Impact of surgical repair on type IV paraesophageal hernias (PEHs).
Fiche publication
Date publication
novembre 2021
Journal
Surgical endoscopy
Auteurs
Membres identifiés du Cancéropôle Est :
Pr MARESCAUX Jacques, Pr MUTTER Didier
Tous les auteurs :
Rodríguez-Luna MR, Pizzicannella M, Fiorillo C, Almuttawa A, Lapergola A, Mutter D, Marrescaux J, Dallemagne B, Perretta S
Lien Pubmed
Résumé
Paraesophageal hernias (PEHs; types II-III-IV) account for about 5% of all hiatal hernias (HHs). The peculiarity of PEHs is the presence of a herniated sac which contains a more or less important part of the stomach, along with other abdominal organs in type IV PEHs. Surgical treatment is more complex since it requires a reduction not only of the herniated content but also of the "container," namely the sac adherent to mediastinal structures. Since type III and IV PEHs are mostly grouped together as large PEHs, there is a lack of articles in the literature with regards to clear surgical outcomes, as well as management algorithms in type IV PEHs. This study aims to compare outcomes in type IV vs. type III PEHs after surgical repair.
Mots clés
Complications, Gastric volvulus, Nissen fundoplication, Outcomes, Paraesophageal hernia, Type IV
Référence
Surg Endosc. 2021 Nov 18;: