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Paraesophageal hernia

MedGen UID:
78633
•Concept ID:
C0267725
•
Disease or Syndrome
Synonyms: Hernia, Paraesophageal; Hernia, Paraesophageal Hiatal; Hernias, Paraesophageal; Hernias, Paraesophageal Hiatal; Hiatal Hernia, Paraesophageal; Hiatal Hernias, Paraesophageal; Paraesophageal Hernia; Paraesophageal Hernias; Paraesophageal Hiatal Hernia; Paraesophageal Hiatal Hernias
SNOMED CT: Rolling hiatus hernia (3662000); Paraesophageal hiatus hernia (3662000); Paraesophageal hernia (3662000); Thoracic stomach (3662000); Gastroesophageal hernia (3662000)

Definition

A HIATAL HERNIA in which the STOMACH herniation is located alongside the ESOPHAGUS and the ESOPHAGOGASTRIC JUNCTION is in its normal position below the DIAPHRAGM. [from MeSH]

Professional guidelines

PubMed

Management of Recurrent Paraesophageal Hernia.
Carrera Ceron RE, Oelschlager BK
J Laparoendosc Adv Surg Tech A 2022 Nov;32(11):1148-1155. Epub 2022 Sep 27 doi: 10.1089/lap.2022.0388. PMID: 36161967
Anesthetic Management for Paraesophageal Hernia Repair.
Kazakova T, Hammond B, Talarek C, Sinha AC, Brister NW
Thorac Surg Clin 2019 Nov;29(4):447-455. Epub 2019 Sep 26 doi: 10.1016/j.thorsurg.2019.07.007. PMID: 31564402
Modern diagnosis and treatment of hiatal hernias.
Siegal SR, Dolan JP, Hunter JG
Langenbecks Arch Surg 2017 Dec;402(8):1145-1151. Epub 2017 Aug 21 doi: 10.1007/s00423-017-1606-5. PMID: 28828685

Recent clinical studies

Etiology

Complications After Paraesophageal Hernia Repair.
Corbett JM, Eriksson SE, Sarici IS, Jobe BA, Ayazi S
Thorac Surg Clin 2024 Nov;34(4):355-369. Epub 2024 Jul 18 doi: 10.1016/j.thorsurg.2024.06.002. PMID: 39332860
Paraesophageal hernia.
Lin ZS, Chen XJ, Jin Z
Med Clin (Barc) 2021 Aug 13;157(3):157. Epub 2020 Aug 20 doi: 10.1016/j.medcli.2020.06.049. PMID: 32828548
Anesthetic Management for Paraesophageal Hernia Repair.
Kazakova T, Hammond B, Talarek C, Sinha AC, Brister NW
Thorac Surg Clin 2019 Nov;29(4):447-455. Epub 2019 Sep 26 doi: 10.1016/j.thorsurg.2019.07.007. PMID: 31564402
Intestinal Tamponade.
Coolidge AM, Czerniach D, Wiener DC
Ann Thorac Surg 2019 Sep;108(3):e193-e194. Epub 2019 Mar 1 doi: 10.1016/j.athoracsur.2019.01.048. PMID: 30831110
Hiatal and paraesophageal hernia repair in pediatric patients.
Garvey EM, Ostlie DJ
Semin Pediatr Surg 2017 Apr;26(2):61-66. Epub 2017 Mar 9 doi: 10.1053/j.sempedsurg.2017.02.008. PMID: 28550872

Diagnosis

Paraesophageal Hernias with Perforation.
Lackey AH, Sesti J
Thorac Surg Clin 2024 Nov;34(4):371-376. Epub 2024 Aug 13 doi: 10.1016/j.thorsurg.2024.06.003. PMID: 39332861
Gastric, Duodenal, and Small Bowel Emergencies.
Williams BS, Huynh TA, Mahmoud A
Surg Clin North Am 2023 Dec;103(6):1097-1112. Epub 2023 Jul 13 doi: 10.1016/j.suc.2023.05.012. PMID: 37838458
Intestinal Tamponade.
Coolidge AM, Czerniach D, Wiener DC
Ann Thorac Surg 2019 Sep;108(3):e193-e194. Epub 2019 Mar 1 doi: 10.1016/j.athoracsur.2019.01.048. PMID: 30831110
Modern diagnosis and treatment of hiatal hernias.
Siegal SR, Dolan JP, Hunter JG
Langenbecks Arch Surg 2017 Dec;402(8):1145-1151. Epub 2017 Aug 21 doi: 10.1007/s00423-017-1606-5. PMID: 28828685
Paraesophageal hernia repair.
Mori T, Nagao G, Sugiyama M
Ann Thorac Cardiovasc Surg 2012;18(4):297-305. Epub 2012 Jul 31 doi: 10.5761/atcs.ra.12.01882. PMID: 22850094

Therapy

Complications After Paraesophageal Hernia Repair.
Corbett JM, Eriksson SE, Sarici IS, Jobe BA, Ayazi S
Thorac Surg Clin 2024 Nov;34(4):355-369. Epub 2024 Jul 18 doi: 10.1016/j.thorsurg.2024.06.002. PMID: 39332860
Is fundoplication necessary after paraesophageal hernia repair? A meta-analysis and systematic review.
Clapp B, Hamdan M, Mandania R, Kim J, Gamez J, Hornock S, Vivar A, Dodoo C, Davis B
Surg Endosc 2022 Aug;36(8):6300-6311. Epub 2022 Jan 13 doi: 10.1007/s00464-022-09024-0. PMID: 35024937
Anesthetic Management for Paraesophageal Hernia Repair.
Kazakova T, Hammond B, Talarek C, Sinha AC, Brister NW
Thorac Surg Clin 2019 Nov;29(4):447-455. Epub 2019 Sep 26 doi: 10.1016/j.thorsurg.2019.07.007. PMID: 31564402
Paraesophageal hernia.
Oleynikov D, Jolley JM
Surg Clin North Am 2015 Jun;95(3):555-65. doi: 10.1016/j.suc.2015.02.008. PMID: 25965129
Paraesophageal hernia repair.
Mori T, Nagao G, Sugiyama M
Ann Thorac Cardiovasc Surg 2012;18(4):297-305. Epub 2012 Jul 31 doi: 10.5761/atcs.ra.12.01882. PMID: 22850094

Prognosis

Recurrence in Paraesophageal Hernia: Patient Factors and Composite Surgical Repair in 862 Cases.
Nguyen CL, Tovmassian D, Zhou M, Seyfi D, Isaacs A, Gooley S, Falk GL
J Gastrointest Surg 2023 Dec;27(12):2733-2742. Epub 2023 Nov 14 doi: 10.1007/s11605-023-05856-w. PMID: 37962716Free PMC Article
Prediction models in hernia repair: a systematic review.
Malaussena Z, Pittala K, Diab AF, Docimo S Jr
Surg Endosc 2023 May;37(5):3364-3379. Epub 2023 Jan 3 doi: 10.1007/s00464-022-09842-2. PMID: 36595065
Intestinal Tamponade.
Coolidge AM, Czerniach D, Wiener DC
Ann Thorac Surg 2019 Sep;108(3):e193-e194. Epub 2019 Mar 1 doi: 10.1016/j.athoracsur.2019.01.048. PMID: 30831110
Laparoscopic Hill repair: 25-year follow-up.
Park Y, Aye RW, Watkins JR, Farivar AS, Louie BE
Surg Endosc 2018 Oct;32(10):4111-4115. Epub 2018 Mar 30 doi: 10.1007/s00464-018-6150-z. PMID: 29602997
Massive hiatal hernia: a review.
Duranceau A
Dis Esophagus 2016 May;29(4):350-66. Epub 2015 Mar 19 doi: 10.1111/dote.12328. PMID: 25789563

Clinical prediction guides

Prediction models in hernia repair: a systematic review.
Malaussena Z, Pittala K, Diab AF, Docimo S Jr
Surg Endosc 2023 May;37(5):3364-3379. Epub 2023 Jan 3 doi: 10.1007/s00464-022-09842-2. PMID: 36595065
Is fundoplication necessary after paraesophageal hernia repair? A meta-analysis and systematic review.
Clapp B, Hamdan M, Mandania R, Kim J, Gamez J, Hornock S, Vivar A, Dodoo C, Davis B
Surg Endosc 2022 Aug;36(8):6300-6311. Epub 2022 Jan 13 doi: 10.1007/s00464-022-09024-0. PMID: 35024937
Non-elective paraesophageal hernia repair: surgical approaches and short-term outcomes.
Sherrill W 3rd, Rossi I, Genz M, Matthews BD, Reinke CE
Surg Endosc 2021 Jul;35(7):3405-3411. Epub 2020 Jul 15 doi: 10.1007/s00464-020-07782-3. PMID: 32671522
Laparoscopic Hill repair: 25-year follow-up.
Park Y, Aye RW, Watkins JR, Farivar AS, Louie BE
Surg Endosc 2018 Oct;32(10):4111-4115. Epub 2018 Mar 30 doi: 10.1007/s00464-018-6150-z. PMID: 29602997
Treatment of giant paraesophageal hernia: pro laparoscopic approach.
Dallemagne B, Quero G, Lapergola A, Guerriero L, Fiorillo C, Perretta S
Hernia 2018 Dec;22(6):909-919. Epub 2017 Nov 25 doi: 10.1007/s10029-017-1706-8. PMID: 29177588

Recent systematic reviews

Prediction models in hernia repair: a systematic review.
Malaussena Z, Pittala K, Diab AF, Docimo S Jr
Surg Endosc 2023 May;37(5):3364-3379. Epub 2023 Jan 3 doi: 10.1007/s00464-022-09842-2. PMID: 36595065
Is fundoplication necessary after paraesophageal hernia repair? A meta-analysis and systematic review.
Clapp B, Hamdan M, Mandania R, Kim J, Gamez J, Hornock S, Vivar A, Dodoo C, Davis B
Surg Endosc 2022 Aug;36(8):6300-6311. Epub 2022 Jan 13 doi: 10.1007/s00464-022-09024-0. PMID: 35024937
Laparoscopic Paraesophageal Hernia Repair: To Mesh or not to Mesh. Systematic Review and Meta-analysis.
Angeramo CA, Schlottmann F
Ann Surg 2022 Jan 1;275(1):67-72. doi: 10.1097/SLA.0000000000004913. PMID: 33843796
Robotic paraesophageal hernia repair: a single-center experience and systematic review.
Vasudevan V, Reusche R, Nelson E, Kaza S
J Robot Surg 2018 Mar;12(1):81-86. Epub 2017 Apr 3 doi: 10.1007/s11701-017-0697-x. PMID: 28374223
Use of Mesh in Laparoscopic Paraesophageal Hernia Repair: A Meta-Analysis and Risk-Benefit Analysis.
Müller-Stich BP, Kenngott HG, Gondan M, Stock C, Linke GR, Fritz F, Nickel F, Diener MK, Gutt CN, Wente M, Büchler MW, Fischer L
PLoS One 2015;10(10):e0139547. Epub 2015 Oct 15 doi: 10.1371/journal.pone.0139547. PMID: 26469286Free PMC Article

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