title: [Paraesophageal hernias in elderly patients. An indication for laparoscopic surgery].
abstract: Paraesophageal hernias are uncommon conditions which appear mainly in elderly people, frequently associated with sliding hernias or gastric volvulus. Considered a high risk pathology, surgical management is preferred to avoid serious complications. Due to advanced age and operative risks, a laparoscopic approach was performed in the three patients with paraesophageal hernia. In mixed hernias, a Nissen or Toupet fundoplication and closure of the hiatal defect was carried out. In a case with gastric rotation, reduction of the herniated stomach and posterior partial fundoplication with gastropexy was performed. No postoperative complications occurred and recovery was satisfactory. Laparoscopic management seems to be a good choice for elective treatment of paraesophageal hernias in elderly patients.
authors.affiliation: Servicio de Cirugía General y Digestiva, Hospital Clínic y Provincial, Universidad de Barcelona.
authors.forename: J
authors.initials: J
authors.lastname: Tabet
authors.forename: A M
authors.initials: AM
authors.lastname: Lacy
authors.forename: L
authors.initials: L
authors.lastname: Grande
authors.forename: M
authors.initials: M
authors.lastname: Pera
authors.forename: J C
authors.initials: JC
authors.lastname: García-Valdecasas
authors.forename: J
authors.initials: J
authors.lastname: Fuster
authors.forename: J
authors.initials: J
authors.lastname: Visa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004935:Esophageal Diseases / Q000601:surgery*; D005260:Female; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy; D008297:Male