Combined paraesophageal and sliding hiatal hernia.
We have reported a case of a large paraesophageal herniation with a small sliding component. Abnormal positioning of the esophagogastric junction or the necessity for mobilizing it during repair requires the addition of an antireflux procedure to the standard reduction and repair. Elective repair of a paraesophageal herniation, even in the absence of limiting symptoms, is warranted, since complications of nonsurgical treatment may be sudden and severe.
Section of Thoracic and Cardiac Surgery, Medical College of Georgia, Augusta 30912.
J E
JE
Chapman
M V
MV
Kamath
B W
BW
Wilson
D004943:Esophagogastric Junction / Q000000981:diagnostic imaging / Q000473:pathology; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006551:Hernia, Hiatal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013270:Stomach / Q000000981:diagnostic imaging / Q000473:pathology