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Title of Journal: J GEN INTERN MED

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Abbravation: Journal of General Internal Medicine

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Springer US

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DOI

10.1007/bf03218209

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1525-1497

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Massive Paraesophageal Hernia Mimicking Pulmonary

Authors: James J Lamberg Michael Farbaniec Ethan F Kuperman
Publish Date: 2013/02/13
Volume: 28, Issue: 9, Pages: 1241-1241
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Abstract

Massive paraesophageal hernia—coronal view Black arrow pancreas The pancreatic head is adjacent to the right diaphragm and the associated pancreatic vasculature can be seen inferior to the pancreas White arrow stomach The stomach is adjacent to the carina and left mainstem bronchus White star splenic flexure of the colonElective surgery of asymptomatic paraesophageal hernias was historically thought to be required to prevent the development of lifethreatening complications4 However the mortality rate from elective laparoscopic repair is approximately 14 while the lifetime risk of death from watchful waiting is estimated to be approximately 14 The lifetime risk of developing acute symptoms requiring emergency surgery also decreases exponentially after 65 years of age4 Thus watchful waiting appears to be a reasonable strategy for some minimally symptomatic or asymptomatic paraesophageal hernias

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  17. Interventions to Improve Outcomes for Minority Adults with Asthma: A Systematic Review
  18. Awareness of Hepatitis C Diagnosis is Associated with Less Alcohol Use Among Persons Co-Infected with HIV
  19. Using Evidence to Inform Policy: Developing a Policy-Relevant Research Agenda for the Patient-Centered Medical Home
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