Paraesophageal hernia repair is associated with similar safety and efficacy results in octogenarians as compared to younger patients - Summary - MDSpire
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Repair of Paraesophageal Hernias Shows Comparable Safety and Effectiveness in Patients Aged 80 and Older Versus Younger Individuals

  • By

  • Kayvan Barekatain

  • Emily F. Simon

  • Joshua L. Lyons

  • Natalie N. Chakraborty

  • Christina S. Boutros

  • Trisha Lal

  • Jill Knepprath

  • Ayesha Siddiq

  • Hamza N. Chatha

  • Saher-Zahra S. Khan

  • Patrick M. Wieland

  • Sami O. Abul-Khoudoud

  • Nicolette M. Winder

  • Samuel J. Zolin

  • Jeffrey Marks

  • June 8, 2026

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Objective:

To compare perioperative and post-discharge outcomes of PEH repair, specifically focusing on complications and recovery metrics, between octogenarians and younger adults at a high-volume tertiary center.

Key Findings:
  • A total of 2,517 patients were analyzed, with 195 octogenarians (7.7%).
  • Patients aged 18–79 had a higher median BMI compared to octogenarians.
  • 30-day mortality after elective PEH repair in octogenarians is below previous conservative management thresholds.
Interpretation:

The study suggests that PEH repair in octogenarians is associated with comparable outcomes to younger patients, despite higher perioperative morbidity.

Limitations:
  • The study is retrospective and may have selection bias.
  • Limited data on long-term outcomes such as hernia recurrence and postoperative complications.
Conclusion:

PEH repair in octogenarians can be performed safely with outcomes comparable to younger patients.

Original Source(s)

Paraesophageal hernia repair is associated with similar safety and efficacy results in octogenarians as compared to younger patients

  • by Kayvan Barekatain, Emily F. Simon, Joshua L. Lyons, Natalie N. Chakraborty, Christina S. Boutros, Trisha Lal, Jill Knepprath, Ayesha Siddiq, Hamza N. Chatha, Saher-Zahra S. Khan, Patrick M. Wieland, Sami O. Abul-Khoudoud, Nicolette M. Winder, Samuel J. Zolin, Jeffrey Marks

  • June 8, 2026

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