Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Oct 20;16(10):e71921.
doi: 10.7759/cureus.71921. eCollection 2024 Oct.

Current Trends in the Management of Hiatal Hernia: A Literature Review of 10 Years of Data

Vinod Kumar Singhal  1 , Adil Md Suleman  1 , Nufra Senofer  2 , Vidher Vv Singhal  3
Affiliations
Review

Current Trends in the Management of Hiatal Hernia: A Literature Review of 10 Years of Data

Vinod Kumar Singhal et al. Cureus. .

Abstract

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.

Keywords: hiatal hernia; laparoscopic; linx; nissen; open surgery; toupet.

PubMed Disclaimer

Conflict of interest statement

Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. PRISMA chart
PRISMA: Preferred Reporting Items for Systematic Reviews and Meta-Analyses
See this image and copyright information in PMC

References

    1. Which hiatal hernia’s need to be fixed? Large, small or none? Dunn CP, Patel TA, Bildzukewicz NA, Henning JR, Lipham JC. Ann Laparosc Endosc Surg. 2020;5:29.
    1. Guidelines for the management of hiatal hernia. Kohn GP, Price RR, DeMeester SR, et al. Surg Endosc. 2013;27:4409–4428. - PubMed
    1. The management of hiatal hernia: an update on diagnosis and treatment. Sfara A, Dumitrascu DL. Med Pharm Rep. 2019;92:321. - PMC - PubMed
    1. Paraesophageal hernia. Oleynikov D, Jolley JM. Surg Clin North Am. 2015;95:555–565. - PubMed
    1. Esophageal hiatal hernia: risk, diagnosis and management. Yu HX, Han CS, Xue JR, Han ZF, Xin H. Expert Rev Gastroenterol Hepatol. 2018;3:319–329. - PubMed

LinkOut - more resources