ArticleThe Journal of thoracic and cardiovascular surgery2017
Prospective study of giant paraesophageal hernia repair with 1-year follow-up.
Article in The Journal of thoracic and cardiovascular surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Robotic surgery for giant paraesophageal hernias: a promising approach to improved outcomes.Journal of robotic surgery · 2025Article
- Hiatal Hernias Revisited-A Systematic Review of Definitions, Classifications, and Applications.Life (Basel, Switzerland) · 2024Review
- Trends in outcomes of 862 giant hiatus hernia repairs over 30 years.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Recurrence in Paraesophageal Hernia: Patient Factors and Composite Surgical Repair in 862 Cases.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Article
- Application of 3D reconstruction through CT to measure the abdominal cavity volume in the treatment of external abdominal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Preoperative botulinum toxin type A: A case report of a proposed new strategy for giant hiatal hernia management.Clinical case reports · 2020Article
- Health-related quality of life after laparoscopic repair of giant paraesophageal hernia: how does recurrence in CT scan compare to clinical success?BMC surgery · 2020Observational
- The role of small or single-institution prospective studies in thoracic research.Journal of thoracic disease · 2019Review
- Quality of life after giant hiatus hernia repair: A systematic review.Journal of minimal access surgeryReview
- Outcomes after Laparoscopic Gastropexy as an Alternative for Paraesophageal Hernia Repair.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveEvaluating giant paraesophageal hernia (GPEH) repair requires long-term follow-up. GPEH repair can have associated high recurrence rates, yet this incidence depends on how recurrence is defined. Our objective was to prospectively evaluate patients undergoing GPEH repair with 1-year follow-up.
methodsPatients undergoing elective GPEH repair between 2011 and 2014 were enrolled prospectively. Postoperatively, patients were evaluated at 1 month and 1 year. Radiographic recurrence was evaluated by barium swallow and defined as a gastroesophageal junction located above the hiatus. Quality of life was evaluated pre- and postoperatively with the use of a validated questionnaire.
resultsOne-hundred six patients were enrolled. The majority of GPEH repairs were performed laparoscopically (80.2%), and 7.5% were redo repairs. At 1-year follow-up, 63.4% of patients were symptom free, and radiographic recurrence was 32.7%. Recurrence rate was 18.8% with standard definition (>2 cm of stomach above the diaphragm). Quality of life scores at 1 year were significantly better after operative repair, even in patients with radiographic recurrence (7.0 vs 22.5 all patients, 13.0 vs 22.5 with recurrence; P < .001). Patients with small radiographic recurrences have similar satisfaction and symptom severity to patients with >2 cm recurrences.
conclusionsGPEH repair can be performed with low operative mortality and morbidity. The rate of recurrence at 1 year depends on the definition used. Patient satisfaction and symptom severity are similar between patients with radiographic and greater than 2 cm hernia recurrences. Longer follow-up and critical assessment of our results are needed to understand the true impact of this procedure and better inform perioperative decision making.
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