Surgical repair of paraesophageal hernia resolves unexplained iron deficiency anemia in the vast majority of patients: a propensity-matched multicenter study - Takeaways - MDSpire
Coming Soon: Introducing MDSpire News. Learn more
Conexiant’s news site is now MDSpire News. Learn more

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

  • 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

Share

  • 1

    Paraesophageal hernias (PEH) are linked to iron deficiency anemia (IDA) in 30–50% of patients, often presenting without typical gastrointestinal symptoms.

  • 2

    Surgical repair of PEH has been shown to effectively resolve IDA in most patients, despite limited prior studies on this therapeutic impact.

  • 3

    The study included adults with confirmed PEH and unexplained IDA, excluding those with prior bariatric surgery or identifiable bleeding sources.

  • 4

    Comprehensive preoperative evaluations were conducted, including upper endoscopy and imaging, to confirm PEH and rule out other anemia causes.

  • 5

    The findings support surgical intervention for PEH as a definitive treatment for IDA, even in asymptomatic patients without classic symptoms.

Original Source(s)

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

Related Content

Ipsilateral reference may reduce THA fluoroscopy

Operative-time–adjusted findings favored the ipsilateral technique, while absolute fluoroscopy time and radiation exposure remained similar between approaches.

Women have more complications but better reported quality of life after elective ventral hernia repair

Adenotonsillectomy linked to more RTI visits

The findings suggest adenotonsillectomy should not be performed solely to prevent respiratory tract infections in pediatric patients.