Fanous, M, Jaehne, A; Lorenson, D, Williams, S.
American Surgeon Volume 85, Number 7, July 2019, pp. e336-e338(3)

The presence of anatomical obstacles in the limited operative field of laparoscopic hiatal hernia repair (LHHR) creates significant technical difficulties. This case presentation highlights the use of laparoendoscopic approach in these operative situations.

This patient is a 60-year-old female with past medical history of diabetes, anxiety, depression, hypertension, hyperlipidemia, hypothyroidism, and psoriasis. She had gastroesophageal reflux disease (GERD) and laryngopharyngeal reflux for 20 years. She was dependent on proton pump inhibitors for 20 years. Esophagogastroduodenoscopy showed 5 · 4 cm hiatal hernia and class B esophagitis. Esophageal manometry with impedance showed ineffective esophageal motility.

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