Paraesophageal Hiatal Hernias. Bradley J. Phillips, MD Burn-Trauma-ICU Adults & Pediatrics. In general…. Optimal management is controversial. Points of contention Appropriate evaluation of patients Optimal surgical approach +/- Antireflux procedure accompanying repair
Bradley J. Phillips, MD
Adults & Pediatrics
Ferguson, Cameron 6th ed.
hiatal hernias are classified according to the position of the
and the existence of a true hernia sac.
Type II & Type III are referred to as “paraesophageal hernias”.
The “Type IV” hernia ?
Basic prevalence of Type I hernias…
Often difficult to assess the location of the actual junction…
Mean duration of follow-up is 1 yr.