title: Clinical spectrum of paraesophageal herniation.
abstract: Paraesophageal herniation is a potentially devastating condition of the gastroesophageal hiatus commonly manifesting in patients of advanced age with other significant medical problems. Surgical treatment is generally indicated to avoid catastrophe related to gastric volvulus. The operative approach utilized should be individualized to the patient's pathophysiologic condition rather than attempting to apply a single repair for all patients with this heterogeneous clinical problem.
authors.affiliation: Division of Cardiothoracic Surgery, University of Missouri, Columbia.
authors.forename: R J
authors.initials: RJ
authors.lastname: Landreneau
authors.forename: J A
authors.initials: JA
authors.lastname: Johnson
authors.forename: J B
authors.initials: JB
authors.lastname: Marshall
authors.forename: S R
authors.initials: SR
authors.lastname: Hazelrigg
authors.forename: T M
authors.initials: TM
authors.lastname: Boley
authors.forename: J J
authors.initials: JJ
authors.lastname: Curtis
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006551:Hernia, Hiatal / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D012008:Recurrence; D016896:Treatment Outcome