7,963 results match your criteria Hiatal Hernia


A multi-center, prospective clinical trial of a hepatic derived porcine surgical mesh for the laparoscopic repair of symptomatic paraesophageal hernias.

Am J Surg 2019 Apr 1. Epub 2019 Apr 1.

Carolinas Surgical Specialty Center, Charlotte, NC, USA.

Introduction: We report the results of a multicenter trial evaluating a unique, biological mesh (MIROMESH) derived from decellularized porcine liver for hiatal cruralplasty during laparoscopic PEHR.

Methods: 41 subjects underwent a laparoscopic PEHR which included primary crural closure, and MIROMESH onlay. Subjects were assessed at 2-weeks and 6, 12, 18 and 24 months using the SF-36, GERD-HRQL questionnaire, and VAS GERD related symptoms, and UGI. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2019.03.025DOI Listing

Healthcare spending and utilization following antireflux surgery: examining costs and reasons for readmission.

Surg Endosc 2019 Apr 5. Epub 2019 Apr 5.

Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Background: While clinical outcomes have been reported for anti-reflux surgery (ARS), there are limited data on post-operative encounters, including readmission, and their associated costs. This study evaluates healthcare utilization during the 90-day post-operative period following ARS including fundoplication and/or paraesophageal hernia (PEH) repair.

Methods: Data were analyzed from the Truven Health MarketScan Databases. Read More

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http://dx.doi.org/10.1007/s00464-019-06758-2DOI Listing
April 2019
4 Reads

Intraoesophageal migration of Teflon pledgets used for hiatal hernia repair: a serious adverse event.

BMJ Case Rep 2019 Apr 3;12(4). Epub 2019 Apr 3.

Service de chirurgie générale, Département de chirurgie, Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada.

11 months following an elective paraoesophageal hernia repair, a female patient presents to the emergency department with severe dysphagia. A CT showed a distention of the distal oesophagus caused by a foreign body and dense material inside and outside the oesophagus wall. A gastroscopy confirmed the presence of a bezoar and secondary oesophagitis due to the intraoesophageal migration of Teflon pledgets. Read More

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http://dx.doi.org/10.1136/bcr-2018-224383DOI Listing
April 2019
2 Reads

Incarcerated Hiatal Hernia with Perforation after Laparoscopic Total Gastrectomy with Roux-en-Y Reconstruction: a Case Report.

J Gastric Cancer 2019 Mar 19;19(1):132-137. Epub 2019 Mar 19.

Department of Surgery, Division of General Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan (R.O.C.).

The occurrence of hiatal hernia after total gastrectomy with Roux-en-Y reconstruction is rare. We report the case of a 76-year-old man who presented with dyspnea, vomiting, and fever around 8 days after total gastrectomy with Roux-en-Y reconstruction. Abdominal computed tomography revealed a hiatal hernia containing part of the small intestine in the left thoracic cavity. Read More

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http://dx.doi.org/10.5230/jgc.2019.19.e7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441769PMC
March 2019
1 Read

Jackhammer Esophagus: From Manometric Diagnosis to Clinical Presentation.

Can J Gastroenterol Hepatol 2019 3;2019:5036160. Epub 2019 Mar 3.

Division of Gastroenterology, Gastro-Intestinal Motility Center, Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, QC, Canada.

Background: Jackhammer esophagus is a hypercontractile esophageal disorder recently brought to light with the advent of high resolution manometry (HRM). As little is known about its clinical presentation, the aim of this study was to identify the clinical characteristics associated with this new gastrointestinal motility disorder.

Methods: A retrospective study was conducted on patients visiting the CHUM's Gastro-Intestinal Motility Center from January 2015 to December 2017. Read More

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http://dx.doi.org/10.1155/2019/5036160DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421016PMC
March 2019
3 Reads

Incidental Morgagni hernia found during laparoscopic repair of hiatal hernia: Case report & review of literature.

Int J Surg Case Rep 2019 Mar 20;57:97-101. Epub 2019 Mar 20.

Department of Surgery, King Fahd Hospital of The University, Imam Abdulrahman bin Faisal University, Khobar, Saudi Arabia. Electronic address:

Introduction: Morgagni hernia is rare clinical entity accounting for 3% of all surgically treated diaphragmatic hernias. Similarly, paraesophageal hernia constitutes only 5% of all hiatal hernia. The co-existing of these two hernias is extremely rare with only 10 cases reported in the literature. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441758PMC
March 2019
1 Read

Obesity and hiatal hernia may be non-allergic risk factors for esophageal eosinophilia in Japanese adults.

Esophagus 2019 Mar 29. Epub 2019 Mar 29.

Department of Gastroenterology, Graduate School of Medicine, Osaka City University, 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585, Japan.

Background: Esophageal eosinophilia (EE) is a basal condition of eosinophilic esophageal disorders including eosinophilic esophagitis (EoE) and asymptomatic EE. EoE is considered as an allergic disorder, while it is unclear whether other non-allergic conditions are involved in the pathophysiology of EE. The aim of this study is to investigate the non-allergic risk factors for EE. Read More

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http://dx.doi.org/10.1007/s10388-019-00662-3DOI Listing
March 2019
2 Reads

Modern era surgical outcomes of elective and emergency giant paraesophageal hernia repair at a high-volume referral center.

Surg Endosc 2019 Mar 28. Epub 2019 Mar 28.

Steinberg-Bernstein Center for Minimally Invasive Surgery, Montreal General Hospital, McGill University Health Center, 1650 Cedar Avenue, L8-512, Montreal, QC, H3G 1A4, Canada.

Introduction: Repair of giant paraesophageal hernia (PEH) has historically been associated with significant morbidity and mortality such that elective repair is only offered to symptomatic patients. Recent reports suggest modern era outcomes have improved such that elective repair may now be safer than historically thought. Furthermore, the morbidity of emergency surgery may still be significant. Read More

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http://dx.doi.org/10.1007/s00464-019-06764-4DOI Listing
March 2019
1 Read

Esophagitis in Pediatric Esophageal Atresia: Acid May Not Always Be the Issue.

J Pediatr Gastroenterol Nutr 2019 Mar 26. Epub 2019 Mar 26.

Division of Gastroenterology, Hepatology and Nutrition.

Objective: Esophagitis is highly prevalent in patients with esophageal atresia (EA). Peptic esophagitis has long been assumed to be the primary cause of esophagitis in this population, and prolonged acid suppressive medication usage is common; such treatment is of unknown benefit and carries potential risk.

Methods: To better understand the role of commonly used antireflux treatments in EA, we analyzed all patients with repaired EA who underwent endoscopy with biopsies at our institution between January 2016 and August 2018. Read More

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http://dx.doi.org/10.1097/MPG.0000000000002336DOI Listing
March 2019
1 Read

Rare sequalae of hiatal hernia causing pancreatitis and hepatitis: A case report.

World J Gastrointest Endosc 2019 Mar;11(3):249-255

Department of Medicine, BronxCare Hospital Center, Bronx, NY 10457, United States.

Background: Hiatal hernia (HH) contents commonly include stomach, transverse colon, small intestine, and spleen but herniation of the pancreas is an extremely rare phenomenon.

Case Summary: 79-year-old female with multiple comorbidities presented to emergency department with complaints of weight loss for 6 mo and abdominal pain for one day. Physical examination revealed cachectic and dehydrated female and bowel sounds could be auscultated on the right side of chest. Read More

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http://dx.doi.org/10.4253/wjge.v11.i3.249DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425284PMC
March 2019
2 Reads

Diltiazem and Hiatal Hernia: An Unknown Association.

Am J Ther 2019 Mar 20. Epub 2019 Mar 20.

Department of Internal Medicine, Maulana Azad Medical College, New Delhi, India.

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http://dx.doi.org/10.1097/MJT.0000000000000975DOI Listing
March 2019
10 Reads
1.127 Impact Factor

Post-esophagectomy hiatal hernia of the colon.

Cir Esp 2019 Mar 20. Epub 2019 Mar 20.

Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario de Basurto, Bilbao, España.

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http://dx.doi.org/10.1016/j.ciresp.2019.01.017DOI Listing
March 2019
2 Reads

A new method of diagnosis of the hiatal hernia associated with gastroesophageal reflux disease.

Wiad Lek 2019 ;72(2):186-188

Department of Physiology of Humans and Animals of Ivan Franko National University of Lviv, Lviv, Ukraine.

Objective: Introduction: Gastroesophageal reflux disease (GERD) is one of the most common gastroduodenal diseases. The relationship between the hiatal hernia and the GERD is established. It is advisable to develop an accessible non-invasive diagnostic method for this combined pathology. Read More

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January 2019
3 Reads

[Hiatus hernia : Standards and controversies in diagnostics and treatment].

Chirurg 2019 Apr;90(4):331-348

Institut für Diagnostische und Interventionelle Radiologie, Pius-Hospital Oldenburg, Oldenburg, Deutschland.

A hiatus hernia is defined as a transdiaphragmatic protrusion/migration of the intrabdominal contents through the esophageal hiatus of the diaphragm. The classification of hiatus hernias is based on anatomical morphological differentiation (types I-IV). The leading symptoms and psychological stress vary with respect to the symptoms, e. Read More

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http://dx.doi.org/10.1007/s00104-019-0932-2DOI Listing
April 2019
2 Reads

The consumption of snacks and soft drinks between meals may contribute to the development and to persistence of gastro-esophageal reflux disease.

Authors:
E Fiorentino

Med Hypotheses 2019 Apr 11;125:84-88. Epub 2019 Feb 11.

University of Palermo, Department of Surgical, Oncological and Oral Sciences, Via Liborio Giuffrè 5, 90127 Palermo, Italy. Electronic address:

The Hypothesis: The habit of snacking and drinking soft beverages between breakfast, lunch and dinner, which is very widespread in the western world, could be a primum movens, thereby contributing to the development and subsequent persistence of gastroesophageal reflux disease (GERD). WHAT DOES THE PROPOSED HYPOTHESIS BASED ON?: The high prevalence of GERD suggests that it is very probably caused by factors, which are intrinsic and widespread in a western lifestyle. Ingesting snacks or imbibing soft drinks between breakfast, lunch and dinner causes additional gastric acid secretion, acid pocket formation, and additional transient lower esophageal sphincter relaxations (TLESRs) with acid reflux; the latter are proportional to the number of ingestions. Read More

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http://dx.doi.org/10.1016/j.mehy.2019.02.034DOI Listing
April 2019
2 Reads

Boix-Ochoa (Partial Fundoplication) Treats Reflux, Even in Neurologically Impaired Patients. Can it Take the Title of "Gold Standard" from Total Fundoplication?

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of Pediatric Surgery, Başkent University Faculty of Medicine, Gazipaşamahallesi Barajcaddesi No: 7, Seyhan, 01250, Adana, Turkey.

Background: In 4-5% of cases of gastroesophageal reflux disease (GERD), surgical treatment is required. The aim of the study was to evaluate the success of Boix-Ochoa antireflux surgery, which is considered more physiologic with a higher failure rate (need for reoperation) than Nissen fundoplication, which is believed to be the gold standard operation.

Method: In the 13 years from 2005 to 2018, the medical records of all children who underwent Boix-Ochoa in a single institution by pediatric surgeons were reviewed retrospectively. Read More

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http://dx.doi.org/10.1007/s11605-019-04179-zDOI Listing
March 2019
2 Reads

Large Hiatal Hernia Repair with Urinary Bladder Matrix Graft Reinforcement and Concomitant Sleeve Gastrectomy.

JSLS 2019 Jan-Mar;23(1)

Reno School of Medicine, University of Nevada, Reno, Nevada, USA.

Background: There is no current consensus on the management of large hiatal hernias concomitant with performance of a sleeve gastrectomy procedure. Proposed solutions have included performing a modified Nissen fundoplication, performing cruroplasty alone, utilizing the Linx device, performing cruroplasty with reinforcement material, and avoiding the sleeve procedure altogether in favor of a bypass procedure in order to minimize gastroesophageal reflux. Urinary bladder matrix (UBM) represents a biologically derived material for use in hiatal hernia repair reinforcement with the potential to improve durability of repair without incurring the risks of other reinforcement materials. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408943PMC
March 2019
2 Reads

Does Treatment of the Hiatus Influence the Outcomes of Magnetic Sphincter Augmentation for Chronic GERD?

J Gastrointest Surg 2019 Mar 15. Epub 2019 Mar 15.

Division of Thoracic Surgery, Swedish Medical Center and Cancer Institute, 1101 Madison Street, Suite 900, Seattle, WA, 98104, USA.

Background: Hiatal dissection, restoration of esophageal intra-abdominal length, and crural closure are key components of successful antireflux surgery. The necessity of addressing these components prior to magnetic sphincter augmentation (MSA) has been questioned. We aimed to compare outcomes of MSA between groups with differing hiatal dissection and closure. Read More

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http://dx.doi.org/10.1007/s11605-019-04180-6DOI Listing
March 2019
1 Read

[Redo laparoscopic surgery for recurrent gastroesophageal reflux disease and hiatal hernia].

Khirurgiia (Mosk) 2019(2):26-31

Evdokimov Moscow State University of Medicine and Dentistry of Healthcare Ministry of the Russia Russia, Moscow, Russia.

Aim: To assess mechanisms of recurrent gastroesophageal reflux disease and the ability to perform adequate surgical correction after previous surgery.

Material And Methods: The authors from various surgical centers have operated 2678 patients with gastroesophageal reflux disease and hiatal hernia for the period 1993-2018. 127 (4. Read More

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http://dx.doi.org/10.17116/hirurgia201902126DOI Listing
January 2019
2 Reads

A Pushed Descending Aorta due to Hiatal Hernia.

Aorta (Stamford) 2018 Aug 8;6(4):107-108. Epub 2019 Mar 8.

Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey.

A 91-year-old female patient was admitted to hospital for evaluation of transcatheter aortic valve implantation. A chest radiography showed a hiatal hernia, and the stomach and duodenum appeared in the thoracic cavity. The descending aorta was pushed by the stomach and duodenum. Read More

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http://dx.doi.org/10.1055/s-0039-1679910DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408250PMC
August 2018
2 Reads

Giant hiatal hernias. A series of cases.

Adv Respir Med 2019 Mar 4. Epub 2019 Mar 4.

Clinical Department of Internal Medicine, Czerniakowski Hospital in Warsaw, Stepinska 19/25, 00-739 Warsaw, Poland.

Background: Dyspnoea is most often caused by disorders of the respiratory and/or cardiovascular systems. Much less often it is caused by the displacement of abdominal organs into the thoracic cage. Hiatal hernias may cause diagnostic difficulties, as both clinical and radiological symptoms suggest different disorders. Read More

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http://dx.doi.org/10.5603/ARM.a2019.0009DOI Listing
March 2019
9 Reads

Per-Oral Pyloromyotomy (POP) for Medically Refractory Post-Surgical Gastroparesis.

J Gastrointest Surg 2019 Feb 26. Epub 2019 Feb 26.

Department of General Surgery, Cleveland Clinic, Desk A-100, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.

Background: Post-surgical gastroparesis (psGP) is putatively related to vagal denervation from either therapeutic transection or inadvertent injury. Here, we present a series of patients undergoing endoscopic per-oral pyloromyotomy (POP) as a treatment for medically refractory psGP.

Methods: Patients identified from a prospectively maintained database of patients undergoing POP procedures at our institution from January 2016 to January 2018 were included. Read More

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http://dx.doi.org/10.1007/s11605-018-04088-7DOI Listing
February 2019
2 Reads

Routine Upper Gastrointestinal Fluoroscopy Before Laparoscopic Sleeve Gastrectomy: Is It Necessary?

Obes Surg 2019 Feb 22. Epub 2019 Feb 22.

Department of Radiology, Hadassah-Hebrew University Medical Center, Mount Scopus, Jerusalem, Israel.

Background: Controversy exists regarding the clinical utility of routine preoperative upper gastrointestinal (GI) fluoroscopy in morbid obese patients undergoing laparoscopic sleeve gastrectomy (LSG). The aim of our study was to determine the efficacy of these studies in detecting hiatal hernias (HH).

Methods: The institution's prospectively maintained, IRB-approved database was retrospectively queried to identify all consecutive patients who underwent LSG between 2011 and 2017. Read More

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http://link.springer.com/10.1007/s11695-019-03777-9
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http://dx.doi.org/10.1007/s11695-019-03777-9DOI Listing
February 2019
5 Reads

Intraluminal mesh erosion after prosthetic hiatoplasty: incidence, management, and outcomes.

Dis Esophagus 2019 Feb 22. Epub 2019 Feb 22.

Department of Surgery Hospital Clínico San Carlos, Madrid, Spain.

The purpose of the present study was to analyze the incidence, presentation, and treatment of mesh erosion into the esophagus or stomach after mesh hiatoplasty for primary or recurrent hiatal hernia. The study is a single-institution, retrospective cohort study. From November 2005 to December 2016, 122 patients consecutively underwent mesh hiatoplasty in our department, 91 during a primary surgery and 31 for a surgical revision. Read More

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http://dx.doi.org/10.1093/dote/doy131DOI Listing
February 2019
3 Reads

What is the impact of metabolic syndrome and its components on reflux esophagitis? A cross-sectional study.

BMC Gastroenterol 2019 Feb 19;19(1):33. Epub 2019 Feb 19.

Department of Family Medicine, Changhua Christian Hospital, No. 135, St. Nan-Xiao, Changhua City, 500, Taiwan.

Background: The prevalence rate of reflux esophagitis (RE) in Asia, including Taiwan, has increased dramatically in recent years. However, few studies have discussed on its relationship with metabolic syndrome (MetS). This study aimed to evaluate the correlation between RE and MetS and its components. Read More

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http://dx.doi.org/10.1186/s12876-019-0950-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381695PMC
February 2019
4 Reads
2.365 Impact Factor

Internal hernia to the retrosternal space is a rare complication after minimally invasive esophagectomy: three case reports.

Surg Case Rep 2019 Feb 18;5(1):26. Epub 2019 Feb 18.

Division of Esophageal Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.

Background: Minimally invasive esophagectomy is considered a beneficial approach to esophageal cancer, although a hiatal hernia occurs more frequently in this approach than in open esophagectomy with reconstruction via the mediastinal route. Development of an internal hernia to the retrosternal space is not a recognized complication of reconstruction via the retrosternal route after esophagectomy. We herein report three cases of the development of an internal hernia to the retrosternal space after minimally invasive esophagectomy. Read More

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http://dx.doi.org/10.1186/s40792-019-0578-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379493PMC
February 2019
4 Reads

[Gastric Neuroendocrine Carcinoma(NEC)Treated with CDDP plus CPT-11 Chemotherapy].

Gan To Kagaku Ryoho 2019 Jan;46(1):65-69

Dept. of Digestive Surgery, Saku Central Hospital Advanced Care Center.

A 69-year-old man with chronic gastritis, reflux esophagitis, esophageal hiatal hernia, and history of appendicitis surgery complained of difficulty swallowing. Upper gastrointestinal endoscopy revealed a 10 cm sized Type 3 gastric cancer. Immunostaining was positive for chromogranin A(2+), synaptophysin(3+), CD56(-), and Ki-67>70%. Read More

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January 2019
11 Reads

[Impact of hiatal hernia on the postoperative outcome after esophagectomy].

Chirurg 2019 Mar;90(Suppl 2):29

Klinik für Allgemein-, Viszeral- und Tumorchirurgie, Universitätsklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland.

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http://dx.doi.org/10.1007/s00104-019-0824-5DOI Listing

Transnasal stent-assisted targeting technique for percutaneous jejunostomy placement in patients with hiatal hernias.

Abdom Radiol (NY) 2019 Feb 12. Epub 2019 Feb 12.

Division of Interventional Radiology, Department of Radiology, University of California Los Angeles, 757 Westwood Plaza, Los Angeles, CA, 90095, USA.

Purpose: To report the transnasal stent-assisted targeting technique for percutaneous jejunostomy placement in patients with hiatal hernias.

Materials And Methods: Four patients, including three (75%) females and one (25%) male, with mean age of 77.5 years (range 73-78 years), and with a hiatal hernia and intrathoracic stomach precluding gastrostomy placement and loop snare placement into the mid-jejunum underwent the transnasal stent-assisted targeting technique for percutaneous jejunostomy placement. Read More

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http://link.springer.com/10.1007/s00261-019-01905-8
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http://dx.doi.org/10.1007/s00261-019-01905-8DOI Listing
February 2019
9 Reads

Redo Surgery after Failure of Antireflux Surgery.

Am Surg 2018 Nov;84(11):1819-1824

Surgery for refractory gastroesophageal reflux disease (GERD) has a satisfactory outcome for most patients; however, sometimes redo surgery is required. The Outcome and morbidity of a redo are suggested to be less successful than those of primary surgery. The aim of this study was to describe our experience, long-term results, and complications in redo surgery. Read More

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November 2018
2 Reads

Comparative Analysis of Laparoscopic Fundoplication and Magnetic Sphincter Augmentation for the Treatment of Medically Refractory GERD.

Am Surg 2018 Nov;84(11):1762-1767

We have recently introduced laparoscopic magnetic sphincter augmentation (MSA) combined with hiatal hernia repair for treatment of patients with medically refractory gastroesophageal reflux disease (GERD). MSA is a novel surgical approach to the treatment of severe GERD, in which magnetic beads are secured around the lower esophageal sphincter, augmenting the lower esophageal sphincter function as an anti-reflux barrier. We hypothesize that patients undergoing MSA will achieve GERD relief, equal to that obtained after laparoscopic Nissen fundoplication. Read More

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November 2018
7 Reads

First Experience with Banded Anti-reflux Mucosectomy (ARMS) for GERD: Feasibility, Safety, and Technique (with Video).

J Gastrointest Surg 2019 Feb 7. Epub 2019 Feb 7.

Department of Surgery, NorthShore University HealthSystem, Evanston, IL, USA.

Background: Anti-reflux mucosectomy (ARMS) is a relatively new endoscopic procedure for gastroesophageal reflux disease (GERD). A hemi-circumferential endoscopic mucosal resection (EMR) is performed around the gastroesophageal junction (GEJ), which then contracts and tightens during healing. The aim of this study was to assess the feasibility and safety of the procedure. Read More

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http://dx.doi.org/10.1007/s11605-019-04115-1DOI Listing
February 2019
2 Reads

Simultaneous Large Paraesophageal Hernia Repair and Laparoscopic Roux-en-Y Gastric Bypass: a Single Institution's Experience.

Obes Surg 2019 Apr;29(4):1410-1415

Department of Gastro-Intestinal Surgery, Elisabeth-TweeSteden Hospital, Dr. Deelenlaan 5, 5042 AD, Tilburg, the Netherlands.

This study reviews a single institution's experience with simultaneous (redo) laparoscopic Roux-en-Y gastric bypass (LRYGB) and primary large paraesophageal hernia (PEH) repair. A retrospective review was done of all 13 patients who underwent simultaneous LRYGB and large PEH repair between February 2014 and December 2017 at our institution. All patients had a large type III or IV PEH. Read More

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http://dx.doi.org/10.1007/s11695-019-03715-9DOI Listing
April 2019
4 Reads

Modern achievements in the diagnosis and treatment of the refractory gastroesophageal reflux disease.

Ter Arkh 2018 Aug;90(8):4-12

I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia.

Purpose of the review to present up-to-date data on the causes, methods of diagnosis and treatment of the refractory form of gastroesophageal reflux disease (GERD). Refractory GERD is the preservation of typical symptoms of the disease and/or incomplete healing of the esophageal mucosa against the background of taking a standard dose of proton pump inhibitors (PPI) once a day for 8 weeks. The reasons for the lack of response to the treatment are divided into related to the patient, related to therapy, and not related to GERD. Read More

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http://ter-arkhiv.ru/en/archive/2018/vol-90-8-2018/modern-ac
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http://dx.doi.org/10.26442/terarkh20189084-12DOI Listing
August 2018
9 Reads

Increasing rate of para-oesophageal hiatus hernia surgical repair within Australia.

ANZ J Surg 2019 Apr 30;89(4):372-376. Epub 2019 Jan 30.

Department of Surgery, Shoalhaven District Memorial Hospital, Nowra, New South Wales, Australia.

Background: Symptomatic para-oesophageal hiatus (PEH) hernias are treated by surgical intervention, and are associated with older age (>50 years) and higher body mass index (>25 kg/m ). Both risk factors are increasing within the Australian population. Given these trends, this study aimed to determine if the rate of PEH repair is increasing within Australia. Read More

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http://dx.doi.org/10.1111/ans.15038DOI Listing
April 2019
3 Reads

Short-term results after laparoscopic repair of giant hiatal hernias with pledgeted sutures: a retrospective analysis.

Hernia 2019 Apr 25;23(2):397-401. Epub 2019 Jan 25.

Department of Surgery, Paracelsus Medical University, Müllner Hauptstraße 48, 5020, Salzburg, Austria.

Purpose: This study investigates if pledgeted sutures for hiatal closure could be an alternative to mesh for the surgical treatment of large hiatal hernia.

Methods: Forty-one patients who underwent laparoscopic 270° Toupet fundoplication with pledgeted sutured crura between September 2014 and April 2017 were evaluated with regard to recurrence of hiatal hernia at 3 months and 1 year after surgery. Indication for pledgets was a hiatal surface area of at least 5. Read More

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http://link.springer.com/10.1007/s10029-019-01890-3
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http://dx.doi.org/10.1007/s10029-019-01890-3DOI Listing
April 2019
3 Reads

An Operable, Portable, and Disposable Ultrathin Endoscope for Evaluation of the Upper Gastrointestinal Tract.

Dig Dis Sci 2019 Jan 25. Epub 2019 Jan 25.

Catholic Photomedicine Research Institute, Seoul St. Mary's Hospital, The Catholic University of Korea, 505, Banpo-dong, Seocho-gu, Seoul, 137-070, Korea.

Background And Aims: A prototype of a disposable endoscope (DE) with easy viewing of the esophagus has been developed. The aim of this study was to develop a new version of DE with improved functionality and to assess the feasibility of DE as a screening tool for upper gastrointestinal diseases compared with conventional endoscopes.

Methods: Diagnostic accuracy and maneuverability of DE were evaluated by comparing endoscopy using DE with conventional endoscopy. Read More

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http://dx.doi.org/10.1007/s10620-019-5478-0DOI Listing
January 2019
9 Reads

Mid-term safety profile evaluation of Bio-A absorbable synthetic mesh as cruroplasty reinforcement.

Surg Endosc 2019 Jan 23. Epub 2019 Jan 23.

Division of General Surgery and Bariatric Centre of Excellence, Department of Medical-Surgical Sciences and Biotechnologies, University of Rome "La Sapienza", Rome, Italy.

Purpose: The aim of the present paper is to report the results of a single institution series of hiatal hernia repair (HHR) with augmented mesh hiatoplasty focusing on safety and efficacy profile of Bio-A absorbable synthetic mesh.

Materials And Methods: A retrospective evaluation of prospectively maintained database showed 120 consecutive patients submitted to HHR reinforced with bio-absorbable synthetic mesh. The study populations included two groups: (A) 92 obese patients-reinforced hiatoplasty concurrent with bariatric procedure; (B) 28 non-obese patients-reinforced hiatoplasty concurrent with antireflux surgery. Read More

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http://dx.doi.org/10.1007/s00464-019-06676-3DOI Listing
January 2019
6 Reads

pH Scores in Hiatal Repair with Transoral Incisionless Fundoplication.

JSLS 2019 Jan-Mar;23(1)

Department of Surgery, San Angelo Community Medical Center, San Angelo, TX 76904, USA.

Background And Objectives: Transoral incisionless fundoplication is an alternative to traditional laparoscopic fundoplications. Recently, hiatal hernia repair combined with transoral incisionless fundoplication has become an accepted modification of the original procedure; however, outcomes information, particularly objective pH monitoring, has been sparse. We retrospectively review the subjective and objective outcomes of transoral incisionless fundoplication combined with hiatal hernia repair. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333564/
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http://dx.doi.org/10.4293/JSLS.2018.00087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333564PMC
March 2019
9 Reads

Laparoscopic Revision of Failed Bariatric Procedures.

JSLS 2019 Jan-Mar;23(1)

Chicago Institute of Minimally Invasive Surgery, Skokie, Illinois, USA.

Background: The main indications for revision of bariatric surgery are inadequate weight loss, weight regain, or complications. The objective of revision is to restore the restrictive component and/or add a malabsorptive component.

Objectives: To evaluate the effectiveness of revisional laparoscopic bariatric surgery for loss of weight and assess the risks and benefits associated with these technically demanding procedures. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328359/
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http://dx.doi.org/10.4293/JSLS.2018.00074DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328359PMC
March 2019
33 Reads

Assessment of surgical performance of laparoscopic benign hiatal surgery: a systematic review.

Surg Endosc 2019 Jan 22. Epub 2019 Jan 22.

Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, QC, Canada.

Background: Operative skills correlate with patient outcomes, yet at the completion of training or after learning a new procedure, these skills are rarely formally evaluated. There is interest in the use of summative video assessment of laparoscopic benign foregut and hiatal surgery (LFS). If this is to be used to determine competency, it must meet the robust criteria established for high-stakes assessments. Read More

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http://dx.doi.org/10.1007/s00464-019-06662-9DOI Listing
January 2019
2 Reads

Correlation of Barrett's esophagus with colorectal polyps in Japanese patients: A retrospective chart review.

J Gastroenterol Hepatol 2019 Jan 22. Epub 2019 Jan 22.

Departments of Internal Medicine and Clinical Research Center, Saga Medical School, Saga, Japan.

Background And Aim: Barrett's esophagus and colorectal polyps have several overlapping risk factors. Whereas several reports in Western countries have indicated a close relationship between Barrett's esophagus and colorectal polyps, the relationship between these two diseases remains unclear in Japan. This study was performed to determine whether the prevalence of Barrett's esophagus is related to that of colorectal polyps in Japanese patients. Read More

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http://dx.doi.org/10.1111/jgh.14610DOI Listing
January 2019
6 Reads

Laparoscopic repair of type III/IV giant para-oesophageal herniae with biological prosthesis: a single centre experience.

Hernia 2019 Apr 19;23(2):387-396. Epub 2019 Jan 19.

Department of Surgery, EKHUFT, Ashford, Kent, UK.

Purpose: Repair of giant paraoesophageal herniae (GPEH) is technically challenging and requires significant experience in advanced foregut surgery. Controversy continues on suture versus mesh cruroplasty with the most recent systematic review and meta-analysis putting the onus on the operating surgeon. Study aim was to review whether the biological prosthesis (non-cross-linked bovine pericardium and porcine dermis) and the technique adopted for patients with GPEH had an influence on clinical and radiological recurrences. Read More

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http://dx.doi.org/10.1007/s10029-019-01888-xDOI Listing
April 2019
4 Reads

Oral neuromuscular training relieves hernia-related dysphagia and GERD symptoms as effectively in obese as in non-obese patients.

Acta Otolaryngol 2018 Nov 10;138(11):1004-1008. Epub 2019 Jan 10.

c Speech and Swallowing Centre, ENT , Hudiksvall Hospital , Hudiksvall , Sweden.

Background: Many physicians insist patients lose weight before their hiatal hernia (HH) condition and related symptoms including intermittent esophageal dysphagia (IED) and gastroesophageal reflux disease (GERD) can be treated, but it is not proven that body mass index (BMI) has an impact on exercise-based treatment of HH-related symptoms.

Aims/objectives: To investigate whether BMI has significance on IQoro® neuromuscular training (IQNT) effectiveness in treating HH-related symptoms.

Material And Methods: Eighty-six patients with sliding HH and enduring IED and GERD symptoms, despite proton pump inhibitor medication, were consecutively referred for 6 months' IQNT comprising 11/2 minutes daily. Read More

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http://dx.doi.org/10.1080/00016489.2018.1503715DOI Listing
November 2018
4 Reads

Cardiogastric Fistula as a Rare Complication After Gastric Banding and Hiatal Hernia Surgery.

Obes Surg 2019 Mar;29(3):1023-1027

General Surgery Department, Endocrine Surgery Division, Clinic and University Hospital Valencia, Av. Blasco Ibañez 17, 46010, Valencia, Spain.

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http://dx.doi.org/10.1007/s11695-018-03682-7DOI Listing
March 2019
1 Read

Predictors of Hiatal Hernia Recurrence After Laparoscopic Anti-reflux Surgery with Hiatal Hernia Repair: a Prospective Database Analysis.

J Gastrointest Surg 2019 Apr 7;23(4):696-701. Epub 2019 Jan 7.

Center for Advanced Surgical Technology, University of Nebraska Medical Center, 986246 Nebraska Medical Center, Omaha, NE, 68198-6246, USA.

Background: The aim of this study is to identify factors that can predict hiatal hernia recurrence (HHR) in patients after anti-reflux surgery with hiatal hernia (HH) repair.

Methods: A single-institution, prospectively collected database was reviewed (January 2002-October 2015) with inclusion criteria of GERD and laparoscopic anti-reflux (AR) surgery with HH repair. Demographics, esophageal symptom scores, and pre- and post-upper gastrointestinal imaging (UGI) were collected. Read More

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http://dx.doi.org/10.1007/s11605-018-04073-0DOI Listing
April 2019
4 Reads

An Unusual Cause of a Solitary Giant Gastric Ulcer.

Gastroenterology 2019 03 26;156(4):e10-e11. Epub 2018 Oct 26.

Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh, Pennsylvania; Division of Gastroenterology, American University of Beirut, Beirut, Lebanon.

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http://dx.doi.org/10.1053/j.gastro.2018.10.042DOI Listing

Seeing Double: An Unusual Case of Chronic Recurrent Nausea, Vomiting and Epigastric Pain.

Dig Dis Sci 2019 02;64(2):349-352

Division of Gastroenterology and Hepatology, Department of Medicine, University of New Mexico School of Medicine, 1 University of New Mexico, MSC10-5550, Albuquerque, NM, 87131, USA.

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http://dx.doi.org/10.1007/s10620-018-5445-1DOI Listing
February 2019
2 Reads

Evidence-Based Practice Guideline for Surgical Treatment of Gastroesophageal Reflux Disease 2018.

J Gastric Cancer 2018 Dec 27;18(4):313-327. Epub 2018 Dec 27.

Guideline Committee of Korean Anti-Reflux Surgery (KARS) Study Group.

The prevalence of gastroesophageal reflux disease (GERD) is increasing in Korea, and physicians, including surgeons, have been focusing on its treatment. Indeed, in Korea, medical treatment using a proton pump inhibitor is the mainstream treatment for GERD, while awareness of surgical treatment is limited. Accordingly, to promote the understanding of surgical treatment for GERD, the Korean Anti-Reflux Surgery Study Group published the Evidence-Based Practice Guideline for the Surgical Treatment of GERD. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.5230/jgc.2018.18
Publisher Site
http://dx.doi.org/10.5230/jgc.2018.18.e41DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310769PMC
December 2018
20 Reads

New Ovine Polymer-Reinforced Bioscaffold in Hiatal Hernia Repair.

JSLS 2018 Oct-Dec;22(4)

Department of Surgery, Oklahoma State University, Comanche County Memorial Hospital, Lawton, Oklahoma, USA.

Background And Objectives: Biologic and resorbable synthetic materials are used commonly for crural repair reinforcement during laparoscopic hiatal herniorrhaphy. Recently, an ovine polymer-reinforced bioscaffold (OPRBS) has been developed for reinforcement of abdominal wall and hiatal herniorrhaphies. This is the first reported series on use of OPRBS in hiatal hernia repairs. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305064/
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http://dx.doi.org/10.4293/JSLS.2018.00057DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305064PMC
February 2019
17 Reads