Paraesophageal hernia repair is associated with similar safety and efficacy results in octogenarians as compared to younger patients - Takeaways - 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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  • 1

    Paraesophageal hernias predominantly affect elderly patients, with a median presentation age of 65 to 75 years.

  • 2

    Surgical repair of paraesophageal hernias in octogenarians shows comparable safety and effectiveness to younger patients.

  • 3

    Advances in minimally invasive techniques have reduced operative mortality, shifting management recommendations for PEH.

  • 4

    The study analyzed outcomes of PEH repair in 2,517 patients, including 195 octogenarians, from 2010 to 2023.

  • 5

    The primary outcome measured was a composite adverse outcome, including GERD, dysphagia, hernia recurrence, and reoperation.

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