Fundoplication at the time of paraesophageal hernia repair may not reduce postoperative reflux

Hiatal hernias are observed in approximately 15% to 20% of the population in Western society. Most patients are diagnosed with a sliding-type hiatal hernia, of which gastroesophageal reflux is the predominant driving symptom. Surgical repair of these types of hernias often involves a wrap procedure...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2024-01, Vol.28 (1), p.70-71
Main Authors: Logarajah, Shankar, Karumuri, Jash, Ahle, David, Osman, Houssam, Jeyarajah, D Rohan
Format: Article
Language:English
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Summary:Hiatal hernias are observed in approximately 15% to 20% of the population in Western society. Most patients are diagnosed with a sliding-type hiatal hernia, of which gastroesophageal reflux is the predominant driving symptom. Surgical repair of these types of hernias often involves a wrap procedure during the index operation as standard of care. For type 2, 3, and 4 hernias, also known as paraesophageal hernias (PEHs), the symptom complexes vary and often involve symptoms other than reflux, including dysphagia, anemia, shortness of breath, and chest pain. We sought to evaluate whether patients who underwent PEH repair without fundoplication reported different rates of postoperative symptoms compared with those who did.
ISSN:1091-255X
1873-4626
DOI:10.1016/j.gassur.2023.11.013