title: [Diagnosis and surgical therapy of hiatal hernia].
abstract: Using the usual diagnostic tools like barium swallow examination, endoscopy, and manometry, we are able to diagnose a hiatal hernia, but it is not possible to predict the size of the hernia opening or, respectively, the size of the hiatal defect. At least a correlation can be expected if the gastroesophageal junction is endoscopically assessed in a retroflexed position, and graded according to Hill. So far, it is not possible to come to a clear conclusion how the hiatal closure during hiatal hernia repair should be performed. There is no consensus on using a mesh, and when using a mesh which type or shape should be used. Further studies including long-term results on this issue are necessary. However, it seems obvious to make the decision depending on certain conditions found during operation, and not on preoperative findings.
authors.affiliation: Allgemein- und Viszeralchirurgie, Krankenhaus Barmherzige Schwestern, Linz, Österreich.
authors.forename: O O
authors.initials: OO
authors.lastname: Koch
authors.affiliation: Zentrum für minimal invasive Chirurgie, Krankenhaus Neuwerk, Mönchengladbach, Deutschland.
authors.forename: G
authors.initials: G
authors.lastname: Köhler
authors.affiliation: Zentrum für minimal invasive Chirurgie, Krankenhaus Neuwerk, Mönchengladbach, Deutschland.
authors.forename: S A
authors.initials: SA
authors.lastname: Antoniou
authors.affiliation: Allgemeinchirurgie, Krankenhaus Zell am See, Zell am See, Österreich.
authors.forename: R
authors.initials: R
authors.lastname: Pointner
mesh_terms: D001466:Barium Sulfate; D004945:Esophagoscopy; D006551:Hernia, Hiatal / Q000145:classification / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008365:Manometry; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology; D011237:Predictive Value of Tests; D011300:Preoperative Care; D013526:Surgical Mesh; D016896:Treatment Outcome
chemical_list: D001466:Barium Sulfate