Surgical repair of paraesophageal hernia resolves unexplained iron deficiency anemia in the vast majority of patients: a propensity-matched multicenter study - Scorecard - MDSpire

Surgical repair of paraesophageal hernia resolves unexplained iron deficiency anemia in the vast majority of patients: a propensity-matched multicenter study

  • By

  • Fahim Kanani

  • Maria Shaiban

  • Chaya Shwaartz

  • Majd Khalil

  • Katia Dayan

  • Rula Francis

  • Daniel Solomon

  • Yonatan Lessing

  • Narmin Zoabi

  • Eviatar Kuhnreich

  • Eviatar Nesher

  • Amir Szold

  • Boaz Sagi

  • Nir Messer

  • May 21, 2026

  • 0 min

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Clinical Scorecard: Multicenter Analysis Shows Surgical Correction of Paraesophageal Hernia Effectively Treats Unexplained Iron Deficiency Anemia in Most Patients

At a Glance

CategoryDetail
Condition
Key MechanismsCameron lesions, chronic venous congestion, intermittent arterial insufficiency, diaphragmatic shear stress, altered gastric pH, nutritional compromise, as supported by study findings.
Target Population
Care Setting

Key Highlights

  • 30–50% of PEH patients present with IDA, with surgical outcomes showing resolution in X% of cases.
  • Surgical repair may resolve anemia even in asymptomatic patients, with a noted success rate.
  • Comprehensive preoperative evaluation is crucial for diagnosis, as evidenced by study results.

Guideline-Based Recommendations

Diagnosis

    Management

      Monitoring & Follow-up

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      Risks

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      Patient & Prescribing Data

      Surgical intervention may be effective in resolving IDA, with a reported success rate of Y%.

      Clinical Best Practices

      • Conduct comprehensive anemia evaluations preoperatively, as demonstrated in the study.
      • Utilize standardized imaging protocols for hernia classification to ensure accurate diagnosis.

      Related Resources & Content

      Original Source(s)

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