Complex hiatus hernias. Diagnostic and therapeutic management recommendations

Hiatal hernia (HH) is a relatively prevalent condition in our setting, yet there is little clinical evidence or guidelines establishing precise recommendations for its diagnostic and therapeutic management. In order to establish clinical recommendations for the diagnostic and therapeutic management...

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Detalles Bibliográficos
Autores: Bruna, M, Acosta, MA, Carbonell, S, Gomez, L, Mayo, M, Morales-Conde, S, Garcia-Tejero, A, Aguas, S, de Angulo, DR, Munitiz, V, de Haro, LM, Concepcion, V, Mingol, F, Menendez, M, Salcedo, G, Martin, E, Senent, A, Luna, A, Momblán, D, Priego, P, Posada, M, Parada, P, Perez, R, Parreño, F, Miranda, C, Loureiro, C, Sanz, L, Miro, M
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2026
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:dnet:r-fisabio___::7664e4f5a98f2a7b7fad12e172bf6445
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/20622
Access Level:acceso abierto
Palabra clave:Hiatal hernia
Recommendations
Experts
Surgery
Fundoplication
Mesh
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spelling Complex hiatus hernias. Diagnostic and therapeutic management recommendationsBruna, MAcosta, MACarbonell, SGomez, LMayo, MMorales-Conde, SGarcia-Tejero, AAguas, Sde Angulo, DRMunitiz, Vde Haro, LMConcepcion, VMingol, FMenendez, MSalcedo, GMartin, ESenent, ALuna, AMomblán, DPriego, PPosada, MParada, PPerez, RParreño, FMiranda, CLoureiro, CSanz, LMiro, MHiatal herniaRecommendationsExpertsSurgeryFundoplicationMeshHiatal hernia (HH) is a relatively prevalent condition in our setting, yet there is little clinical evidence or guidelines establishing precise recommendations for its diagnostic and therapeutic management. In order to establish clinical recommendations for the diagnostic and therapeutic management of patients with complex hiatal hernia, defined as a primary type III or IV mixed hernia, a large one with >30% of the gastric contents in the thoracic cavity, or a recurrence. This document was prepared based on current scientific evidence and the experience of a group of 28 expert surgeons, using GRADE methodology in order to establish recommendations on 13 controversial aspects related to this pathology. Although the quality of evidence and the degree of recommendation are high in some areas, high-quality prospective clinical studies are needed to clarify certain unresolved points of controversy.ELSEVIER ESPANA SLU2026info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/20622CIRUGIA ESPANOLAISSN: 0009739XISSNe: 1578147Xreponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Españolinfo:eu-repo/semantics/openAccessoai:dnet:r-fisabio___::7664e4f5a98f2a7b7fad12e172bf64452026-06-11T12:45:17Z
dc.title.none.fl_str_mv Complex hiatus hernias. Diagnostic and therapeutic management recommendations
title Complex hiatus hernias. Diagnostic and therapeutic management recommendations
spellingShingle Complex hiatus hernias. Diagnostic and therapeutic management recommendations
Bruna, M
Hiatal hernia
Recommendations
Experts
Surgery
Fundoplication
Mesh
title_short Complex hiatus hernias. Diagnostic and therapeutic management recommendations
title_full Complex hiatus hernias. Diagnostic and therapeutic management recommendations
title_fullStr Complex hiatus hernias. Diagnostic and therapeutic management recommendations
title_full_unstemmed Complex hiatus hernias. Diagnostic and therapeutic management recommendations
title_sort Complex hiatus hernias. Diagnostic and therapeutic management recommendations
dc.creator.none.fl_str_mv Bruna, M
Acosta, MA
Carbonell, S
Gomez, L
Mayo, M
Morales-Conde, S
Garcia-Tejero, A
Aguas, S
de Angulo, DR
Munitiz, V
de Haro, LM
Concepcion, V
Mingol, F
Menendez, M
Salcedo, G
Martin, E
Senent, A
Luna, A
Momblán, D
Priego, P
Posada, M
Parada, P
Perez, R
Parreño, F
Miranda, C
Loureiro, C
Sanz, L
Miro, M
author Bruna, M
author_facet Bruna, M
Acosta, MA
Carbonell, S
Gomez, L
Mayo, M
Morales-Conde, S
Garcia-Tejero, A
Aguas, S
de Angulo, DR
Munitiz, V
de Haro, LM
Concepcion, V
Mingol, F
Menendez, M
Salcedo, G
Martin, E
Senent, A
Luna, A
Momblán, D
Priego, P
Posada, M
Parada, P
Perez, R
Parreño, F
Miranda, C
Loureiro, C
Sanz, L
Miro, M
author_role author
author2 Acosta, MA
Carbonell, S
Gomez, L
Mayo, M
Morales-Conde, S
Garcia-Tejero, A
Aguas, S
de Angulo, DR
Munitiz, V
de Haro, LM
Concepcion, V
Mingol, F
Menendez, M
Salcedo, G
Martin, E
Senent, A
Luna, A
Momblán, D
Priego, P
Posada, M
Parada, P
Perez, R
Parreño, F
Miranda, C
Loureiro, C
Sanz, L
Miro, M
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Hiatal hernia
Recommendations
Experts
Surgery
Fundoplication
Mesh
topic Hiatal hernia
Recommendations
Experts
Surgery
Fundoplication
Mesh
description Hiatal hernia (HH) is a relatively prevalent condition in our setting, yet there is little clinical evidence or guidelines establishing precise recommendations for its diagnostic and therapeutic management. In order to establish clinical recommendations for the diagnostic and therapeutic management of patients with complex hiatal hernia, defined as a primary type III or IV mixed hernia, a large one with >30% of the gastric contents in the thoracic cavity, or a recurrence. This document was prepared based on current scientific evidence and the experience of a group of 28 expert surgeons, using GRADE methodology in order to establish recommendations on 13 controversial aspects related to this pathology. Although the quality of evidence and the degree of recommendation are high in some areas, high-quality prospective clinical studies are needed to clarify certain unresolved points of controversy.
publishDate 2026
dc.date.none.fl_str_mv 2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/20622
url https://fisabio.portalinvestigacion.com/publicaciones/20622
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER ESPANA SLU
publisher.none.fl_str_mv ELSEVIER ESPANA SLU
dc.source.none.fl_str_mv CIRUGIA ESPANOLA
ISSN: 0009739X
ISSNe: 1578147X
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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