Citation

Achtari, C, et al. "[Therapeutic Approach to Para-esophageal Hernia]." Helvetica Chirurgica Acta, vol. 60, no. 6, 1994, pp. 971-5.
Achtari C, Worreth M, Suter M. [Therapeutic approach to para-esophageal hernia]. Helv Chir Acta. 1994;60(6):971-5.
Achtari, C., Worreth, M., & Suter, M. (1994). [Therapeutic approach to para-esophageal hernia]. Helvetica Chirurgica Acta, 60(6), 971-5.
Achtari C, Worreth M, Suter M. [Therapeutic Approach to Para-esophageal Hernia]. Helv Chir Acta. 1994;60(6):971-5. PubMed PMID: 7876024.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Therapeutic approach to para-esophageal hernia]. AU - Achtari,C, AU - Worreth,M, AU - Suter,M, PY - 1994/12/1/pubmed PY - 1994/12/1/medline PY - 1994/12/1/entrez SP - 971 EP - 5 JF - Helvetica chirurgica acta JO - Helv Chir Acta VL - 60 IS - 6 N2 - The charts of all the patients operated upon for paraesophageal hernia (HPO) were reviewed. 24 patients could be found between 1976 and 1992. The mean age was 64 years, with 15 men and 9 women. 15 patients had a pure HPO, whereas 9 had a mixed hernia (HPO and laxial hiatal hernia). 3 patients presented with acute symptoms, and 2 of them were operated on emergently. The remaining patients had elective surgery, consisting of reduction of the stomach (all cases), excision of the hernia sac (12), closure of the diaphragm (17) and gastropexy (8). There was no mortality. Due to the fact that acute complications occur in as much as 30-40% of the cases, elective surgery should be proposed to any patient with a known paraesophageal hernia if the operative risks are not prohibitive. A careful preoperative assessment including endoscopy and pH-manometry of the esophagus will provide arguments to add a antireflux procedure to the standard operation, which should include reduction of the stomach, resection of the sac, closure of the hiatal defect and gastropexy. SN - 0018-0181 UR - https://www.unboundmedicine.com/medline/citation/7876024/[Therapeutic_approach_to_para_esophageal_hernia]_ L2 - https://medlineplus.gov/hiatalhernia.html DB - PRIME DP - Unbound Medicine ER -