Prospective study of giant paraesophageal hernia repair with 1-year follow-up

The Journal of Thoracic and Cardiovascular Surgery
John R StringhamBenjamin D Kozower

Abstract

Evaluating 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. Patients 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. One-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 s...Continue Reading

Citations

Nov 24, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·X GongY-M Shen
Jan 13, 2021·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Nikhil M PatelUNKNOWN Para-Oesophageal hernia Symptom Tool (POST) Collaborative
Apr 23, 2021·Journal of Minimal Access Surgery·Akshay R DateRavindra S Date

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