Four types of @entity547 may occur in the area of esophageal hiatus. Type I is represented by hiatus slipping @entity547 . Type II is represented by @entity547 , which is generally known as @entity357 . In this type of @entity547 , @entity418 and distal stomach remain under diaphragm. The weakened tissue in phreno-esophageal membrane is the place, where stomach fundus penetrates into thorax above the diaphragm. The authors present 10 @entity1 with @entity357 , who were operated on at the 2nd Surgery Clinic of Medical Faculty, UPJS, Faculty Hospital L. Pasteur in Kosice. These were adult @entity1 , five @entity1 and five @entity1 . In four @entity1 , so called "upside-down stomach" was the case. @entity547 were operated on in all cases by laparotomy, after reposition of the stomach into abdominal cavity the area of hiatus and diaphragm was reconstructed. One @entity1 was operated on under emergency conditions for @entity548 from stomach ulcer. Immediate postoperation results were good, the postoperation course was favorable in all @entity1 , no complications occurred. In conclusion, the authors are of the opinion that every diagnosed @entity357 should be indicated for surgical intervention. An anti-reflux operation should be executed in symptoms of @entity354 . The question of operation approach (thoracotomy or laparotomy) is a matter of continuous discussion, each of them having its advocates. However, in recent years laparoscopic solution of @entity357 is getting increasing attention.

[Surgical treatment of XXXX ].

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'man'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity357 :: ('MESH:D006551', 'Disease') :: ['paraesophageal hernia'] @entity418 :: ('MESH:D004938', 'Disease') :: ['cardia'] @entity354 :: ('MESH:D005764', 'Disease') :: ['gastro-esophageal reflux'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia', 'Hernias']
@entity357 :: (MESH:D006551,Disease) :: ['paraesophageal hernia']
