Shared Decision Making Surrounding the Role of Paraesophageal Hernia Repair in Elderly Patients. Issue 1 (March 2022)

• Record Type: Journal Article
• Authors: Merriman, Nathan; Dunbar, Kerry; Litle, Virginia R.
• Is Part Of: Foregut. Volume 2:Issue 1(2022)
• Page Start: 57
• Page End: 59
• Publication Date: 2022-03
• Subjects: shared decision making -- paraesophageal hernia; 616.3
• DOI: 10.1177/26345161221093284
• Languages: English
• ISSNs: 2634-5161

Abstract

Paraesophageal hernias in older patients can present a management dilemma for the patient, surgeon, and gastroenterologist. "Watch and wait" or operate are the 2 choices influenced by age. Shared decision making in the discussion of options is necessary to reflect a respect for the patient's values. A team-based approach involving the patient and family provides a clear clinical pathway and connection across primary care, gastroenterology, and foregut surgery.