Singhal Vinod Kumar, Md Suleman Adil, Senofer Nufra, Singhal Vidher Vv
Department of General Surgery, PRIME Hospital, Dubai, ARE.
Department of Ear, Nose, and Throat (ENT), PRIME Hospital, Dubai, ARE.
Cureus. 2024 Oct 20;16(10):e71921. doi: 10.7759/cureus.71921. eCollection 2024 Oct.
Hiatal hernia (HH) is commonly detected during endoscopic examinations and is associated with gastroesophageal reflux disease. In recent years, there have been significant advancements in diagnosing and treating HH. Surgical techniques for HH repair include open surgery, various laparoscopic procedures, transoral incisionless fundoplication, and magnetic sphincter augmentation (MSA). Laparoscopic Nissen fundoplication is often considered the standard for treating gastroesophageal reflux disease-related HH due to its effectiveness. Other procedures, such as Toupet and Dor fundoplications, may be suited for patients with specific conditions, such as impaired esophageal motility. Newer approaches, including the MSA system and mesh repair, focus on patient-specific treatments to achieve the best outcomes. This review synthesizes the literature from 2014 to 2024 to provide an overview of current trends in HH management.
食管裂孔疝(HH)在内镜检查中常被发现,且与胃食管反流病相关。近年来,HH的诊断和治疗有了显著进展。HH修复的手术技术包括开放手术、各种腹腔镜手术、经口无切口胃底折叠术和磁括约肌增强术(MSA)。由于其有效性,腹腔镜nissen胃底折叠术常被视为治疗胃食管反流病相关HH的标准方法。其他手术,如Toupet和Dor胃底折叠术,可能适用于特定情况的患者,如食管动力受损。包括MSA系统和网片修复在内的新方法专注于针对患者的个体化治疗以实现最佳效果。本综述综合了2014年至2024年的文献,以概述HH管理的当前趋势。