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
Published: Aug 21, 2017
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
All the latest content is available, no embargo periods.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud