Modern diagnosis and treatment of hiatal hernias

Modern diagnosis and treatment of hiatal hernias Langenbecks Arch Surg (2017) 402:1145–1151 DOI 10.1007/s00423-017-1606-5 REVIEW ARTICLE 1 1 1 Steve R. Siegal & James P. Dolan & John G. Hunter Received: 13 July 2017 /Accepted: 18 July 2017 /Published online: 21 August 2017 Springer-Verlag GmbH Germany 2017 . . Abstract Keywords Hiatal hernia Sliding hernia Paraesophageal . . Purpose Hiatal hernias are a common finding on radiographic hernia Laparoscopic hernia repair Giant paraesophageal or endoscopic studies. Hiatal hernias may become symptom- hernias atic or, less frequently, can incarcerate or become a volvulus leading to organ ischemia. This review examines latest evi- dence on the diagnostic workup and management of hiatal Anatomy, etiology, and presentation hernias. Methods A literature review of contemporary and latest stud- The esophageal hiatus describes the space enclosed by the ies with highest quality of evidence was completed. This in- right and left diaphragmatic crura. In this anatomic position, formation was examined and compiled in review format. the crural arches are mostly composed of thickened dia- Results Asymptomatic hiatal and paraesophageal hernias be- phragm muscle overlain with peritoneum and fibroconnective come symptomatic and necessitate repair at a rate of 1% per tissue. As the crura weave posteriorly behind the esophagus, year. Watchful waiting Langenbeck's Archives of Surgery Springer Journals

Modern diagnosis and treatment of hiatal hernias

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Springer Berlin Heidelberg
Copyright © 2017 by Springer-Verlag GmbH Germany
Medicine & Public Health; General Surgery; Abdominal Surgery; Cardiac Surgery; Thoracic Surgery; Traumatic Surgery; Vascular Surgery
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