Abstract：
Paraesophageal hernias are classified according to the altered anatomic relationships between the gastroesophageal junction or stomach and the diaphragmatic hiatus. Herniation of these structures into the mediastinum may produce common complaints such as reflux, chest pain, and dysphagia. The elective repair of these hernias is well tolerated and significantly improves quality of life among patients with symptomatic disease. The hallmarks of a quality repair include the circumferential mobilization of the esophagus to generate 3 cm of tension-free intra-abdominal length and the performance of a fundoplication.
摘要：
食道旁疝根据胃食管交界处或胃与膈裂孔之间的解剖关系改变进行分类。这些结构突出到纵隔可能会产生常见的投诉，如反流，胸痛,和吞咽困难.这些疝的选择性修复具有良好的耐受性，并显着改善了有症状疾病的患者的生活质量。高质量修复的标志包括食管的周向动员以产生3厘米的无张力腹内长度和胃底折叠的表现。
