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Management of Recurrent Paraesophageal Hernia

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Hiatal Hernia Surgery

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Abstract

Laparoscopy has become the standard approach for management of most benign foregut disease including antireflux and hiatal hernia repair. Anatomic recurrence after repair of paraesophageal hernias is high, however, the clinical significance of such findings seems to be less relevant [1]. Reoperative foregut surgery has a significantly higher morbidity and mortality than their primary counterparts. Fortunately, recurrence leading to reintervention is far less common, with a 10 year cumulative risk close to 7% [2].

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Author information

Authors and Affiliations

  1. Section of Surgical Endoscopy, Cleveland Clinic, Cleveland, OH, USA

    John H. Rodriguez M.D. & Jeffrey Ponsky M.D.

  2. Lerner College of Medicine, Cleveland Clinic, Cleveland, OH, USA

    John H. Rodriguez M.D. & Jeffrey Ponsky M.D.

Authors
  1. John H. Rodriguez M.D.
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  2. Jeffrey Ponsky M.D.
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Corresponding author

Correspondence to Jeffrey Ponsky M.D. .

Editor information

Editors and Affiliations

  1. Faculty of Health Sciences and Medicine, University of Southern Queensland Faculty of Health Sciences and Medicine, Toowoomba, Queensland, Australia

    Muhammed Ashraf Memon

Appendix

Appendix

Fig. A.1
figure 1

Endoscopic view of recurrent PEH with transhiatal wrap migration

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Fig. A.2
figure 2

Gastric bezoar during EGD demonstrating post surgical gastroparesis

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Fig. A.3
figure 3

Upper GI showing transhiatal wrap migration and recurrent PEH

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Fig. A.4
figure 4

Upper GI on postoperative day one demonstrating sub diaphragmatic gastric pouch and Roux en Y gastrojejunostomy

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Fig. A.5
figure 5

Endoscopic view of pyloric sphincter during per oral pyloromyotomy

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Rodriguez, J.H., Ponsky, J. (2018). Management of Recurrent Paraesophageal Hernia. In: Memon, M. (eds) Hiatal Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-64003-7_15

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  • DOI: https://doi.org/10.1007/978-3-319-64003-7_15

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  • Online ISBN: 978-3-319-64003-7

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