Hiatus hernia surgery: Difference between revisions

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{{Hiatus hernia}}
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{{CMG}}; {{AE}}  


==Overview==
==Overview==
Surgical intervention is not recommended for the management of [disease name].


The surgical procedure used is called [[Nissen fundoplication]]. In fundoplication, the [[Fundus (stomach)|gastric fundus]] (upper part) of the stomach is wrapped, or plicated, around the inferior part of the esophagus, preventing herniation of the stomach through the hiatus in the diaphragm and the reflux of [[gastric acid]].
OR
 
Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
 
OR
 
The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
 
OR
 
The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
 
OR
 
Surgery is the mainstay of treatment for [disease or malignancy].
 
==Indications==
 
*Surgical intervention is not recommended for the management of [disease name].
OR
*Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
**[Indication 1]
**[Indication 2]
**[Indication 3]
*The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
**[Indication 1]
**[Indication 2]
**[Indication 3]


==Surgery==
==Surgery==
Where hernia symptoms are severe and chronic acid reflux is involved, [[surgery]] is sometimes recommended, as chronic reflux can severely injure the [[esophagus]] and even lead to [[esophageal cancer]].


The surgical procedure used is called [[Nissen fundoplication]]. In fundoplication, the [[Fundus (stomach)|gastric fundus]] (upper part) of the stomach is wrapped, or plicated, around the inferior part of the esophagus, preventing herniation of the stomach through the hiatus in the diaphragm and the reflux of [[gastric acid]]. The procedure is now commonly performed [[Laparoscopic surgery|laparoscopically]]. With proper patient selection, laparoscopic fundoplication has low complication rates and a quick recovery.<ref name="Lange">Lange CMDT 2006</ref>
*The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
*Surgery is the mainstay of treatment for [disease or malignancy].


Complications include [[Nissen fundoplication|gas bloat syndrome]], [[dysphagia]] (trouble swallowing), [[Gastric dumping syndrome|dumping syndrome]], excessive scarring, and rarely, [[achalasia]]. The procedure sometimes fails over time, requiring a second surgery to make repairs.
==Contraindications==


===Videos===
===Videos===

Revision as of 14:54, 5 February 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Surgical intervention is not recommended for the management of [disease name].

OR

Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]

OR

The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].

OR

The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

Surgery is the mainstay of treatment for [disease or malignancy].

Indications

  • Surgical intervention is not recommended for the management of [disease name].

OR

  • Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
    • [Indication 1]
    • [Indication 2]
    • [Indication 3]
  • The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
    • [Indication 1]
    • [Indication 2]
    • [Indication 3]

Surgery

  • The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

  • Surgery is the mainstay of treatment for [disease or malignancy].

Contraindications

Videos

{{#ev:youtube|EqOzlK3q0to}}

References