ArticleSurgical endoscopy2019
Long-term outcomes following surgical repair of giant paraoesophageal hiatus hernia.
Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- 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
- Impact of laparoscopic repair on type III/IV giant paraesophageal hernias: a single-center experience.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Emergency surgery for hiatus hernias: does technique affect outcomes? A single-centre experience.Updates in surgery · 2023Observational
- Laparoscopic fundoplication for para-oesophageal hernia repair improves respiratory function in patients with dyspnoea: a prospective cohort study.Surgical endoscopy · 2022Article
- Non-elective paraesophageal hernia repair: surgical approaches and short-term outcomes.Surgical endoscopy · 2021Article
- Do Poor Functional Outcomes and Higher Morbidity Following Emergency Repair of Giant Hiatus Hernia Warrant Elective Surgery in Asymptomatic Patients?Frontiers in surgery · 2021Article
- Giant paraesophageal hernia: What do we really know?JTCVS techniques · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThere are limited data regarding long-term outcomes after surgical repair of giant paraoesophageal hiatus hernia (GPHH). The aim of this study was to assess symptomatic recurrence and patient-reported outcomes following GPHH repair.
methods178 patients undergoing elective (127) and emergency (51) GPHH repair between 1994 and 2015 were identified from the prospectively collected Lothian Surgical Audit database. Electronic patient records were used to determine rate of clinical recurrence. A postal questionnaire was used to assess modified DeMeester, 'Gastrointestinal Symptom Rating Scale' symptom scores, breathing and exercise tolerance, and patient satisfaction.
resultsMedian follow-up was 35 months (range 12-238). 15 (8.4%) patients developed a clinical recurrence and 13 (7.3%) underwent a further operation. The clinical recurrence rates were similar in patients followed-up less than 5 years and beyond 5 years [10/128 (7.8%) vs 5/50 (10%)]. Mortality rate was 1.6% for elective compared with 16.7% for emergency procedures (P < 0.001). Completed questionnaires were received from 95 (78.5%) of 121 eligible patients. Mean symptom scores were low (Modified DeMeester 2.6). 83.7% of patients reported a good or excellent outcome, and 97.8% believed they had made the correct decision to undergo surgery.
conclusionsSurgical repair of GPHH is associated with high levels of patient satisfaction and good overall symptom outcome. There is a clinical recurrence rate of 8.4%, which does not significantly increase with long-term follow-up.
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