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[Diagnosis and surgical therapy of hiatal hernia].

Authors
  • Koch, O O
  • Köhler, G
  • Antoniou, S A
  • Pointner, R
Type
Published Article
Journal
Zentralblatt für Chirurgie
Publication Date
Aug 01, 2014
Volume
139
Issue
4
Pages
393–398
Identifiers
DOI: 10.1055/s-0033-1360294
PMID: 24647816
Source
Medline
License
Unknown

Abstract

Using the usual diagnostic tools like barium swallow examination, endoscopy, and manometry, we are able to diagnose a hiatal hernia, but it is not possible to predict the size of the hernia opening or, respectively, the size of the hiatal defect. At least a correlation can be expected if the gastroesophageal junction is endoscopically assessed in a retroflexed position, and graded according to Hill. So far, it is not possible to come to a clear conclusion how the hiatal closure during hiatal hernia repair should be performed. There is no consensus on using a mesh, and when using a mesh which type or shape should be used. Further studies including long-term results on this issue are necessary. However, it seems obvious to make the decision depending on certain conditions found during operation, and not on preoperative findings.

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