scholarly journals Magnetic Sphincter Augmentation in Patients with Paraesophageal Hernia vs Large Sliding Hiatal Hernia: Comparison of Clinical Outcome and Complexity of the Surgery

2020 ◽  
Vol 231 (4) ◽  
pp. S26
Author(s):  
Katrin Schwameis ◽  
Shahin Ayazi ◽  
Kristy L. Chovanec ◽  
Adam Alleyne ◽  
Xinxin Sherry Shen ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Hiatal Hernia ◽  
Paraesophageal Hernia ◽  
Magnetic Sphincter Augmentation ◽  
Sliding Hiatal Hernia

scholarly journals Magnetic Sphincter Augmentation In Patients With Paraesophageal Hernia Vs. Large Sliding Hiatal Hernia: Comparison of Clinical Outcome And Complexity Of The Surgery

2021 ◽  
Author(s):  
Katrin Schwameis ◽  
Shahin Ayazi ◽  
Ping Zheng ◽  
Andrew Grubic ◽  
Ali Zaidi ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Hospital Stay ◽  
Hiatal Hernia ◽  
Paraesophageal Hernia ◽  
Symptom Control ◽  
Gerd Symptom ◽  
High Rate ◽  
Control Group ◽  
Magnetic Sphincter Augmentation ◽  
Sliding Hiatal Hernia

Abstract Introduction: Recent studies encourage the use of magnetic sphincter augmentation (MSA) in patients with large sliding hiatal hernia (LHH). However, the utility of MSA in patients with paraesophageal hernia (PEH) is poorly studied. The aim of this study is to compare the outcome and complexity of surgery in patients with PEH to those with LHH. Methods: A total of 37 (65% female) patients underwent PEH repair with MSA in our institution between 2013 and 2019. A group of 37, age/sex matched patients with LHH (≥ 4 cm) who underwent MSA formed the control group. The clinical outcome and the complexity of the surgery were then compared between groups. Results: At a median follow-up of 25.3 (17–35) months, there was significant improvement in the GERD-HRQL total-scores for PEH (18 vs. 3, p < 0.001) and LHH (26 vs. 4, p < 0.0001) patients when compared to preoperative values. The PEH group was similar to LHH group in regard to pH-normalization (71% vs. 64%, p = 0.76) and freedom from PPI (94.4% vs. 91.9%, p = 1.00). Small asymptomatic hernia recurrence was seen in 19% and 18% of LHH and PEH patients, respectively (p = 0.546). One patient (3%) required surgical intervention for symptomatic recurrence in each group. The rate of dysphagia and need for dilation were similar between the groups. No significant differences in operative time, blood loss, and hospital stay were detected between patients with PEH and those with LHH. However, there was a trend toward higher necessity for additional operative maneuvers (40.5% vs 13.5%, p = 00.17) and longer hospital stay in PEH. Conclusion: Despite the inherent differences between LHH and PEH, repair of hernia and MSA results in high rate of favorable outcome and low rate of recurrence in both groups. GERD symptom control, freedom from PPI and improvement in quality of life are comparable. However, the greater need for additional surgical maneuvers and longer hospital stay reflect the greater complexity of procedures for repair of PEH with MSA.

scholarly journals Magnetic sphincter augmentation (MSA) in patients with hiatal hernia: clinical outcome and patterns of recurrence

2019 ◽  
Vol 34 (4) ◽  
pp. 1835-1846 ◽  
Author(s):  
Shahin Ayazi ◽  
Nobel Chowdhury ◽  
Ali H. Zaidi ◽  
Kristy Chovanec ◽  
Yoshihiro Komatsu ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Hiatal Hernia ◽  
Magnetic Sphincter Augmentation ◽  
Patterns Of Recurrence

Robotic Fundoplication for Gastroesophageal Reflux Disease and Hiatal Hernia: Initial Experience and Outcome

2018 ◽  
Vol 84 (12) ◽  
pp. 1945-1950 ◽  
Author(s):  
Massimo Arcerito ◽  
Eric Changchien ◽  
Monica Falcon ◽  
Mauricio A. Parga ◽  
Oscar Bernal ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Reflux Disease ◽  
Paraesophageal Hernia ◽  
Surgeon Experience ◽  
Sliding Hiatal Hernia ◽  
Common Clinical Presentation ◽  
Paraesophageal Hiatal Hernia ◽  
The Mean

Gastroesophageal reflux disease, associated with sliding or large paraesophageal hiatal hernia, represents a common clinical presentation. The repair of large paraesophageal hiatal hernias is still a challenge in minimally invasive surgery. Between March 2014 and August 2016, 50 patients (18 males and 32 females) underwent robotic fundoplication (17 sliding and 33 paraesophageal hernias). The mean age of the patients was 58 years. Biosynthetic mesh was used in 28 patients with paraesophageal hernia. The mean operative time was 115 minutes (90–132) in the sliding hiatal hernia group, whereas it was 200 minutes (180–210) in the paraesophageal hiatal hernia group. The mean hospital stay was 36 hours (24–96). Eight patients experienced mild dysphagia which resolved after four weeks. No postoperative dysphagia was recorded at 30-month median follow-up. We experienced one recurrence in the sliding hernia group and two recurrences in the paraesophageal hernia group, with two patients treated robotically. Robotic fundoplication in treating sliding hiatal hernia is feasible and safe but is more challenging in the large paraesophageal group. Improved patient outcomes hinge on the operative technique used and increasing surgeon experience. The increased dexterity that robotic surgery affords enables the esophageal surgeon to more adeptly apply the traditional principles of laparoscopic fundoplication.

P97: Laparoscopic placement of adjustable gastric band with concomitant sliding hiatal hernia or giant paraesophageal hernia repair

2008 ◽  
Vol 4 (3) ◽  
pp. 348-349
Author(s):  
Richard S. Flint ◽  
Ashley H. Vernon ◽  
Thien K. Nguyen ◽  
Kerri A. Clancy ◽  
Ali Tavakkolizadeh ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatal Hernia ◽  
Paraesophageal Hernia ◽  
Gastric Band ◽  
Adjustable Gastric Band ◽  
Paraesophageal Hernia Repair ◽  
Sliding Hiatal Hernia

scholarly journals Paraesophageal Hernia as a Cause of Chronic Asymptomatic Anemia in a 6 Years Old Boy; Case Report and Review of the Literature

2017 ◽  
Vol 60 (2) ◽  
pp. 76-81
Author(s):  
Dimitrios Patoulias ◽  
Maria Kalogirou ◽  
Thomas Feidantsis ◽  
Ignatios Kallergis ◽  
Ioannis Patoulias
Keyword(s):  
Hiatal Hernia ◽  
Paraesophageal Hernia ◽  
Esophageal Hiatus ◽  
Type Ii ◽  
Hernia Sac ◽  
Esophageal Hiatal Hernia ◽  
Type Iv ◽  
Abdominal Organs ◽  
Total Fundoplication ◽  
Sliding Hiatal Hernia

Esophageal hiatal hernia is defined as the prolapse of one or more intra-abdominal organs through the esophageal hiatus. Four types are identified: type Ι or sliding hiatal hernia, type II or paraesophageal hernia (PEH), type III or mixed hernia and type IV. Congenital type II esophageal hiatal hernia is caused by a remaining gap after the formation of pleuroperitoneal membrane. We present a case of a six years old boy admitted to our department, appearing with asymptomatic anemia, who was incidentally diagnosed with Type II esophageal hiatal hernia. After diagnostic investigation, the prolapsing stomach pouch was reduced, the hernia sac was excised, the crura of diaphragm were converged and a total fundoplication was performed, via open method. The patient had an uncomplicated postoperative period. We conclude that: 1) esophageal hiatal hernia should be included within diagnostic approach of a child with chronic non-hereditary anemia, 2) after a Type II esophageal hiatal hernia is diagnosed, a hernia repair surgery is indicated in short time, due to the severity of possible complications and 3) through the performance of total fundoplication, it is secured that the subdiaphragmatic abdominal part of esophagus will be retained, preventing the development of post-operative gastroesophageal reflux disease.

scholarly journals Oesophagogastric invagination

2017 ◽  
Vol 99 (7) ◽  
pp. e202-e203
Author(s):  
J Zhang ◽  
Z Guan ◽  
P Zhang
Keyword(s):  
Rare Disease ◽  
Hiatal Hernia ◽  
Abdominal Discomfort ◽  
Sliding Hiatal Hernia ◽  
Upper Abdominal

Oesophagogastric invagination is a relatively rare disease that is primarily caused by a sliding hiatal hernia. We report a successfully treated case of oesophagogastric invagination caused by achalasia. Oesophagogastric invagination should be considered in patients complaining of upper abdominal discomfort.

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