{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T19:12:33Z","timestamp":1762542753766},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,10,9]],"date-time":"2017-10-09T00:00:00Z","timestamp":1507507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Hiatus herniae are commonly seen at endoscopy. Many patients with a large hiatus hernia are endoscoped for symptoms associated with the hernia and many of these will progress to surgical treatment. However, little is known about the natural history of small to medium size hiatus herniae, and their risk of progressing to a larger hernia requiring surgery. This study aims to determine the need for subsequent surgery in these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective audit of the endoscopy database at Flinders Medical Centre and the Repatriation General Hospital in Adelaide, South Australia for the 2\u2010year period 2002\u20132003 was performed to identify all patients with a hiatus hernia. Patients under the age of 65 and with a sliding hiatus hernia &lt;5 cm in length were selected for this study, and sent a questionnaire which determines the long\u2010term (&gt;10 years) outcome of these herniae.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Small\u2010 to medium\u2010sized hiatus herniae (&lt;5 cm length) were found at 10% of endoscopies performed. In this group, 38% had reflux as the indication for endoscopy. 1.5% subsequently progressed to anti\u2010reflux surgery or hiatus hernia repair. Thirty\u2010nine percent reported being on proton pump inhibitors for symptom control. No patients required emergency surgical repair of their hiatus hernia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>While patients with small\u2010 to medium\u2010sized sliding hiatus hernia commonly have symptomatic reflux, an acute problem requiring emergency surgery is unlikely over long\u2010term follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.14180","type":"journal-article","created":{"date-parts":[[2017,10,10]],"date-time":"2017-10-10T02:22:49Z","timestamp":1507602169000},"update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Natural history of endoscopically detected hiatus herniae at late follow\u2010up"],"prefix":"10.1111","volume":"88","author":[{"given":"Syeda Khadijah","family":"Ahmed","sequence":"first","affiliation":[{"name":"Department of General Surgery Flinders Medical Centre  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Bright","sequence":"additional","affiliation":[{"name":"Oesophago\u2010Gastric Surgery Unit Flinders Medical Centre  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David I.","family":"Watson","sequence":"additional","affiliation":[{"name":"Flinders University Department of Surgery Flinders Medical Centre  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,9]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"705","volume-title":"Gastroenterology","author":"Skinner DB","year":"1985"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.9.6.696"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2014.11.002"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-3173-3"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.8870"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199711000-00009"},{"key":"e_1_2_7_8_1","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/S0022-5223(19)33809-7","article-title":"Intrathoracic stomach: presentation and results of operation","volume":"105","author":"Allen MS","year":"2003","journal-title":"J. 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