Journal article
Sliding and Paraesophageal Hiatal Hernias are Distinct Diseases: Surgeons are Responsible for Delineating the Differences
Foregut (Thousand Oaks, Calif.), v 4(3), pp 294-296
Sep 2024
Abstract
The outcomes for sliding and paraesophageal hiatal hernias (PHH) are jointly reported. By combining outcomes of sliding hernia and PHH repair, surgeons are conflating the outcomes of surgical management for GERD with the outcomes of PHH repair. PHH is a distinct clinical entity from sliding hernia, requiring a more complex operation with higher risk of complications and, ultimately, comparatively diminished outcomes. The practice of combining PHH and sliding hernia surgical data confounds the true outcomes of ARS and contributes to misconceptions that reduce referral rates. Current and future research assessments must be based on accurate discrimination between the 2 anatomic presentations. Surgeons have a responsibility to ensure this distinction is clearly drawn when disseminating their ARS outcomes.
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Details
- Title
- Sliding and Paraesophageal Hiatal Hernias are Distinct Diseases: Surgeons are Responsible for Delineating the Differences
- Creators
- Fernando A. M. Herbella - Universidade Federal de São PauloVic Velanovich - University of South FloridaBrant Oelschlager - University of WashingtonShahin Ayazi - Allegheny Health NetworkSven Eriksson - Allegheny Health NetworkBlair Jobe - Allegheny Health NetworkRenato Salvador - University of PaduaOry Wiesel - Poriya Medical CenterFrancisco Schlottmann - Hospital AlemánMarco G. Patti - University of VirginiaItalo Braghetto - University of ChileAtilla Dubecz - Paracelsus Medizinische PrivatuniversitätAnne Lidor - University of Wisconsin–MadisonDonald E. Low - Virginia Mason Medical Center
- Publication Details
- Foregut (Thousand Oaks, Calif.), v 4(3), pp 294-296
- Number of pages
- 3
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Scopus ID
- 2-s2.0-85204900148
- Other Identifier
- 991022048379004721