Minimally invasive management of paraesophageal herniation in the high-risk surgical patient.

@article{Kercher2001MinimallyIM,
  title={Minimally invasive management of paraesophageal herniation in the high-risk surgical patient.},
  author={Kent W. Kercher and Brent David Matthews and Jeffrey L. Ponsky and Sharon L. Goldstein and R T Yavorski and Ronald F Sing and Brant Todd Heniford},
  journal={American journal of surgery},
  year={2001},
  volume={182 5},
  pages={510-4}
}
BACKGROUND Traditional management of symptomatic paraesophageal herniation involves hernia reduction, hiatal closure, and an antireflux procedure or gastropexy. Patients with significant comorbidities may not tolerate operative repair. A new technique, laparoscopic-assisted endoscopic reduction and fixation of the stomach, may provide a minimally invasive treatment alternative. METHODS Eleven elderly patients with symptomatic paraesophageal herniation were managed with flexible endoscopy and… CONTINUE READING