Massive hiatus hernia: evaluation and surgical management.


OBJECTIVE Paraesophageal hernias represent advanced degrees of sliding hiatus hernia with intrathoracic displacement of the intraesophageal junction. Gastroesophageal reflux disease occurs in most cases, resulting in acquired short esophagus, which should influence the type of repair selected. METHODS Between 1960 and 1996, 94 patients with massive… (More)