Paraesophageal hernia is a variant of hiatal hernia that occurs when a portion of the stomach herniates through the esophageal hiatus alongside the esophagus. These hernias may cause severe reflux symptoms and post-prandial chest pain. Life-threatening complications, including ischemic injury, perforation, and obstruction also occur. Minimally invasive surgical hernia repair is the recommended treatment for this condition, but hernia recurrence rates of more than 50% have been reported. Data cited by the authors suggested that suturing of the stomach to the anterior abdominal wall—anterior gastropexy—after hernia repair could reduce recurrences.
Source: American College of Surgeons
