Table 1: Incidence of reflux in patients with giant HH.

Authors

N

Definition of Hiatus Hernia

Patients with reflux (%)

Carrott, et al. [35]

270

Para-oesophageal hernia

87% had > 50% in chest

176 (65%) heartburn,

76 (28%) oesophagitis

Carrott, et al. [2]

120

No definition

95 of patients had > 50% of their stomach in the chest

71 (59%) heartburn

Pallabazzer, et al. [58]

38

Type III or Type IV HH

33 (87%) heartburn

Chowbey, et al. [59]

73

> 5 cm hernial defect

42 (57.5%) heartburn

Leeder, et al. [3]

53

Symptomatic para-oesophageal HH

All had > 50% of stomach in the chest on “barium swallow”

23 (43%) reflux symptoms

9 (17%) oesophagitis

Aly, et al. [1]

 

100

> 50% stomach in chest

79 (79%) heartburn,

55 (55%) oesophagitis

Geha, et al. [60]

100

> 50% stomach in chest

74 (74%) heartburn

2 (2%) oesophagitis

Maziak, et al. [61]

94

Incarcerated paraoesophageal HH.

No definition

78 (83%) symptomatic reflux

34 (36%) oesophagitis