Year: 2026
Type: article
Abstract: Summary Surgical reduction of a hiatal hernia including re-approximation of the diaphragmatic crura is a crucial component of the operative treatment of gastroesophageal reflux disease. It is one of several components of the restoration of the antireflux barrier to address the underlying alteration. After achievement of the required intraabdominal esophageal segment, tension-free closure of the dilated hiatus is essential for successful and durable repair. This re-approximation of the crural pillars represents an essential part of the surgical procedure and seems to have a greater impact on the compliance of the esophagogastric junction than sphincter augmentation. Therefore, particular attention must be paid to fulfilling the prerequisites for successful hiatal hernia repair.
Author: Alexander M. Prusa
Institution: Medical University of Vienna
Language: English
Subfield: Gastroenterology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $2,890
Funder: Medizinische Universität Wien
OpenAlex ID: W7153241872