{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:44:38Z","timestamp":1773269078693,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,3,6]],"date-time":"2018-03-06T00:00:00Z","timestamp":1520294400000},"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":[[2018,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Whilst laparoscopic repair is the most common surgical procedure for the treatment of large hiatal hernias, knowledge of long\u2010term outcomes (&gt;10 years) is scarce. The aim of this study was to evaluate the long\u2010term results following this approach, in particular the hernia recurrence rate and the impact of repair on quality of life (QoL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients were identified from a prospective database. A standardized questionnaire was used to assess symptoms and a barium swallow radiograph was performed to determine anatomy. A validated QoL measure, Gastrointestinal Quality of Life Index (GIQLI) was also applied to all patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 69 eligible patients, clinical follow\u2010up was available for 54 patients (78.3%). Follow\u2010up ranged from 72 to 185 (median: 114) months. Post\u2010operative heartburn and dysphagia were significantly improved, with 45 patients (83%) reporting a good or excellent result. Contrast radiology in 35 patients (65%) revealed recurrence in 12 patients (34%). Fifty\u2010four patients answered the GIQLI questionnaire. The mean GIQLI score was 117 (61\u2013136). Patients with objectively documented anatomic recurrence had a QoL index of 92 (61\u2013121) compared to an index of 122 (77\u2013136, <jats:italic>P<\/jats:italic> &lt; 0.01) in the non\u2010recurrent hernia group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>At mean 114 months follow\u2010up, laparoscopic repair of large hiatal hernias achieves effective and durable relief of symptoms, and most patients are satisfied with the outcome.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.14426","type":"journal-article","created":{"date-parts":[[2018,3,7]],"date-time":"2018-03-07T00:08:46Z","timestamp":1520381326000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Laparoscopic repair of large hiatal hernias: clinical outcomes of 10 years"],"prefix":"10.1111","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4234-8884","authenticated-orcid":false,"given":"Zhen","family":"Chen","sequence":"first","affiliation":[{"name":"Center of Minimally Invasive Surgery Tianjin Nankai Hospital  Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongzhi","family":"Zhao","sequence":"additional","affiliation":[{"name":"Center of Minimally Invasive Surgery Tianjin Nankai Hospital  Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiangyu","family":"Sun","sequence":"additional","affiliation":[{"name":"Center of Minimally Invasive Surgery Tianjin Nankai Hospital  Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenyu","family":"Wang","sequence":"additional","affiliation":[{"name":"Center of Minimally Invasive Surgery Tianjin Nankai Hospital  Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,3,6]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"159","article-title":"Management of giant paraoesophageal hernia","volume":"64","author":"Awais O","year":"2009","journal-title":"Minerva Chir."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)61430-0"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2008.05.042"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(92)90046-T"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(00)00260-X"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004649901021"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800820229"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-007-9212-2"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181ff44c0"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-3069-2"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-002-9158-2"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588414X14055925060839"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-013-2047-0"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.10.005"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4916"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1159\/000018756"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.6.649"},{"key":"e_1_2_7_19_1","first-page":"481","article-title":"Biologic prosthesis reduces recurrence after laparoscopic paraesophageal hernia repair: a multicenter, prospective, randomized trial","volume":"244","author":"Oelschlager BK","year":"2006","journal-title":"Ann. 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