ArticleSurgical endoscopy2015
Contemporary management of paraesophaegeal hernias: establishing a European expert consensus.
Article in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 21 citations in OpenAlex.
- Complex and Recurrent Hiatal Hernia Repair Using a Pedicled Rectus Abdominis Flap: Surgical Technique and Case Series.Plastic and reconstructive surgery. Global open · 2026Article
- Emergency surgery for hiatus hernias: does technique affect outcomes? A single-centre experience.Updates in surgery · 2023Observational
- One-Anastomosis Gastric Bypass and Hiatal Hernia: Nissen Fundoplication with the Excluded Stomach to Decrease the Risk of Postoperative Gastroesophageal Reflux.Journal of clinical medicine · 2022Article
- Elective paraesophageal hernia repair in elderly patients: an analysis of ACS-NSQIP database for contemporary morbidity and mortality.Surgical endoscopy · 2022Article
- A Surgical Alternative in the Treatment of Recurrent Diaphragmatic Hernia after Total Gastrectomy.Plastic and reconstructive surgery. Global open · 2020Article
- Defining Major Surgery: A Delphi Consensus Among European Surgical Association (ESA) Members.World journal of surgery · 2020Article
- Laparoscopic management of large hiatal hernia: mesh method with the use of ProGrip mesh versus standard crural repair.Surgical endoscopy · 2018Article
- Approach to asymptomatic paraesophageal hernia: watchful waiting or elective laparoscopic hernia repair?Surgical endoscopy · 2018Article
- Postoperative ileus: in search of an international consensus on definition, diagnosis, and treatment.Langenbeck's archives of surgery · 2017Article
- Surgical Treatment of Paraesophageal Hernias: A Review.Journal of laparoendoscopic & advanced surgical techniques. Part A · 2016Review
Corrections and comments
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Authors and funding
2 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe surgical treatment of paraesophageal hernias remains a challenge due to the lack of consensus regarding principles of operative treatment. The objectives of this study were to achieve consensus on key topics through expert opinion using a Delphi methodology.
methodsA Delphi survey combined with a face-to-face meeting was conducted. A panel of European experts in foregut surgery from high-volume centres generated items in the first survey round. In subsequent rounds, the panel rated agreement with statements on a 5-point Likert-type scale. Internal consistency (consensus) was predefined as Cronbach's α > .80. Items that >70 % of the panel either rated as irrelevant/unimportant, or relevant/important were selected as consensus items, while topics that did not reach this cut-off were termed "undecided/controversial".
resultsThree survey rounds were completed: 19 experts from 10 countries completed round one, 18 continued through rounds two and three. Internal consistency was high in rounds two and three (α > .90). Fifty-eight additional/revised items derived from comments and free-text entries were included in round three. In total, 118 items were rated; consensus agreement was achieved for 70 of these. Examples of consensus topics are the relevance of the disease profile for assessing surgical urgency and complexity, the role of clinical history as the mainstay of patient follow-up, indications for revision surgery, and training and credentialing recommendations. Topics with the most "undecided/controversial" items were follow-up, postoperative care and surgical technique.
conclusionsThis Delphi study achieved expert consensus on key topics in the operative management of paraesophageal hernias, providing an overview of the current opinion among European foregut surgeons. Moreover, areas with substantial variability in opinions were identified reflecting the current lack of empirical evidence and opportunities for future research.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.