This focused issue on “Hiatal Hernia” is edited by Dr. Lee L Swanstrom, from Institutesdes Hôpitaux Universitaires (IHU) of the University of Strasbourg, Strasbourg, France; and Dr. Steven G. Leeds, from Department of Minimally Invasive Surgery, Baylor University Medical Center, Dallas, TX, USA.
Dr. Lee Swanstrom is the Scientific Director and Chief Innovations Officer of the Institutesdes Hôpitaux Universitaires (IHU) of the University of Strasbourg, France. He is Professor of Surgery at Oregon Health and Science University, a current Director of the American Board of Surgery and is Past President of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES), the Fellowship Council (FC) and is a founder and Board Member of the American Foregut Society. Dr. Swanstrom’s clinical focus is on minimally invasive treatments of a variety of esophageal and gastrointestinal disorders, particularly utilizing laparoscopy and interventional flexible endoscopy. He is a well-known educator and researcher with over 350 scientific papers, 75 book chapters and is the editor of 3 major surgical textbooks and the journal Surgical Innovation. His research focus is in foregut physiology, human factors and technology assessment and new procedure development.
Dr. Steven G. Leeds joined the Division of Minimally Invasive Surgery at Baylor University Medical Center at Dallas after he completed a fellowship in Minimally Invasive Surgery for the treatment of esophageal diseases at Providence Portland Medical Center. He has served as the Medical Director of Minimally Invasive Surgery Research and Simulation as well as an Assistant Clinical Professor of Surgery with Texas A&M College of Medicine. He was promoted to Division Chief of Minimally Invasive Surgery and currently holds that title. His practice encompasses diseases of the foregut and works in the confines of the Center for Advanced Surgery promoting endoscopic surgery as well as minimally invasive surgical techniques. His research efforts lie within diseases of the esophagus such as GERD and achalasia and he has pioneered surgeries to treat perforations and leaks of the GI tract with endoluminal vacuum therapy with a focus on managing surgical complications.
- Focused issue outline:
- Etiology of the Hiatal Hernia and LES failure, classification
- Relationship of Hiatal Hernia and GERD Symptoms - 2 Sphincter Hypothesis
- Atypical and Typical Manifestations of the Hiatal Hernia (cough, ILD, anemia, etc.)
- Optimal Workup for a Hiatal Hernia
- Manometric Findings in Hiatal Hernias
- Endoscopy for Hiatal Hernias - Hill Grade and other critical elements
- Which Hiatal Hernias Need to be Fixed? Large, small, or none?
- Asymptomatic Intrathoracic Stomach - Repair or Watch?
- Who Should be Repairing These Hernias? Level of Expertise?
- Fundoplication or Not? Partial vs Complete?
- Hiatal Reconstruction Techniques - Mesh, Pledgets, Suture Technique
- The Short Esophagus - Lengthening Techniques
- Mesh or Not for the Hiatal Hernias - What Does the Evidence Say
- Alternatives to Hiatal Hernia Repair for the High Risk Patient
- Lap vs Robot vs Endoscopic Anti-reflux Surgery
- Complex and Acute Paraesophageal Hernias - Type 4, Strangulated, and Irreducible
- Approach to the Redo Paraesophageal Hernia
- Managing Complications after Paraesophageal Hernia Repair
- Postoperative Diet, Activity, and Optimal Long Term Follow Up