title: [Surgical treatment of paraesophageal hernia].
abstract: Paraesophageal hernia incidence is around 5-8%. The Authors analyze their experience of 5 patients operated on for paraesophageal hernia after preoperative manometric and pHmetric studies. Despite only in 3 patients a gastro-esophageal reflux was present, in all cases a suture of the diaphragmatic defect together with a modified Lortart-Jacob antireflux operation was performed. The results were considered satisfactory in all cases and there was no relapse after a 2 year follow-up. Following an accurate analysis of the literature the Authors conclude that in paraesophageal hernia a surgical treatment is mandatory. However, diagnostic instrumental preoperative data influence the choice of the appropriate surgical treatment for each patient.
authors.affiliation: Dipartimento di Internistica Clinica e Sperimentale F. Magrassi, Univesità degli Studi Federico II, Napoli.
authors.forename: L
authors.initials: L
authors.lastname: Santini
authors.forename: G
authors.initials: G
authors.lastname: Conzo
authors.forename: C
authors.initials: C
authors.lastname: Caracò
authors.forename: A
authors.initials: A
authors.lastname: Amore
authors.forename: B
authors.initials: B
authors.lastname: Esposito
authors.forename: A
authors.initials: A
authors.lastname: Giordano
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006551:Hernia, Hiatal / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013997:Time Factors