André Brandalise, Fernando Augusto Mardiros Herbella, Renato Abrantes Luna, Sergio Szachnowicz, Rubens Antonio Aissar Sallum, Carlos Eduardo Domene, Paula Volpe, Leandro Totti Cavazzolla, Marcelo Lopes Furtado, Christiano Marlo Paggi Claus, José Francisco de Mattos Farah, Eduardo Crema
Large hiatal hernias, besides being more prevalent in the elderly, have a different clinical presentation: less reflux, more mechanical symptoms, and a greater possibility of acute, life-threatening complications such as gastric volvulus, ischemia, and visceral mediastinal perforation. Thus, surgical indications are distinct from gastroesophageal reflux disease-related sliding hiatal hernias. Heartburn tends to be less intense, while symptoms of chest pain, cough, discomfort, and tiredness are reported more frequently...
2024: Brazilian Archives of Digestive Surgery: ABCD