1,558 results match your criteria Hiatal Hernia Imaging

Is Malignant Potential of Barrett's Esophagus Predictable by Endoscopy Findings?

Life (Basel) 2020 Oct 16;10(10). Epub 2020 Oct 16.

Department of Internal Medicine II, Faculty of Medicine, Shimane University, Shimane 693-8501, Japan.

Given that endoscopic findings can be used to predict the potential of neoplastic progression in Barrett's esophagus (BE) cases, the detection rate of dysplastic Barrett's lesions may become higher even in laborious endoscopic surveillance because a special attention is consequently paid. However, endoscopic findings for effective detection of the risk of neoplastic progression to esophageal adenocarcinoma (EAC) have not been confirmed, though some typical appearances are suggestive. In the present review, endoscopic findings that can be used predict malignant potential to EAC in BE cases are discussed. Read More

View Article and Full-Text PDF
October 2020

[A case of swallow syncope with transient congestive liver caused by esophageal dilatation associated with huge hiatal hernia].

Nihon Shokakibyo Gakkai Zasshi 2020 ;117(10):907-913

Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University.

A 76-year-old woman suffered from repeated postprandial syncope of unknown cause. Computed tomography scanning revealed an enlarged hiatal hernia sac with food residues that compressed both the left atrium and inferior vena cava. As soon as the hernia cavity expanded during an upper gastrointestinal X-ray examination, she experienced a deterioration of her level of consciousness. Read More

View Article and Full-Text PDF
October 2020

Paraconduit Hernia in the Era of Minimally Invasive Esophagectomy: Underdiagnosed?

Ann Thorac Surg 2021 06 5;111(6):1812-1819. Epub 2020 Oct 5.

Division of Thoracic Surgery, Toronto General Hospital, University Hospital Network, Toronto, Ontario, Canada. Electronic address:

Background: There is a need to compare the proportions, risk factors, and natural histories of postesophagectomy paraconduit hernias in minimally invasive and open esophagectomies.

Methods: This is a single-center, retrospective cohort study of esophageal cancer surgery performed between 2007 and 2017. Postesophagectomy paraconduit hernias were identified on cross-sectional imaging. Read More

View Article and Full-Text PDF

Progression of Hiatal Hernias.

J Gastrointest Surg 2021 03 28;25(3):818-820. Epub 2020 Sep 28.

Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, 500 W. Thomas Rd., Ste. 500, Phoenix, AZ, 85013, USA.

View Article and Full-Text PDF

Morgagni hernia - case reports.

Rozhl Chir 2020 ;99(7):323-325

Morgagni hernia is a rare form of diaphragmatic hernia. It is a congenital defect of the diaphragm, often asymptomatic in adulthood and thus usually found only incidentally. Its treatment is predominantly surgical. Read More

View Article and Full-Text PDF
September 2020

Using a standardized intra-operative endoflip protocol during fundoplication to identify factors that affect distensibility.

Surg Endosc 2020 Sep 24. Epub 2020 Sep 24.

Department of Surgery, Northshore University HealthSystem, GCSI Suite B665, 2650 Ridge Ave, Evanston, IL, 60201, USA.

Introduction: The Endoluminal Functional Lumen Imaging Probe (Endoflip) can be used to provide objective measurements of the gastroesophageal junction during fundoplication, and recent publications have suggested that this device could improve surgical outcomes. However, the impact of operative variables has not been clearly reported. The aim of this study is to determine the effect of these variables on functional lumen imaging probe (FLIP) measurements. Read More

View Article and Full-Text PDF
September 2020

Computed tomographic comparison of esophageal hiatal size in brachycephalic and non-brachycephalic breed dogs.

Vet Surg 2020 Dec 19;49(8):1509-1516. Epub 2020 Sep 19.

Animal Health Trust, United Kingdom.

Objective: To determine whether an anatomical difference in esophageal hiatus (EH) size exists between brachycephalic and nonbrachycephalic dogs.

Study Design: Retrospective clinical study.

Animals: Client-owned dogs (n = 87). Read More

View Article and Full-Text PDF
December 2020

Spontaneous Chest Wall Herniation in Centrally Obese Patients: A Single-Center Experience of a Rare Problem.

Am Surg 2021 Feb 15;87(2):222-227. Epub 2020 Sep 15.

General Thoracic Surgery, Center for Chest Wall Disease, The Cleveland Clinic, Cleveland, OH, USA.

Background: Spontaneous rib fractures, especially in association with chest wall herniation, represent an uncommon pathology. As such, there are little data analyzing approaches to treatment or regarding the success of intervention. The goal of this study was to analyze our cumulative experience with this unusual condition. Read More

View Article and Full-Text PDF
February 2021

Screening Esophagogastroduodenoscopy Before Laparoscopic Sleeve Gastrectomy: Results in 819 Patients.

J Laparoendosc Adv Surg Tech A 2021 Jun 2;31(6):672-675. Epub 2020 Sep 2.

İstanbul Bariatrics, Obesity and Advanced Laparoscopy Center, İstanbul, Turkey.

The routine use of esophagogastroduodenoscopy (EGD) during the preoperative evaluation of surgical weight loss candidates is controversial. The aim of this study is to evaluate the findings of preoperative EGD in patients who are scheduled for a primary laparoscopic sleeve gastrectomy (LSG). The probable effect of these findings on the medical and surgical strategy that was followed is assessed. Read More

View Article and Full-Text PDF

Rare complication of diaphragmatic hernia in a live donor nephrectomy patient.

ANZ J Surg 2021 04 2;91(4):E235-E237. Epub 2020 Sep 2.

Department of Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia.

View Article and Full-Text PDF

Utilizing functional lumen imaging probe in directing treatment for post-fundoplication dysphagia.

Surg Endosc 2021 Aug 2;35(8):4418-4426. Epub 2020 Sep 2.

Division of Digestive Diseases, Department of Medicine, Emory University School of Medicine, 1525 Clifton Rd NE, Atlanta, GA, 30322, USA.

Background: Esophagogastric junction obstruction (EGJO) post-fundoplication (PF) is difficult to identify with currently available tests. We aimed to assess the diagnostic accuracy of EGJ opening on functional lumen imaging probe (FLIP) and dilation outcome in FLIP-detected EGJO in PF dysphagia.

Methods: We prospectively collected data on PF patients referred to Esophageal Clinic over 18 months. Read More

View Article and Full-Text PDF

Prevalence, clinical characteristics, and risk factors of Barrett esophagus in Vietnamese patients with upper gastrointestinal symptoms.

Medicine (Baltimore) 2020 Aug;99(34):e21791

Department of Gastroenterology and Hepatology, National University Hospital, Singapore.

The current barrier for investigation of Barrett esophagus (BE) in Asia is diagnostic standardization, which is a challenge to identify its true risk factors. This study aimed to investigate the prevalence, clinical characteristics and risk factors of BE in Vietnamese patients with upper gastrointestinal symptoms.A cross-sectional study was conducted on consecutive outpatients who underwent upper gastrointestinal endoscopy. Read More

View Article and Full-Text PDF

Minding the Gap: Clinical Manifestations of a Rare Type IV Hiatal Hernia.

Cureus 2020 Jul 19;12(7):e9275. Epub 2020 Jul 19.

Radiology, University of Texas Medical Branch, Galveston, USA.

Hiatal hernias are classified according to the increasing severity of protruding intra-abdominal viscera through the esophageal hiatus (types I-IV). Herein is the case of an elderly patient presenting with recent-onset dyspnea, postprandial gastroesophageal reflux, and hypoxemia. Imaging revealed a rare type IV hiatal hernia implicating the stomach and part of the pancreas. Read More

View Article and Full-Text PDF

Acute gastric dilatation: a life-threatening early complication following laparoscopic hiatus hernia repair.

ANZ J Surg 2021 04 21;91(4):755-757. Epub 2020 Aug 21.

Oesophago-Gastric Unit, Flinders Medical Centre, Adelaide, South Australia, Australia.

View Article and Full-Text PDF

Proton Pump Inhibitor Use After Hiatal Hernia Repair: Inhibitor of Recurrent Symptoms and Potential Revisional Surgery.

J Surg Res 2020 12 14;256:570-576. Epub 2020 Aug 14.

Department of Surgery, North Florida/South Georgia Veterans Health System, Gainesville, Florida; Department of Surgery, University of Florida College of Medicine, Gainesville, Florida. Electronic address:

Background: Hiatal hernia recurrence after hiatal hernia repair (HHR) is often underdiagnosed and underreported but may present with recurrent gastroesophageal reflux disease (GERD) symptoms. Because of their availability, proton pump inhibitor (PPI) use is common and may mask patients who would benefit from revisional surgery, which has been shown to improve symptoms and quality of life.

Methods: A retrospective analysis was performed to evaluate recurrence patterns of patients who underwent HHR, specifically for the indication of GERD, from 2007 to 2015 at a single Veterans Administration Medical Center. Read More

View Article and Full-Text PDF
December 2020

The role of percutaneous endoscopic gastrostomy in the treatment of acute gastric volvulus.

Rev Esp Enferm Dig 2020 Aug;112(8):662-663

Cirugía General y del Aparato Digestivo, Hospital Clínico San Carlos, España.

Gastric volvulus is an uncommon pathology that can occur acutely, in a chronic setting, or even as a casual finding. The primary kind occurs in 30% of patients. Secondary causes include hiatal hernia types II-III up to 70% of cases. Read More

View Article and Full-Text PDF

Five Year Follow-up of a Randomized Controlled Trial of Laparoscopic Repair of Very Large Hiatus Hernia With Sutures Versus Absorbable Versus Nonabsorbable Mesh.

Ann Surg 2020 08;272(2):241-247

Discipline of Surgery, University of Adelaide, Royal Adelaide Hospital, Adelaide, South Australia, Australia.

Objective: To determine whether absorbable or nonabsorbable mesh repair of large hiatus hernias is followed by less recurrences at late follow-up compared to sutured repair.

Summary Of Background Data: Radiological recurrences have been reported in up to 30% of patients after repair of large hiatus hernias, and mesh repair has been proposed as a solution. Earlier trials have revealed mixed outcomes and early outcomes from a trial reported previously revealed no short-term advantages for mesh repair. Read More

View Article and Full-Text PDF

Short-term outcome of routine use of EndoFLIP during hiatal hernia repair.

Surg Endosc 2021 Jul 14;35(7):3840-3849. Epub 2020 Jul 14.

Division of Thoracic Surgery, Department of Surgery, Houston Methodist Hospital, 6550 Fannin Street, Suite 1661, Houston, TX, 77030, USA.

Background: Endoluminal functional lumen imaging probe (EndoFLIP) technology is a tool that can be used to provide intraoperative objective real-time feedback during hiatal hernia repair. We wanted to determine the implication of initial distensibility index (DI) after mobilization of hiatus and final DI after creation of barrier in short-term clinical outcomes.

Methods: We performed a retrospective analysis of prospectively collected data on the intraoperative use of EndoFLIP during hiatal hernia repair at a single institution from 2017 to 2019. Read More

View Article and Full-Text PDF

Intrathoracic omental herniation mimics posterior mediastinal lipomatous tumor.

Gen Thorac Cardiovasc Surg 2021 Jan 12;69(1):155-159. Epub 2020 Jul 12.

Department of Thoracic Surgery, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.

Intrathoracic omental herniation is an esophageal hiatal hernia that does not involve the stomach and has been previously misdiagnosed as a lipomatous tumor. We report the case of a 72-year-old man who was referred to our hospital for investigation of a chest abnormal shadow. The large mediastinal mass with fat density was not recognized 5 years ago. Read More

View Article and Full-Text PDF
January 2021

Swallow Magnetic Resonance Imaging Compared to 3D-Computed Tomography for Pouch Assessment and Hiatal Hernias After Roux-en-Y Gastric Bypass.

Obes Surg 2020 11;30(11):4192-4197

Department of Biomedical Imaging and Image-guided Therapy, Vienna Medical University, Vienna, Austria.

Introduction/purpose: Weight regain and weight loss failure after bariatric surgery are important issues that may require a weight regain procedure. Three-dimensional-computed tomography (3D-CT) is a well-established method allowing exact measurements of pouch volume. The aims of this study were to prove the applicability of swallow MRI as a non-ionizing procedure and compare it to 3D-CT in patients after weight regain procedures following RYGB. Read More

View Article and Full-Text PDF
November 2020

Experience-based expert consensus on the intra-operative usage of the Endoflip impedance planimetry system.

Surg Endosc 2021 Jun 16;35(6):2731-2742. Epub 2020 Jun 16.

Department of Surgery, Northshore University HealthSystem, GCSI Suite B665, 2650 Ridge Ave, Evanston, IL, 60201, USA.

Introduction: The Endoluminal Functional Lumen Imaging Probe (Endoflip™) is a balloon-based catheter that provides real-time, objective feedback regarding the distensibility of any sphincter in the gastrointestinal tract. Usage of the Functional Lumen Imaging Probe (FLIP) has not been standardized, which has limited the interpretation and generalizability of published data. The purpose of this consensus statement is to provide a standardized protocol for obtaining FLIP measurements in order to create a more uniform approach to data collection. Read More

View Article and Full-Text PDF

A neglected etiology of bronchiectasis: External compression due to hiatal hernia.

Niger J Clin Pract 2020 Jun;23(6):825-828

Department of Radiology, Duzce University, Faculty of Medicine, Duzce, Turkey.

Aim: To investigate the incidence of bronchiectasis supposed to be made by the external compression of hiatal hernia (HH) to bronchi.

Materials And Methods: The thorax computed tomography (CT) scans of patients which were carried out in Duzce University Hospital between February 2014 and August 2015 were retrospectively evaluated. The repeated scans in the same patient were excluded. Read More

View Article and Full-Text PDF

Minimally invasive laparoscopic and robot-assisted emergency treatment of strangulated giant hiatal hernias: report of five cases and literature review.

World J Emerg Surg 2020 06 1;15(1):37. Epub 2020 Jun 1.

Unit of General Surgery "V. Bonomo", Department of Biomedical Sciences and Human Oncology, University of Bari "A. Moro", Polyclinic of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy.

Background: Giant hiatal hernia (GHH) is a condition where one-third of the stomach migrates into the thorax. Nowadays, laparoscopic treatment gives excellent postoperative outcomes. Strangulated GHH is rare, and its emergent repair is associated with significant morbidity and mortality rates. Read More

View Article and Full-Text PDF

Imaging in the Evaluation of Chest Pain in the Primary Care Setting, Part 2: Sources of Noncardiac Chest Pain.

Am J Med 2020 10 20;133(10):1135-1142. Epub 2020 May 20.

Department of Radiology & Biomedical Imaging.

Chest pain is a common presenting complaint in the primary care setting. Imaging plays a key role in the evaluation of the multiple organ systems that can be responsible for chest pain. With numerous imaging modalities available, determination of the most appropriate test and interpretation of the findings can be a challenge for the clinician. Read More

View Article and Full-Text PDF
October 2020

Another type of diaphragmatic hernia to remember: parahiatal hernia.

ANZ J Surg 2020 11 1;90(11):2180-2186. Epub 2020 May 1.

Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, China.

Background: Parahiatal hernia is a less common form of diaphragmatic hernia, with the defect lateral to the crus and oesophageal hiatus, and the unfamiliarity of this disease would cause confusion to general surgeons. In the present study, the literature on parahiatal hernia were reviewed, the clinical profile of this disease, as well as our own experience is presented and analysed.

Methods: In the present study, a thorough identification of all published reports on parahiatal hernias was made, together with our own cases, the available data were summarized, analysed and discussed. Read More

View Article and Full-Text PDF
November 2020

Less frequent cardiac and extracardiac findings during Tc-methoxyisobutylisonitrile myocardial perfusion single-photon emission computed tomography with radiological correlates.

Mohsen Qutbi

Indian J Nucl Med 2020 Apr-Jun;35(2):147-153. Epub 2020 Mar 12.

Department of Nuclear Medicine, Taleghani Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Myocardial perfusion single-photon emission computed tomography (SPECT) as a common imaging procedure in nuclear medicine laboratories may encompass findings in the heart or beyond it, in the thorax or abdomen, which may be related or unrelated to the symptoms of the patients. Sometimes, these findings may be discovered incidentally. In the present article, it is aimed to present some less frequent cardiac and extracardiac findings including radiolabeled emboli, transposition of great arteries, breast prosthesis, breast tissue uptake, pericardial effusion, hiatal hernia, hepatocellular carcinoma, ascites, aortic aneurysm, splenomegaly, and polycystic kidney disease during Tc-methoxyisobutylisonitrile myocardial perfusion SPECT with their radiological correlates. Read More

View Article and Full-Text PDF