Evaluation and Surgical Treatment of Hiatal Hernias and Gastroesophageal Reflux

Kashif Irshad, Arjun Pennathur, James D. Luketich

Evaluation and Surgical Treatment of Hiatal Hernias and Gastroesophageal Reflux is a topic covered in the Pearson's General Thoracic.

To view the entire topic, please log in or purchase a subscription.

STS Cardiothoracic Surgery E-Book from The Society of Thoracic Surgeons provides expert guidance for Cardiac and Thoracic Surgery. Sections include Pearson’s General Thoracic, Esphageal, Adult Cardiac, and Pediatric and Congenital Cardiac Surgery. Explore these free sample topics:

Ventricular Septal Defects (VSD)

Laparoscopic Techniques in Reoperation for Failed Antireflux Repair

Coronary Artery Bypass without CPB

Diagnosis and Staging of Lung Cancer

Nomenclature for Pediatric and Congenital Cardiac Care: Unification of Clinical and Administrative Nomenclature

-- The first section of this topic is shown below --

Key Points

The evaluation of a patient possibly requiring surgical treatment of hiatal hernia and gastroesophageal reflux begins with a careful history.
Essential evaluations are barium esophagography, esophagogastroduodenoscopy with biopsy, esophageal manometry, and 24 hour pH monitoring.
Principles of antireflux surgery are reduction of the hiatal hernia with restoration of the intra-abdominal esophagus, repair of the esophageal hiatal mechanism, and reinforcement of the lower esophageal sphincter.
Choice of the operation and modification will be dictated by patient evaluation.

-- To view the remaining sections of this topic, please log in or purchase a subscription --

Key Points

The evaluation of a patient possibly requiring surgical treatment of hiatal hernia and gastroesophageal reflux begins with a careful history.
Essential evaluations are barium esophagography, esophagogastroduodenoscopy with biopsy, esophageal manometry, and 24 hour pH monitoring.
Principles of antireflux surgery are reduction of the hiatal hernia with restoration of the intra-abdominal esophagus, repair of the esophageal hiatal mechanism, and reinforcement of the lower esophageal sphincter.
Choice of the operation and modification will be dictated by patient evaluation.

There's more to see -- the rest of this topic is available only to subscribers.