8,393 results match your criteria Hiatal Hernia
Obes Surg 2018 Dec 7. Epub 2018 Dec 7.
Division of Foregut, Bariatric and Advanced GI Surgery, Department of Surgery, Stony Brook University Medical Center, Stony Brook, NY, 11794, USA.
Obesity is associated with the development of gastroesophageal reflux disease (GERD) and hiatal hernia (HH). This study aimed to assess practice patterns regarding concomitant HH repair (HHR) during laparoscopic sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). The incidence of concomitant HHR with LSG or LRYGB was analyzed using the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database. Read More
Khirurgiia (Mosk) 2018 (10):18-22
South Regional Medicak Center of Federal Medical-Biological Agency of Russia, Rostov Clinical Hospital, Rostov-on-Don, Russia.
Aim: To assess an effectiveness of FAST TRACK rehabilitation in patients after laparoscopic repair of hiatal hernia.
Material And Methods: There were 87 patients with hiatal hernia who underwent laparoscopic Nissen-Rossetti procedure with wrapping only anterior wall of the stomach. FAST TRACK approach was applied in 49 patients, standard protocol - in 38 cases. Read More
Transl Gastroenterol Hepatol 2018 16;3:77. Epub 2018 Oct 16.
Department of Biomedical Sciences for Health, Division of General Surgery, IRCCS Policlinico San Donato, University of Milan, Italy.
Minimally invasive esophagectomy has become the preferred approach for invasive Barrett's adenocarcinoma because it can speed recovery and enhance patient's quality of life. Multiple minimally invasive surgical techniques have been described during the last two decades. Preoperative staging, anatomy and physiological patient's status, comorbidity, and experience of the surgical team should drive the choice of the surgical approach. Read More
Anticancer Res 2018 Dec;38(12):6919-6925
Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Background/aim: Trans-hiatal and -cervical approach mediastinoscopic radical esophagectomy (TMrE) for esophageal cancers is a less-invasive procedure and does not require for trans-thoracic approach management. However, some patients suffer from pleural effusion after TMrE. In the present study, we investigated the clinicopathological factors of patients needing drainage of pleural effusion (DPE) after TMrE. Read More
Surg Technol Int 2018 Nov 30;34. Epub 2018 Nov 30.
University of Arizona Medical Center, Tucson, AZ.
Purpose: Nissen fundoplication is associated with poor long-term durability, as well as dysphasia and gas bloat. We report here the long-term results of modified Belsey fundoplication (Gastroesophageal Valvuloplasty; GEV) performed laparoscopically using a surgical robot.
Methods: Patients who underwent robotic GEV were reviewed retrospectively. Read More
Intern Emerg Med 2018 Nov 29. Epub 2018 Nov 29.
Digestive Endoscopy Unit, Humanitas Research Hospital, Milan, Italy.
Modern medicine provides almost infinite diagnostic and therapeutic possibilities if compared to the past. As a result, patients undergo a multiplication of tests and therapies, which in turn may trigger further tests, often based on physicians' attitudes or beliefs, which are not always evidence-based. The Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) adhered to the Choosing Wisely Campaign to promote an informed, evidence-based approach to gastroenterological problems. Read More
Digestion 2018 Nov 27:1-6. Epub 2018 Nov 27.
Division of Gastroenterological Surgery, Tokai University, Oiso, Japan.
Background: The incidence of esophageal adenocarcinoma in Europe and the United States rapidly increased from the latter half of the 1970s and exceeded that of esophageal squamous cell carcinoma in the latter half of the 1990s, currently accounting for approximately 60% of all esophageal carcinomas. Recently, its incidence has also increased in Japan, raising concerns that it will follow a course similar to that in Europe and the United States.
Summary: The incidence of esophageal adenocarcinoma in Japan was about 2% until the 1990s, but in recent years, it has risen to 6. Read More
Surg Endosc 2018 Nov 26. Epub 2018 Nov 26.
Division of General Surgery, University of Kentucky, Lexington, KY, USA.
Background: Laparoscopic hiatal hernia repair via Toupet or Nissen fundoplication remains the most commonly performed procedures for management of large hiatal hernia. Few studies have compared the procedures' long-term effectiveness. This study sought to characterize the efficacy of laparoscopic Toupet versus Nissen fundoplication for types III and IV hiatal hernia. Read More
J Vis Exp 2018 Nov 10(141). Epub 2018 Nov 10.
Institut national de la santé et de la recherche médicale (Inserm) unité mixte de recherche (UMR) 1149, Unité de formation et de recherche (UFR) de Médecine Paris Diderot, Universit é Paris Diderot, Assistance Publique-Hôpitaux de Paris (AP-HP); Department of General and Visceral Surgery, Bichat-Claude Bernard University Hospital.
The goal of this protocol is to set up a preclinical model of bariatric surgery and, more specifically, OAGB in obese rats. Based on this preclinical model, longitudinal studies can be carried out to provide an improved understanding of the mechanisms underlying the outcomes seen after bariatric surgery in humans. For this purpose, rats are operated on through a laparotomy under general anesthesia with isoflurane. Read More
J Am Soc Echocardiogr 2018 Nov 22. Epub 2018 Nov 22.
Department of Cardiology, Concord Repatriation General Hospital, Sydney, Australia. Electronic address:
Background: Patients with large hiatal hernias (HH) frequently experience postprandial dyspnea. The aim of this study was to evaluate whether feeding induced cardiac compression in these patients using echocardiography.
Methods: Transthoracic echocardiography was performed during fasting and 30 min after feeding (300 g rice pudding) in patients with HHs (n = 32; mean age, 72 ± 9 years). Read More
Ultrasound Obstet Gynecol 2018 Nov 21. Epub 2018 Nov 21.
Department of Obstetrics and Gynecology, University Medical Centre Utrecht, the Netherlands.
Objectives: The primary objective of this study was to confirm our previous observation that hiatal dimensions and mean echogenicity of the puborectalis muscle (MEP) were statistically significant different at 12 weeks gestation in women who delivered by a caesarean section (CS) due to failure to progress (FTP), compared to women who delivered vaginally. The secondary objective was to assess the association between the echogenicity of the cervix and the vastus lateralis muscle and mode of delivery.
Methods: In this multicenter study 306 nulliparous women with a singleton pregnancy received ultrasound assessments of the pelvic floor at rest, contraction and on Valsalva maneuver, of the cervix and of the vastus lateralis muscle at 12 weeks' gestation. Read More
Ultrasound Obstet Gynecol 2018 Nov 21. Epub 2018 Nov 21.
Imaging Division, University Medical Center Utrecht, Utrecht, the Netherlands.
Objectives: Measuring the length, width and area of the urogenital hiatus (UH), and the length and mean echo intensity (MEP) of the Puborectalis muscle (PRM) automatically and observer independently in the plane of minimal hiatal dimensions from transperineal ultrasound (TPUS) images by automatic segmentation of the UH and the PRM using deep learning.
Methods: In 1318 3D/4D TPUS volume datasets, images of the plane of minimal hiatal dimensions were manually obtained and the UH and the PRM were manually segmented. Those images were obtained from 253 nulliparae at 12 and 36 weeks pregnancy with the PRM at rest, contraction and Valsalva. Read More
PLoS Med 2018 Nov 20;15(11):e1002686. Epub 2018 Nov 20.
Department of Radiology, Stanford University, Stanford, California, United States of America.
Background: Chest radiograph interpretation is critical for the detection of thoracic diseases, including tuberculosis and lung cancer, which affect millions of people worldwide each year. This time-consuming task typically requires expert radiologists to read the images, leading to fatigue-based diagnostic error and lack of diagnostic expertise in areas of the world where radiologists are not available. Recently, deep learning approaches have been able to achieve expert-level performance in medical image interpretation tasks, powered by large network architectures and fueled by the emergence of large labeled datasets. Read More
Surg Endosc 2018 Nov 19. Epub 2018 Nov 19.
Upper Gastrointestinal Surgery, Department of Molecular Medicine and Surgery, Karolinska Institutet, Karolinska University Hospital, Norra Stationsgatan 67, Solna (L1:00), 171 76, Stockholm, Sweden.
Background: Individuals with Barrett's esophagus (BE) are at increased risk of high-grade dysplasia (HGD) and esophageal adenocarcinoma (EAC), but the cost-effectiveness of general surveillance of BE is low. This study aimed to identify a risk prediction model for tumor progression in individuals with BE based on age, sex, and risk factors found at upper endoscopy, enabling tailored surveillance.
Methods: This nested case-control study originated from a cohort of 8171 adults diagnosed with BE in 2006-2013 in the Swedish Patient Registry. Read More
Am Surg 2018 Jul;84(7):e251-e253
Eur Radiol 2018 Nov 12. Epub 2018 Nov 12.
Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Purpose: To evaluate the diagnostic performance of swallowing MRI of the gastroesophageal junction (GEJ) in the postoperative care of patients after laparoscopic antireflux surgery (LARS) MATERIAL AND METHODS: In this institutional review board-approved prospective study, 79 symptomatic patients (mean age, 52.3 years; range, 26-80 years) were evaluated after laparoscopic Nissen fundoplication. MRI findings were correlated with revision surgery, endoscopy, and high-resolution manometry (HRM) as standard of reference. Read More
Surg Endosc 2018 Nov 7. Epub 2018 Nov 7.
Department of Oesophago-Gastric Surgery, Royal Infirmary Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh, EH16 4SA, UK.
Introduction: There are limited data regarding long-term outcomes after surgical repair of giant paraoesophageal hiatus hernia (GPHH). The aim of this study was to assess symptomatic recurrence and patient-reported outcomes following GPHH repair.
Methods: 178 patients undergoing elective (127) and emergency (51) GPHH repair between 1994 and 2015 were identified from the prospectively collected Lothian Surgical Audit database. Read More
Dysphagia 2018 Nov 7. Epub 2018 Nov 7.
Department of Otolaryngology-Head & Neck Surgery, Center for Voice and Swallowing, University of California, Davis, 2521 Stockton Blvd., Suite 7200, Sacramento, CA, 95817, USA.
Although the precise etiology of cricopharyngeus muscle (CPM) dysfunction (CPMD) is uncertain, many have hypothesized that a hypertrophied CPM may develop as a protective compensation against gastroesophageal reflux disease (GERD). The purpose of this investigation was to evaluate the association between CPMD and the presence of hiatal hernia (HH) in an attempt to elucidate the potential etiology of CPMD. The charts of individuals who underwent video fluoroscopic esophagrams between 01/01/14 and 10/30/16 were reviewed from an electronic database. Read More
AJR Am J Roentgenol 2018 Nov 7:1-6. Epub 2018 Nov 7.
1 Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110.
Objective: The objective of this study was to identify CT findings and determine interobserver reliability of surgically proven gastric volvulus.
Materials And Methods: This single-center retrospective study included 30 patients (21 women, nine men; mean age, 73 years old) with surgically proven gastric volvulus who underwent preoperative CT and 31 age- and sex-matched control subjects (21 women, nine men; mean age, 74 years old) with large hiatal hernias who were imaged for reasons other than abdominal pain. Two blinded radiologists reviewed the CT images and recorded findings of organoaxial and mesenteroaxial gastric volvulus and ischemia. Read More
Obes Surg 2018 Nov 6. Epub 2018 Nov 6.
Department of Visceral, Transplant and Thoracic Surgery, Center of Operative Medicine Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Background: Approximately 14% of Austria's 8.5 million inhabitants have a body mass index (BMI) > 30 kg/m. The laparoscopic adjustable gastric banding (LAGB) was introduced in Austria in 1994, where about 10. Read More
Surg Endosc 2018 Nov 1. Epub 2018 Nov 1.
Division of Upper GI and General Surgery, Department of Surgery, Keck School of Medicine of University Of Southern California, 1510 San Pablo St. Suite 510, Los Angeles, CA, 90033, USA.
Background: Recurrent or persistent symptoms of reflux, dysphagia, or device erosion can lead to removal of the magnetic sphincter augmentation (MSA aka Linx) device. Device removal has been previously reported, and outcomes of various surgical management strategies at the time of removal have not been well described.
Methods: This is a retrospective review of patients undergoing MSA removal from March 2009 to September 2017 in a single institution. Read More
J Natl Med Assoc 2018 Oct 23. Epub 2018 Oct 23.
Division of Gastroenterology, University of Florida/Jacksonville, Jacksonville, FL, USA; Division of Gastroenterology and Hepatology, Augusta University-Medical College of Georgia, Augusta, GA. Electronic address:
Background And Study Aims: Barrett's Esophagus (BE) is a well-recognized pre-malignant condition. Previous data indicate histologically confirmed BE frequency varies by ethnicity in the United States. However, clinical factor assessment to explain this has only occurred in a veteran population to date. Read More
Surg Endosc 2018 Oct 25. Epub 2018 Oct 25.
Division of GI/Minimally Invasive Surgery, Department of Surgery, Loyola University Chicago Stritch School of Medicine, 2160 South First Avenue, Maywood, IL, 60153, USA.
Background: Thoracic and foregut operations can cause vagal nerve injury resulting in delayed gastric emptying or gastroparesis. However, the cause of gastroparesis in these patients is not always from a vagal injury. We hypothesize that vagal nerve integrity (VNI) testing may better define who has vagal nerve dysfunction. Read More
Ultrasound Obstet Gynecol 2018 Oct 24. Epub 2018 Oct 24.
Department of Obstetrics and Gynecology, Sant'Orsola Malpighi University Hospital, University of Bologna, Bologna, Italy.
Objectives: to assess the effect of levator ani muscle (LAM) co-activation in nulliparous women at term on labor outcomes.
Methods: We prospectively recruited 284 low-risk nulliparous at term before the onset of labor. Each woman underwent a transperineal ultrasound measuring the anteroposterior diameter of the levator hiatus. Read More
Surg Endosc 2018 Oct 22. Epub 2018 Oct 22.
Department of Surgery, Meander Medical Center, P.O. box 1502, 3800 BM, Amersfoort, The Netherlands.
Introduction: Published data regarding robot-assisted hiatal hernia repair are mainly limited to small cohorts. This study aimed to provide information on the morbidity and mortality of robot-assisted complex hiatal hernia repair and redo anti-reflux surgery in a high-volume center.
Materials And Methods: All patients that underwent robot-assisted hiatal hernia repair, redo hiatal hernia repair, and anti-reflux surgery between 2011 and 2017 at the Meander Medical Centre, Amersfoort, the Netherlands were evaluated. Read More
Clin Gastroenterol Hepatol 2018 Oct 17. Epub 2018 Oct 17.
Division of Gastroenterology,Washington University School of Medicine, Saint Louis, Missouri. Electronic address:
Background & Aims: Dysphagia is a consequence of antireflux surgery (ARS) for gastroesophageal reflux disease (GERD). We studied patient management and symptomatic outcomes.
Methods: We performed a retrospective study of 157 consecutive adult patients with GERD (mean age, 65. Read More
Surg Endosc 2018 Oct 19. Epub 2018 Oct 19.
Department of Surgery C, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Background: Failure or complications following laparoscopic adjustable gastric banding (LAGB) may necessitate band removal and conversional surgery. Band position and band-induced chronic vomiting create ideal conditions for de novo hiatal hernia (HH) formation. HH presence impedes and complicates conversional surgery by obscuring crucial anatomical landmarks and hindering precise gastric sleeve or pouch formation. Read More
Emerg Med J 2018 Nov;35(11):691
Emergency Department, Department of Emergency and Critical Care Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Clinical Introduction: A 69-year-old woman presented to the ED with a chief complaint of recurrent vomiting for 3 weeks. She was afebrile, blood pressure was 100/67 mm Hg, HR was 114/min, RR was 19/min and oxygen saturation was 98%. On physical examination, she had mild epigastric tenderness without guarding. Read More
Esophagus 2018 Oct 16. Epub 2018 Oct 16.
Department of Gastroenterology, Graduate School of Medicine, Osaka City University, 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585, Japan.
Background: Although both eosinophilic esophagitis (EoE) and Barrett's esophagus (BE) are considered to be associated with T helper (Th) 2-mediated immune responses, the association between EoE and BE is unclear. We investigated the clinical relationship between EoE and BE.
Methods: We conducted a single-center retrospective observational study. Read More
Tech Coloproctol 2018 Oct;22(10):825
Department of General Surgery, Policlinico Tor Vergata di Roma UOC B, University of Rome Tor Vergata, Viale Oxford 81, 00133, Rome, Italy.
Unfortunately, the 2nd affiliation of Shalaby has been missed out in the original publication. Read More
Dig Surg 2018 Oct 10:1-8. Epub 2018 Oct 10.
Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Background: Achalasia patients occasionally coexist with esophageal hiatal hernias. The purpose of this study was to clarify the incidence and clinical features of achalasia cases concomitant with hiatal hernia, and to investigate whether our surgical technique was appropriate.
Methods: Consecutive achalasia patients who underwent laparoscopic Heller myotomy with Dor fundoplication (LHD) were extracted from the prospectively compiled surgical database, and the perioperative outcomes and the presence rate of hiatal hernia were obtained. Read More
Endosc Int Open 2018 Oct 8;6(10):E1171-E1176. Epub 2018 Oct 8.
General Surgery Department, Rashid Hospital, DHA, Dubai, United Arab Emirates.
The routine use of preoperative endoscopy for patients undergoing bariatric surgery is controversial. Although many surgeons find it unnecessary, others still consider it a mandatory tool in preoperative assessment. We reviewed the medical records of all patients who had undergone preoperative endoscopy before bariatric surgery in Rashid Hospital between January 2013 and June 2016. Read More
Lakartidningen 2018 Oct 8;115. Epub 2018 Oct 8.
Ersta sjukhus - kirurgiska kliniken Stockholm, Sweden Ersta hospital - Dep of surgery Stockholm, Sweden.
A hiatal hernia is a partial or total dislocation of the stomach, sometimes together with other intraabdominal organs, through the diaphragmatic esophageal hiatus into the thoracic cavity. The condition is common and often asymptomatic. Old age and obesity are risk factors for developing hiatal hernia. Read More
J Gastrointest Surg 2018 Oct 4. Epub 2018 Oct 4.
Center for Advanced Surgical Technology, University of Nebraska Medical Center, 986246 Nebraska Medical Center, Omaha, NE, 68198-6246, USA.
Background: Gastroesophageal reflux disease (GERD) and esophageal dysmotility are often disqualifying criteria for fundoplication due to dysphagia complications. A tailored partial fundoplication may improve GERD in patients with severe esophageal motility disorders. We evaluate this approach on GERD improvement in non-achalasia esophageal dysmotility patients. Read More
Insights Imaging 2018 Oct 1;9(5):687-694. Epub 2018 Oct 1.
Unit of Radiology, Research Hospital Policlinico San Donato, via Morandi 30, San Donato Milanese, 20097, Milan, Italy.
Objectives: To assess the computed tomography coronary angiography (CTCA) accuracy for demonstrating possible non-cardiovascular causes of non-acute retrosternal chest pain in patients without known coronary artery disease (CAD) and to correlate CTCA results with the patient management and relief from pain.
Methods: This prospective observational study was approved by the ethical committee. Consecutive patients suffering non-acute chest pain who underwent CTCA and with not known CAD were enrolled and classified as having coronary diseases (CD) or extracardiac diseases (ECD). Read More
Am J Obstet Gynecol 2018 Sep 28. Epub 2018 Sep 28.
Department of Obstetrics and Gynecology, Division of Urogynecology, Erasmus Medical Center, Rotterdam, The Netherlands.
Background: Pelvic organ prolapse is a common health problem in women and has a negative influence on quality of life. A major cause of pelvic organ prolapse is levator injury.
Objective: The objective of the study was to evaluate the association of mediolateral episiotomy with levator injury (levator avulsion, ballooning, or combined) and urogynecological complaints. Read More
Thorac Surg Clin 2018 Nov;28(4):533-539
Esophageal Surgery, Division of Thoracic Surgery, Brigham & Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address:
The ideal operative solution to giant paraesophageal hernias involves a complex evaluation of the functional anatomy and the intraoperative assessment of both esophageal length and crural closure tension. The addition of surgical adjuncts such as extended transmediastinal dissection, Collis gastroplasty, and mesh reinforcement are all necessary, on an individualized basis, to address these 2 primary causes of hernia recurrence. We discuss the options available. Read More
Ultrasound Obstet Gynecol 2018 Sep 23. Epub 2018 Sep 23.
Sydney Medical School Nepean, University of Sydney, Nepean Hospital, Penrith, NSW, Australia.
Objectives: Ethnic differences have been suggested as a significant factor for pelvic organ prolapse; yet, the pelvic organ descent in various ethnic groups was not well studied, especially in Asian population. We aimed to compare prolapse stages, pelvic organ descent and hiatal dimensions of East Asian and Caucasian women presenting with symptoms of pelvic organ prolapse.
Methods: A prospective observation study was conducted in women who presented to tertiary urogynecology clinics with symptoms of pelvic organ prolapse in Hong Kong and Sydney. Read More
Obes Surg 2018 Sep 21. Epub 2018 Sep 21.
Department of Upper Gastrointestinal & Bariatric Surgery, Division of Surgery, Singapore General Hospital, Academia, 20 College Road, Singapore, 169856, Singapore.
Background: Laparoscopic sleeve gastrectomy (LSG) has become the preferred bariatric procedure in many countries. However, there is one shortcoming of LSG in the long-term follow-up and this is the onset of GERD and erosive esophagitis (EE). Current evidence of the effect of SG on GERD did not consolidate to a consensus. Read More
United European Gastroenterol J 2018 Aug 20;6(7):981-989. Epub 2018 Apr 20.
Department of Surgery, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Background: Hiatal hernia is diagnosed by barium-swallow esophagogram or esophagogastroduodenoscopy, with possible suboptimal results. High-resolution manometry clearly identifies crural diaphragm and lower esophageal sphincter.
Objectives: To assess the diagnostic accuracy of high-resolution manometry in detecting hiatal hernia compared to esophagogram and esophagogastroduodenoscopy, using as reference the surgical in vivo measurement. Read More
Esophagus 2018 10 27;15(4):217-223. Epub 2018 Apr 27.
Department of Surgery, The Jikei University School of Medicine, 3-25-8, Nishishimbashi, Minato-ku, Tokyo, 105-8461, Japan.
Background: Surgical results of GERD have mainly been reported from the Western countries, with a few reports found in Japan. We examined the surgical results of laparoscopic Toupet fundoplication and clarify the characteristics of recurrent cases.
Methods: The subjects included 375 patients who underwent laparoscopic Toupet fundoplication from June 1997 to December 2016 as the initial surgery. Read More
Multidiscip Respir Med 2018 10;13:25. Epub 2018 Sep 10.
1Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, Modena, Italy.
Background: Hemoptysis is a frequent sign of respiratory and non-respiratory diseases. While in most cases the underlying cause is rapidly identified, sometimes the real etiology might be misdiagnosed with dramatic delay in treatment.
Case Presentation: A 46-year-old man with hiatal hernia and a history of aortic surgery for aortic coarctation presented with dramatic episodes of hemoptysis and subsequent severe anemia (6,9 g/dl). Read More
Clin Gastroenterol Hepatol 2018 Sep 10. Epub 2018 Sep 10.
Center for Esophageal Diseases and Swallowing, Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina; Center for Gastrointestinal Biology and Disease, Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina. Electronic address:
Background & Aims: Few factors have been identified that can be used to predict response of patients with eosinophilic esophagitis (EoE) to topical steroid treatment. We aimed to determine whether baseline clinical, endoscopic, histologic, and molecular features of EoE can be used to predict histologic response.
Methods: We collected data from 97 patients with EoE, from 2009 through 2015, treated with a topical steroid for 8 weeks; 59 patients had a histologic response to treatment. Read More
Endosc Int Open 2018 Sep 11;6(9):E1120-E1125. Epub 2018 Sep 11.
H. H. Chao Comprehensive Digestive Disease Center, University of California Irvine Medical Center, Orange, California, USA.
This preliminary study was conducted to determine the feasibility and safety of endoscopic augmentation of the gastroesophageal junction (GEJ) using the Apollo OverStitch endoscopic suturing system in patients with gastroesophageal reflux disease (GERD) symptoms. Endoscopic augmentation of GEJ was performed on 10 consecutive patients and the data were analyzed retrospectively. Using a double-channel gastroscope affixed to the endoscopic suturing platform, interrupted sutures were placed on the gastric side of the GEJ in 2 layers in order to create a narrowed and elongated GEJ. Read More
Surg Endosc 2018 Sep 12. Epub 2018 Sep 12.
Department of Surgery, Mayo Clinic in Florida, Davis 3 North, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Background: Outcomes are not well studied in patients undergoing remediation for multi-fundoplication failure, that is, two or more prior failed fundoplications. Re-operation must balance reflux control and restoration of the ability to eat with the challenge of reconstructing a distorted hiatus and GE junction. The purpose of this study is to present our experience with surgical remediation for multi-fundoplication failure. Read More
Ultrasound Obstet Gynecol 2018 Sep 11. Epub 2018 Sep 11.
Obstetrics and Gynaecology, Croydon University Hospital, United Kingdom.
Objectives: To estimate the prevalence and explore risk factors of levator ani muscle injury in women with clinically diagnosed obstetric anal sphincter injuries (OASIs). Secondly, we aimed to assess the association between levator injury and pelvic floor muscle contraction, anal incontinence (AI) and urinary incontinence (UI) in women with OASIs.
Methods: Cross-sectional study of 250 women with OASIs, recruited from 2013 until 2015 in a tertiary referral centre at Croydon University Hospital, UK. Read More
Gastroenterology 2018 12 28;155(6):1729-1740.e1. Epub 2018 Aug 28.
Division of Gastroenterology, Hepatology and Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee. Electronic address:
Background & Aims: It is not clear whether we should test for reflux in patients with refractory heartburn or extraesophageal reflux (EER) symptoms, such as cough, hoarseness, or asthma. Guidelines recommend testing patients by pH monitoring when they are on or off acid-suppressive therapies based on pretest probability of reflux, determined by expert consensus. However, it is not clear what constitutes a low or high pretest probability of reflux in these patients. Read More
Surg Today 2018 Aug 25. Epub 2018 Aug 25.
Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, 1-1 Idaigaoka Hasama-machi, Yufu, Oita, 8795593, Japan.
Purposes: The choice between performing routine and selective upper gastrointestinal endoscopy (UGE) before bariatric surgery remains controversial. This study aimed to evaluate the clinical significance of UGE before laparoscopic bariatric procedures.
Methods: We enrolled 155 obese Japanese patients who underwent laparoscopic bariatric procedures at our institute and evaluated their endoscopic findings, such as reflux esophagitis (RE), hiatal hernia (HH), Barrett's esophagus, gastritis, duodenitis, gastroduodenal ulcer, gastric cancer, and polyps. Read More
Surg Case Rep 2018 Aug 29;4(1):103. Epub 2018 Aug 29.
Department of Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
Background: An esophageal neuroendocrine carcinoma arising in Barrett's esophagus is extremely rare. Here, we report a case of an esophageal neuroendocrine carcinoma with a well-differentiated adenocarcinoma component arising in Barrett's esophagus and review the literature.
Case Presentation: A 71-year-old man with no symptoms was admitted to our hospital because of the detection of an esophagogastric junction tumor on regular upper endoscopy screening. Read More
J Int Med Res 2018 Oct 29;46(10):4354-4359. Epub 2018 Aug 29.
Department of Anesthesiology and Pain Medicine, Kyung Hee University, Seoul, South Korea.
A hiatal hernia refers to herniation of the abdominal organs through the esophageal hiatus of the diaphragm. A giant hiatal hernia affects digestive and cardiopulmonary function by compressing the organs. We report a patient who had low-dose combined spinal and epidural anesthesia (CSEA) for safe and effective anesthesia for conservative treatment of a giant hiatal hernia. Read More