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Paraesophageal Hernia

Paraesophageal Hernia Abstract THE multiplicity of terms that have been used to describe herniation of the stomach alongside the esophagus and into the posterior mediastinum suggest the confusion which exists concerning both the pathophysiology and the management of this disorder. Up-side-down stomach, rolling hernia, intrathoracic stomach, parahiatal, and paraesophageal hernia are only a few of the terms applied to this problem. With few exceptions, this condition has not been separated in the literature from sliding hernia, and yet the sequelae and management of the two conditions are entirely different. In textbooks published as recently as 1958,1 illustrations of what are called parahiatal hernia show a component of the diaphragm between the herniated stomach and the esophagus, with a separate opening adjacent to the esophageal hiatus through which the stomach reportedly herniates. A substantial segment of the diaphragm lying between the herniated stomach pouch and esophagus is described, but the anatomical details of References 1. Benedict, E.B., and Nardi, G.L.: The Esophagus: Medical and Surgical Management , Boston: Little, Brown & Co., 1958. 2. Barret, N.R.: Hiatus Hernia, A Review of Some Controversial Points , Brit J Surg 42:237, 1954. 3. Flavell, G.: The Esophagus , London: Butterworth & Co., 1963. 4. Hill, L.D.; Morgan, E.H.; and Kellogg, H.B., Jr.: Experimentation as an Aid in Management of Esophageal Disorders , Trans Pac Coast Surg Assoc , Vol 102, 1961, p 240. 5. Tobias, J.A.; Hill, L.D.; and Morgan, E.H.: Pathophysiology and Surgical Repair of Hiatal Hernia , Bull Mason Clin 19:167, 1965. 6. Hill, L.D.; Tobias, J.A.; and Morgan, E.H.: Newer Concepts of the Pathophysiology of Hiatal Hernia and Esophagitis , Amer J Surg 111:70 ( (Jan) ) 1966.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1968.01330230043007
Publisher site
See Article on Publisher Site

Abstract

Abstract THE multiplicity of terms that have been used to describe herniation of the stomach alongside the esophagus and into the posterior mediastinum suggest the confusion which exists concerning both the pathophysiology and the management of this disorder. Up-side-down stomach, rolling hernia, intrathoracic stomach, parahiatal, and paraesophageal hernia are only a few of the terms applied to this problem. With few exceptions, this condition has not been separated in the literature from sliding hernia, and yet the sequelae and management of the two conditions are entirely different. In textbooks published as recently as 1958,1 illustrations of what are called parahiatal hernia show a component of the diaphragm between the herniated stomach and the esophagus, with a separate opening adjacent to the esophageal hiatus through which the stomach reportedly herniates. A substantial segment of the diaphragm lying between the herniated stomach pouch and esophagus is described, but the anatomical details of References 1. Benedict, E.B., and Nardi, G.L.: The Esophagus: Medical and Surgical Management , Boston: Little, Brown & Co., 1958. 2. Barret, N.R.: Hiatus Hernia, A Review of Some Controversial Points , Brit J Surg 42:237, 1954. 3. Flavell, G.: The Esophagus , London: Butterworth & Co., 1963. 4. Hill, L.D.; Morgan, E.H.; and Kellogg, H.B., Jr.: Experimentation as an Aid in Management of Esophageal Disorders , Trans Pac Coast Surg Assoc , Vol 102, 1961, p 240. 5. Tobias, J.A.; Hill, L.D.; and Morgan, E.H.: Pathophysiology and Surgical Repair of Hiatal Hernia , Bull Mason Clin 19:167, 1965. 6. Hill, L.D.; Tobias, J.A.; and Morgan, E.H.: Newer Concepts of the Pathophysiology of Hiatal Hernia and Esophagitis , Amer J Surg 111:70 ( (Jan) ) 1966.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: May 1, 1968

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