U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

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

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
Large Paraesophageal Hiatus Hernia: Is Surgery Mandatory?
Dellaportas D, Papaconstantinou I, Nastos C, Karamanolis G, Theodosopoulos T
Chirurgia (Bucur) 2018 Nov-Dec;113(6):765-771. doi: 10.21614/chirurgia.113.6.765. PMID: 30596364
Secondary antireflux surgery.
Abdel-Raouf El-Geidie A, Gadel-Hak N, Fathi O
Int J Surg 2009 Feb;7(1):44-9. Epub 2008 Oct 18 doi: 10.1016/j.ijsu.2008.10.007. PMID: 19129015
Failed fundoplications.
Hatch KF, Daily MF, Christensen BJ, Glasgow RE
Am J Surg 2004 Dec;188(6):786-91. doi: 10.1016/j.amjsurg.2004.08.062. PMID: 15619500

Diagnosis

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
Large Paraesophageal Hiatus Hernia: Is Surgery Mandatory?
Dellaportas D, Papaconstantinou I, Nastos C, Karamanolis G, Theodosopoulos T
Chirurgia (Bucur) 2018 Nov-Dec;113(6):765-771. doi: 10.21614/chirurgia.113.6.765. PMID: 30596364
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
Secondary antireflux surgery.
Abdel-Raouf El-Geidie A, Gadel-Hak N, Fathi O
Int J Surg 2009 Feb;7(1):44-9. Epub 2008 Oct 18 doi: 10.1016/j.ijsu.2008.10.007. PMID: 19129015
Failed fundoplications.
Hatch KF, Daily MF, Christensen BJ, Glasgow RE
Am J Surg 2004 Dec;188(6):786-91. doi: 10.1016/j.amjsurg.2004.08.062. PMID: 15619500

Therapy

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
Comparison of Dor and Nissen fundoplication after laparoscopic paraesophageal hernia repair.
Trepanier M, Dumitra T, Sorial R, Siblini A, Vassiliou M, Fried GM, Feldman LS, Ferri LE, Lee L, Mueller CL
Surgery 2019 Oct;166(4):540-546. Epub 2019 Aug 13 doi: 10.1016/j.surg.2019.06.031. PMID: 31416603
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
Secondary antireflux surgery.
Abdel-Raouf El-Geidie A, Gadel-Hak N, Fathi O
Int J Surg 2009 Feb;7(1):44-9. Epub 2008 Oct 18 doi: 10.1016/j.ijsu.2008.10.007. PMID: 19129015
Failed fundoplications.
Hatch KF, Daily MF, Christensen BJ, Glasgow RE
Am J Surg 2004 Dec;188(6):786-91. doi: 10.1016/j.amjsurg.2004.08.062. PMID: 15619500

Prognosis

The Nissen-Hill Hybrid Repair: Experience With the First 500.
Aye RW, Baison GN, Ahmed H, Watkins J, DeMeester SR, Bograd AJ, Farivar AS, Louie BE
Ann Surg 2022 Oct 1;276(4):626-634. Epub 2022 Jul 15 doi: 10.1097/SLA.0000000000005586. PMID: 35837892
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
Robotic-Assisted Paraesophageal Hernia Repair: Initial Experience at a Single Institution.
Galvani CA, Loebl H, Osuchukwu O, Samamé J, Apel ME, Ghaderi I
J Laparoendosc Adv Surg Tech A 2016 Apr;26(4):290-5. Epub 2016 Apr 1 doi: 10.1089/lap.2016.0096. PMID: 27035739
Feasibility, safety, and short-term efficacy of the laparoscopic Nissen-Hill hybrid repair.
Aye RW, Qureshi AP, Wilshire CL, Farivar AS, Vallières E, Louie BE
Surg Endosc 2016 Feb;30(2):551-558. Epub 2015 Jun 12 doi: 10.1007/s00464-015-4238-2. PMID: 26065538
Failed fundoplications.
Hatch KF, Daily MF, Christensen BJ, Glasgow RE
Am J Surg 2004 Dec;188(6):786-91. doi: 10.1016/j.amjsurg.2004.08.062. PMID: 15619500

Clinical prediction guides

Revision paraesophageal hernia repair outcomes in patients with typical and atypical reflux.
Addo AJ, Fatunmbi AM, Ramdeen SL, Broda A, Obradovic V, Petrick AT, Parker DM
Surg Endosc 2023 Jun;37(6):4947-4953. Epub 2022 Oct 3 doi: 10.1007/s00464-022-09635-7. PMID: 36192657
The Nissen-Hill Hybrid Repair: Experience With the First 500.
Aye RW, Baison GN, Ahmed H, Watkins J, DeMeester SR, Bograd AJ, Farivar AS, Louie BE
Ann Surg 2022 Oct 1;276(4):626-634. Epub 2022 Jul 15 doi: 10.1097/SLA.0000000000005586. PMID: 35837892
Concurrent bariatric surgery and paraesophageal hernia repair: an analysis of the Metabolic and Bariatric Surgery Association Quality Improvement Program (MBSAQIP) database.
Hefler J, Dang J, Mocanu V, Switzer N, Birch DW, Karmali S
Surg Obes Relat Dis 2019 Oct;15(10):1746-1754. Epub 2019 Sep 5 doi: 10.1016/j.soard.2019.08.025. PMID: 31588008
Secondary antireflux surgery.
Abdel-Raouf El-Geidie A, Gadel-Hak N, Fathi O
Int J Surg 2009 Feb;7(1):44-9. Epub 2008 Oct 18 doi: 10.1016/j.ijsu.2008.10.007. PMID: 19129015
Clinical and radiologic assessment of laparoscopic paraesophageal hernia repair.
Wu JS, Dunnegan DL, Soper NJ
Surg Endosc 1999 May;13(5):497-502. doi: 10.1007/s004649901021. PMID: 10227951

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
Quality of life and symptom assessment in paraesophageal hernias: a systematic literature review of reporting standards.
Patel NM, Puri A, Sounderajah V, Ferri L, Griffiths E, Low D, Maynard N, Mueller C, Pera M, van Berge Henegouwen MI, Watson DI, Zaninotto G, Hanna GB, Markar SR; Para-Oesophageal hernia Symptom Tool (POST) Collaborative
Dis Esophagus 2021 Jul 12;34(7) doi: 10.1093/dote/doaa134. PMID: 33434921
Assessment of surgical performance of laparoscopic benign hiatal surgery: a systematic review.
Bilgic E, Al Mahroos M, Landry T, Fried GM, Vassiliou MC, Feldman LS
Surg Endosc 2019 Nov;33(11):3798-3805. Epub 2019 Jan 22 doi: 10.1007/s00464-019-06662-9. PMID: 30671670
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

Supplemental Content

Table of contents

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Related information

    • MeSH
      Related Medical Subject Headings
    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...