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The patient was an 81-year-old man who was found to have a giant hiatal hernia during detailed examination for hepatic dysfunction. Computed tomography showed prolapse of the entire stomach, head of the pancreas, and transverse colon, and part of the small bowel into the mediastinum, and magnetic resonance cholangiopancreatography showed bile duct displacement and dilatation. The patient underwent elective laparoscopic surgery for repair of the esophageal hiatal hernia. Suture closure of the hernial orifice, mesh reinforcement, and a Nissen fundoplication were performed. The postoperative clinical course has been favorable and no recurrence has occurred during the 1-year postoperative period.

Laparoscopic Repair of Esophageal Hiatal Hernia with Cholestasis Secondary to Pancreatic Prolapse