Hiatal Surgery Service Recommendations

A Hiatal Surgical Service is defined as investigation, assessment and surgery for the treatment of gastro-oesophageal reflux, symptomatic hiatus hernia and achalasia. It should have identity and defined structure including specialist surgeons, access to GI physiology, radiology, gastroenterology, specialist nutritional support and specialist nurse support

Performance guidelines

To perform a minimum unit volume of > 50 hiatal cases per year (unit definition-a department within a hospital OR a collaboration of hospitals within a close geographical region)

To perform a minimum individual surgeon volume and > 10 cases per surgeon per year

Surgical units offering hiatal surgery must provide 7 day a week cover for specialist hiatal surgical care (management of complications and emergencies) or a formal agreement for specialist advice or transfer if required to an adjacent unit that does.