{Reference Type}: Journal Article
{Title}: Management of Paraesophageal Hernias.
{Author}: Randle RJ;Liou DZ;Lui NS;
{Journal}: Thorac Surg Clin
{Volume}: 34
{Issue}: 2
{Year}: 2024 May
暂无{DOI}: 10.1016/j.thorsurg.2024.01.005
{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.