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Preoperative Assessment of Failed Fundoplication with Recurrent Hiatal Hernia

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Hiatal Hernia Surgery

Abstract

Hiatal hernia repair and fundoplication provide excellent long-term results. However, even with the application of the time-tested surgical principles, recurrence rates in postoperatively-unscreened and screened patient groups may be as high as 14% and 25% respectively [1–3]. Also, recurrent hiatal hernia is recognized as the most common cause of the failure of an antireflux procedure with an incidence of approximately 50% of all cases [4, 5]. Failed fundoplication and recurrent hiatal hernia may be associated with a myriad of symptoms that may necessitate urgent surgical care and present a challenging clinical problem that requires in depth understanding of the condition.

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References

  1. Zaman JA, Lidor AO. An optimal approach to symptomatic paraesophageal hernia repair: important technical considerations. Curr Gastroenterol Rep. 2016;18:53. https://doi.org/10.1007/s11894-016-0529-6.

    Article  PubMed  Google Scholar 

  2. Mehta S, Boddy A, Rhodes M. Review of outcome after laparoscopic paraesophageal hiatal hernia repair. Surg Laparosc Endosc Percutan Tech. 2006;16:301–6.

    Article  PubMed  Google Scholar 

  3. Nason KS, Luketich JD, Qureshi I, et al. Laparoscopic repair of giant paraesophageal hernia results in long-term patient satisfaction and a durable repair. J Gastrointest Surg. 2008;12:2066–75.

    Article  PubMed  Google Scholar 

  4. Rosemurgy AS, Arnaoutakis DJ, Thometz DP, Binitie O, Giarelli NB, Bloomston M, Goldin SG, Albrink MH. Reoperative fundoplications are effective treatment for dysphagia and recurrent gastroesophageal reflux. Am Surg. 2004;70:1061–7.

    PubMed  Google Scholar 

  5. Musunuru S, Gould JC. Perioperative outcomes of surgical procedures for symptomatic fundoplication failure: a retrospective case-control study. Surg Endosc. 2012;26:838–42.

    Article  PubMed  Google Scholar 

  6. Suppiah A, Sirimanna P, Vivian SJ, O’Donnell H, Lee G, Falk GL. Temporal patterns of hiatus hernia recurrence and hiatal failure: quality of life and recurrence after revision surgery. Dis Esophagus. 2017;30:1–8. https://doi.org/10.1093/dote/dow035.

    Article  CAS  PubMed  Google Scholar 

  7. Stylopoulos N, Rattner DW. The history of hiatal hernia surgery: from Bowditch to laparoscopy. Ann Surg. 2005;241:185–93.

    PubMed  PubMed Central  Google Scholar 

  8. Pandolfino JE, El-Serag HB, Zhang Q, Shah N, Ghosh SK, Kahrilas PJ. Obesity: a challenge to esophagogastric junction integrity. Gastroenterology. 2006;130:639–49.

    Article  PubMed  Google Scholar 

  9. Christensen J, Miftakhov R. Hiatus hernia: a review of evidence for its origin in esophageal longitudinal muscle dysfunction. Am J Med. 2000;108:3S–7S.

    Article  PubMed  Google Scholar 

  10. Curci JA, Melman LM, Thompson RW, Soper NJ, Matthews BD. Elastic fiber depletion in the supporting ligaments of the gastroesophageal junction: a structural basis for the development of hiatal hernia. J Am Coll Surg. 2008;207:191–6.

    Article  PubMed  Google Scholar 

  11. Weber C, Davis CS, Shankaran V, Fisichella PM. Hiatal hernias: a review of the pathophysiologic theories and implication for research. Surg Endosc. 2011;25:3149–53. https://doi.org/10.1007/s00464-011-1725-y.

    Article  CAS  PubMed  Google Scholar 

  12. Akimoto S, Nandipati KC, Kapoor H, Yamamoto SR, Pallati PK, Mittal SK. Association of body mass index (BMI) with patterns of fundoplication failure: insights gained. J Gastrointest Surg. 2015;19:1943–8.

    Article  PubMed  Google Scholar 

  13. Andolfi C, Jalilvand A, Plana A, Fisichell PM. Surgical management of paraesophageal hernias: a review. J Laparoendosc Adv Surg Tech. 2016;26:778–83. https://doi.org/10.1089/lap.2016.0332.

    Article  Google Scholar 

  14. Tsang T, Walker R, Yu JD. Endoscopic reduction of gastric volvulus: the alpha-loop maneuver. Gastrointest Endosc. 1995;42:244–8.

    Article  CAS  PubMed  Google Scholar 

  15. Ortiz C, Gomez MA. Endoscopic treatment of gastric volvulus. Rev Col Gastroenterol. 2011;26:54–7.

    Google Scholar 

  16. Carrott PW, Hong J, Kuppusamy M, Koehler RP, Low DE. Clinical ramifications of giant paraesophageal hernias are underappreciated making the case for routine surgical repair. Ann Thorac Surg. 2012;94:421–6.

    Article  PubMed  Google Scholar 

  17. Carrott PW, Hong J, Kuppusamy M, Kirtland S, Koehler RP, Low DE. Repair of giant paraesophageal hernias routinely produces improvement in respiratory function. J Thorac Cardiovasc Surg. 2012;143:398–404.

    Article  PubMed  Google Scholar 

  18. Banki F, Kausnhik C, Roife D, Chawla M, Casimir R, Miller CC. Laparoscopic reoperative antireflux surgery: a safe procedure with high patient satisfaction and low morbidity. Am J Surg. 2016;212:1115–20.

    Article  PubMed  Google Scholar 

  19. Cameron AJ, Higgins JA. Linear gastric erosions. A lesion associated with large diaphragmatic hernia and chronic blood loss anemia. Gastroenterology. 1986;91:338–42.

    Article  CAS  PubMed  Google Scholar 

  20. http://www.endoatlas.com/st_ul_14.html.

  21. Light D, Links D, Griffin M. The threatened stomach: management of the acute gastric volvulus. Surg Endosc. 2016;30:1847–52.

    Article  CAS  PubMed  Google Scholar 

  22. Komatsu T, Henteleff H. Colopleural fistula with atypical presentation as a complication of diaphragmatic hernia repair. Ann Thorac Surg. 2010;90(2):662–3.

    Article  PubMed  Google Scholar 

  23. Azzu V. Gastropericardial fistula: getting to the heart of matter. BMC Gastroenterol 2016;16:96. https://doi.org/10.1186/s12876-016-0510-8. URL: https://bmcgastroenterol.biomedcentral.com/articles/10.1186/s12876-016-0510-8. Accessed 21 Mar 2017.

  24. Murthy S, Looney J, Jaklitsch MT. Gastropericardial fistula after laparoscopic surgery for reflux disease. N Engl J Med. 2002;346(5):328–32.

    Article  PubMed  Google Scholar 

  25. Peters van Ton AM, Diederik AL, Tjan DH. Colopleural fistula after hiatal hernia repair. BMJ Case Rep. 2016. https://doi.org/10.1136/bcr-2016-216814. URL: http://casereports.bmj.com/content/2016/bcr-2016-216814.long. Accessed 21 Mar 2017.

  26. Bavry AA, Solorzano CC, Hocking MP. Unusual presentation of hemoptysis in a 78-year-old with previous Nissen fundoplication. Am Surg. 1998;64:1223–5.

    CAS  PubMed  Google Scholar 

  27. Velanovich V. The development of the GERD-HRQL symptom severity instrument. Dis Esophagus. 2007;20:130–4.

    Article  CAS  PubMed  Google Scholar 

  28. Taghavi SA, Ghasedi M, Saberi-Firoozi M, et al. Symptom association probability and symptom sensitivity index: preferable but still suboptimal predictors of response to high dose omeprazole. Gut. 2005;54:1067–71.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Wennergren J, Levy S, Bower C, Miller M, Borman D, Davenport D, Plymale M, Roth JS. Revisional paraesophageal hernia repair outcomes compare favorably to initial operations. Surg Endosc. 2016;30:3854–60.

    Article  PubMed  Google Scholar 

  30. Lidor AO, Kawaji Q, Stem M, Fleming R, Schweitzer MA, Steele KE, Marohn MR. Defining recurrence after paraesophageal hernia repair: correlating symptoms and radiographic findings. Surgery. 2013;154:171–8.

    Article  PubMed  Google Scholar 

  31. Morgenthal CB, Lin E, Shane MD, et al. Who will fail laparoscopic Nissen fundoplication? Preoperative prediction of long-term outcomes. Surg Endosc. 2007;21:1978–84.

    Article  PubMed  Google Scholar 

  32. Cannon DJ, Read RC. Metastatic emphysema: a mechanism for acquiring inguinal herniation. Ann Surg. 1981;194:270–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Paterson WG, Goyal RK, Habib FI. Esophageal motility disorders. GI Motility Online. 2006. https://doi.org/10.1038/gimo20. https://www.nature.com/gimo/contents/pt1/fig_tab/gimo20_T3.html.

  34. Schwentner L, Wulff C, Kreienberg R, Herr D. Exacerbation of a maternal hiatus hernia in early pregnancy presenting with symptoms of hyperemesis gravidarum: case report and review of the literature. Arch Gynecol Obstet. 2011;283:409–14. https://doi.org/10.1007/s00404-010-1719-3.

    Article  PubMed  Google Scholar 

  35. Lococo F, Cesario A, Meacci E, Granone P. Intrathoracic gastric perforation: a late complication of an unknown postpartum recurrent hiatal hernia. Interact Cardiovasc Thorac Surg. 2012;15:317–8. https://doi.org/10.1093/icvts/ivs209.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Eglinton T, Coulter GN, Bagshaw P, Cross L. Diaphragmatic hernias complicating pregnancy. ANZ J Surg. 2006;76:553–7.

    Article  PubMed  Google Scholar 

  37. Van Beek DB, Auyang ED, Soper NJ. A comprehensive review of laparoscopic redo fundoplication. Surg Endosc. 2011;25:706–12.

    Article  PubMed  Google Scholar 

  38. Juhasz A, Sundaram A, Hoshino M, Lee TH, Mittal SK. Outcomes of surgical management of symptomatic large recurrent hiatus hernia. Surg Endosc. 2012;26:1501–8.

    Article  PubMed  Google Scholar 

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Correspondence to Jon C. Gould M.D. .

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Ulualp, K., Simon, K., Gould, J.C. (2018). Preoperative Assessment of Failed Fundoplication with Recurrent Hiatal Hernia. In: Memon, M. (eds) Hiatal Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-64003-7_13

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  • DOI: https://doi.org/10.1007/978-3-319-64003-7_13

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