8,326 results match your criteria Hiatal Hernia


Necrosis of the Nissen-Sleeve Gastrectomy (N-SG) Wrap.

Obes Surg 2020 Jul 2. Epub 2020 Jul 2.

Whittington Hospital, London, UK.

Background: Sleeve gastrectomy (SG) is the highest performed bariatric procedure in the world. Gastro-oesophageal reflux disease (GERD) is widely debated topics after SG. Nissen-Sleeve gastrectomy (N-SG) technique was reported in 2016 as an alternative solution to this problem. Read More

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http://dx.doi.org/10.1007/s11695-020-04808-6DOI Listing

Robotic-assisted single-incision gastric mobilization for minimally invasive oesophagectomy for oesophageal cancer: preliminary results.

Eur J Cardiothorac Surg 2020 Jul 2. Epub 2020 Jul 2.

Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.

Objectives: With the gradual acceptance of robotic-assisted surgery to treat oesophageal cancer and the application of a single-port approach in several abdominal procedures, we adopted a single-port technique in robotic-assisted minimally invasive oesophagectomy during the abdominal phase for gastric mobilization and abdominal lymph node dissection.

Methods: Robotic-assisted oesophagectomy and mediastinal lymph node dissection in the chest were followed by robotic-assisted gastric mobilization and conduit creation with abdominal lymph node dissection, which were performed via a periumbilicus single incision. The oesophagogastrostomy was accomplished either in the chest (Ivor Lewis procedure) or neck (McKeown procedure) depending on the status of the proximal resection margin. Read More

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http://dx.doi.org/10.1093/ejcts/ezaa212DOI Listing

Type 4 hiatal hernia causing haemodynamic compromise by compression of the left atria.

Eur Heart J Case Rep 2020 Jun 18;4(3):1-2. Epub 2020 May 18.

Department of Cardiology, Joondalup Health Campus, Grand Boulevard and Shenton Avenue, Joondalup, WA 6027, Australia.

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http://dx.doi.org/10.1093/ehjcr/ytaa097DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319837PMC

Prevalence of Upper Gastrointestinal Pathology in Patients with Obesity on Preoperative Endoscopy.

JSLS 2020 Apr-Jun;24(2)

Summa Health, Akron City Hospital, Akron, OH, USA.

Background And Objectives: The preoperative work up for bariatric surgery is variable and not all centers perform a preoperative upper gastrointestinal endoscopy. A study was undertaken to determine the frequency of clinically significant gross endoscopic and pathological diagnoses in a large sample of patients with obesity undergoing work-up for bariatric surgery.

Methods: Routine endoscopy was performed on all preoperative bariatric patients. Read More

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http://dx.doi.org/10.4293/JSLS.2020.00021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316525PMC

Adequacy of EGD Reporting: a Review of 100 Reports from 100 Endoscopists.

J Gastrointest Surg 2020 Jun 30. Epub 2020 Jun 30.

The Oregon Clinic; Thoracic and Foregut Surgery, 4805 NE Glisan StreetSuite 6N60, Portland, OR, 97213, USA.

Introduction: Esophagogastroduodenoscopy (EGD) is commonly performed in patients with gastroesophageal reflux disease (GERD). An EGD report should document pertinent findings such as esophagitis, a columnar-lined esophagus (CLE), the location of the squamo-columnar and gastroesophageal junctions, the size and type of a hiatal hernia and the number and location of any biopsies. The aim of this study was to evaluate how commonly these findings were noted in the EGD reports of patients referred for antireflux surgery. Read More

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http://dx.doi.org/10.1007/s11605-020-04634-2DOI Listing

[The clinical significance of disorders of the motor function of the esophagus, stomach and duodenum].

Ter Arkh 2019 Aug 15;91(8):127-134. Epub 2019 Aug 15.

Yevdokimov Moscow State University of Medicine and Dentistry.

The purpose of the review is to determine the relationship between the clinical symptoms of diseases and disorders of the motor function of the esophagus, stomach and duodenal bulb, to present modern methods of their diagnosis and pathogenetic principles of treatment of diseases. Depending on the pathogenesis, it is possible to distinguish secondary motility disorders resulting from organic lesions, and primary (functional) changes. The emergence of clinical symptoms is associated with impaired motor - evacuation function of the digestive tract, which can be divided into two large groups: changes in the peristaltic activity of the organ wall and the work of the sphincter apparatus. Read More

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http://dx.doi.org/10.26442/00403660.2019.08.000390DOI Listing

Sleeve gastrectomy with concomitant hiatal hernia repair in obese patients: long-term results on gastroesophageal reflux disease.

Surg Obes Relat Dis 2020 May 11. Epub 2020 May 11.

Department of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana," University of Salerno, Salerno, Italy.

Background: Hiatal hernia repair (HHR) during Sleeve Gastrectomy (SG) is recommended when the defect is intraoperatively found; however, the long term effect on gastro-esophageal reflux disease (GERD) remains controversial.

Objectives: This study aimed to report long-term follow-up data, at least after 7 years, of SG with concomitant HHR and the outcome on GERD symptoms.

Setting: Tertiary-care referral hospital. Read More

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http://dx.doi.org/10.1016/j.soard.2020.04.049DOI Listing

Gastroesophageal reflux disease complicating laparoscopic sleeve gastrectomy: current knowledge and surgical therapies.

Surg Obes Relat Dis 2020 May 4. Epub 2020 May 4.

Department of Gastrointestinal Surgery, Laboratory of Bariatric and Metabolic Surgery, West China Hospital, Sichuan University, Chengdu, China; Department of General Surgery, Yaan People's Hospital, Yaan, China. Electronic address:

Background: Laparoscopic sleeve gastrectomy (LSG) is currently the most commonly performed bariatric procedure worldwide. However, the incidence of gastroesophageal reflux disease (GERD) after LSG is high.

Objectives: The aim of this systematic review was to identify the optimal surgical strategy for treating GERD after LSG. Read More

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http://dx.doi.org/10.1016/j.soard.2020.04.025DOI Listing

[Gastroesophageal reflux after laparoscopic hiatal hernia repair in patients with axial hiatal hernia].

Khirurgiia (Mosk) 2020 (6):38-43

Altai State Medical University of the Ministry of Health of Russia, Barnaul, Russia.

Objective: To find out significance of the main locking mechanisms of lower esophageal sphincter in the relapse of GERD in patients with axial hiatal hernia after previous antireflux laparoscopic surgery.

Material And Methods: There were 103 patients with GERD and axial hiatal hernia who underwent original circular laparoscopic esophagofundoplication with correction of hiatal opening dimensions by crural and hiatal repair. Depending on generalized DeMeester index (within the normal range or its excess), all patients were divided into two groups - without relapse (group 1, =88) and with recurrent GERD (group 2, =15). Read More

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http://dx.doi.org/10.17116/hirurgia202006138DOI Listing
January 2020

Sleeve Gastrectomy Combined with Nissen Fundoplication as a Single Surgical Procedure, Is It Really Safe? A Case Report.

Am J Case Rep 2020 Jun 23;21:e923543. Epub 2020 Jun 23.

Department of General Surgery, "M. Rubino" University Hospital Polyclinic of Bari, Bari, Italy.

BACKGROUND Laparoscopic sleeve gastrectomy (LSG) has become the most common surgical procedure performed in bariatric surgery. Large hiatal hernias and Barrett's esophagus are the only contraindications recognized among experts. However, some studies have suggested that LSG may exacerbated gastroesophageal reflux disease (GERD) symptoms or induce postoperative GERD de novo. Read More

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http://dx.doi.org/10.12659/AJCR.923543DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7327731PMC

A Step in the Right Direction: Trends over Time in Bariatric Procedures for Patients with Gastroesophageal Reflux Disease.

Obes Surg 2020 Jun 20. Epub 2020 Jun 20.

Division of Bariatric, Foregut, and Advanced Gastrointestinal Surgery, Department of Surgery, Renaissance School of Medicine, Health Sciences Center T18-040, Stony Brook University, Stony Brook, NY, 11794-8191, USA.

Introduction: While laparoscopic sleeve gastrectomy (LSG) has recently emerged as the predominant surgery type for the national bariatric cohort, the literature suggests that laparoscopic Roux-en-Y gastric bypass (LRYGB) may be more effective in normalizing gastroesophageal physiology for the subset of patients with GERD. This study explored practice patterns over time for patients with GERD or hiatal hernia, a related comorbidity, undergoing bariatric surgery.

Methods: Data for LSG and LRYGB were extracted from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) datasets for 2015-2018. Read More

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http://dx.doi.org/10.1007/s11695-020-04776-xDOI Listing

Abdominal Surgery in Patients with a Ventricular Assist Device: A Single Center Experience in Israel.

Isr Med Assoc J 2020 Jun;22(6):369-373

Surgical Division, Hillel Yaffe Medical Center, Hadera, Israel.

Background: Left ventricular assist devices (LVADs) are used more commonly in patients with advanced-stage heart failure. Some of these patients may require elective or urgent abdominal surgical procedures.

Objectives: To determine the outcomes of the management of LVAD-supported patients who underwent elective and urgent abdominal surgical procedures in our institution. Read More

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Favorable peri-operative outcomes observed in paraesophageal hernia repair with robotic approach.

Surg Endosc 2020 Jun 15. Epub 2020 Jun 15.

Section of Minimally Invasive Surgery, Department of Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8109, St. Louis, MO, 63110, USA.

Background: The robotic surgical approach offers enhanced visualization, dexterity and reach, which may facilitate the more technically demanding portions of paraesophageal hernia (PEH) repair such as hiatal reconstruction and mediastinal dissection. We sought to compare the peri-operative clinical outcomes of the laparoscopic vs. robotic approach to PEH repair. Read More

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http://dx.doi.org/10.1007/s00464-020-07700-7DOI Listing

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

Surg Endosc 2020 Jun 16. 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

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http://dx.doi.org/10.1007/s00464-020-07704-3DOI Listing

Surgical and clinical outcomes comparison of mesh usage in laparoscopic hiatal hernia repair.

Surg Endosc 2020 Jun 16. Epub 2020 Jun 16.

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

Purpose: Use of absorbable mesh in hiatal hernia (HH) repair has been shown to decrease recurrence rates. Our aim was to compare the efficiency of three meshes in relation to the surgical outcomes of patients undergoing HH repair.

Methods: A single-institution retrospective review was done for adult patients who underwent HH repair with mesh between 2004 and 2016. Read More

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http://dx.doi.org/10.1007/s00464-020-07703-4DOI Listing

Mesh-related complications in paraoesophageal repair: a systematic review.

Surg Endosc 2020 Jun 18. Epub 2020 Jun 18.

Calvary Bruce Public Hospital, Bruce, ACT, Australia.

Background: Paraoesophageal hernias (PEH) have a high recurrence rate, prompting surgeons to consider the use of mesh reinforcement of the hiatus. The risks and benefits of mesh augmentation in PEH repair are debated. Mesh-related complications including migration and erosion are considered in this publication. Read More

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http://dx.doi.org/10.1007/s00464-020-07723-0DOI Listing

Pyloroplasty and the risk of Barrett's esophagus in patients with gastroparesis.

Dis Esophagus 2020 Jun 19. Epub 2020 Jun 19.

Center of Excellence for Barrett's Esophagus, Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, OH, USA.

Barrett's esophagus (BE), a consequence of gastroesophageal reflux disease (GERD), is a premalignant condition for esophageal adenocarcinoma. Impaired gastric emptying leads to increased gastric volume and therefore more severe reflux. We seek to investigate the association between gastroparesis and BE and the predictors of BE among patients with gastroparesis. Read More

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http://dx.doi.org/10.1093/dote/doaa049DOI Listing

Intrathoracic Sleeve Migrations After Sleeve Gastrectomy: A Compilation of Case Reports.

J Laparoendosc Adv Surg Tech A 2020 Jun 18. Epub 2020 Jun 18.

Division of Metabolic, Endocrine and Minimally Invasive Surgery, Department of Surgery, Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure in the United States. Postoperative migration of the stomach into the chest is a rare complication of this procedure. In this study, we present a compilation of acute and chronic intrathoracic sleeve migrations (ITSMs) after LSG and present possible underlying mechanisms of this complication, as described in the literature. Read More

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http://dx.doi.org/10.1089/lap.2020.0237DOI Listing

Gastroesophageal Reflux and Laparoscopic Sleeve Gastrectomy: Results of the First International Consensus Conference.

Obes Surg 2020 Jun 12. Epub 2020 Jun 12.

Bariatric Unit, CHU Montpellier, Institut de génomique fonctionnelle, CNRS, INSERM, University of Montpellier, Montpellier, France.

Background: Gastroesophageal reflux disease (GERD) is probably the main drawback of laparoscopic sleeve gastrectomy (LSG). Herein, we critically discuss the issue and report the results of the first international consensus conference held in Montpellier, France, during June 2019.

Methods: Fifty international bariatric experts from 25 countries convened for 2 days for interactive discussions, and to formulate the most relevant questions by electronically submitting 55 preliminary questions to panelists. Read More

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http://dx.doi.org/10.1007/s11695-020-04749-0DOI Listing

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

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http://dx.doi.org/10.4103/njcp.njcp_63_17DOI Listing

Prevalence of reflux esophagitis in obese Japanese undergoing bariatric surgery.

JGH Open 2020 Jun 17;4(3):519-524. Epub 2019 Dec 17.

Department of Surgery Medical Topia Soka Saitama Japan.

Background: Currently, the data on the relationship between obesity and gastroesophageal reflux disease (GERD) in Asian populations are scarce.

Methods: The aim of this study is to investigate the prevalence of reflux esophagitis (RE) among obese Japanese patients in each body mass index (BMI) range group. In addition, we aim to investigate the risk factors for RE in obese Japanese patients. Read More

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http://dx.doi.org/10.1002/jgh3.12293DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273729PMC

Cardiac Tamponade by Tack Fixation of a Hiatal Mesh. Should Tacks Still Be Used in the Diaphragm?

Cureus 2020 Jun 2;12(6):e8416. Epub 2020 Jun 2.

General Medicine, Universidad Anahuac Norte, Mexico City, MEX.

Since the first successful use of mesh in hernia surgery, the development and progress in materials, techniques, and procedures have increased exponentially; consequently, surgeons started to use meshes for hiatal hernia repair to prevent postoperative hernia recurrences and complications. Nonetheless, there are alarming reports in literature concerning cardiac tamponade as an apparently rare complication of hiatal mesh placement, especially when fixation is performed with tacks. A 50-year-old female diagnosed with gastroesophageal reflux disease undergoes an elective laparoscopic Nissen fundoplication and hiatal hernia repair with tack fixation of the mesh; on the fourth postoperative day she was readmitted with cardiac tamponade diagnosed via echocardiography, and CT scan showed proximity of the tacks to the pericardium. Read More

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http://dx.doi.org/10.7759/cureus.8416DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270874PMC

Multisystem Myotilinopathy, including Myopathy and Left Ventricular Noncompaction, due to the Variant c.179C>T.

Case Rep Cardiol 2020 13;2020:5128069. Epub 2020 May 13.

Institute of Human Genetics, Germany.

Left ventricular hypertrabeculation/noncompaction is a myocardial abnormality of unknown etiology/pathogenesis, which is frequently associated with neuromuscular disorders or chromosomal defects. LVHT in association with a mutation has not been reported. The patient is a 72-year-old male with a history of strabismus in childhood, asymptomatic creatine-kinase elevation since age 42 years, slowly progressive lower limb weakness since age 60 years, slowly progressive dysarthria and dysphagia since age 62 years, and recurrent episodes of arthralgias and myalgias since age 71 years. Read More

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http://dx.doi.org/10.1155/2020/5128069DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244945PMC

Cardia Laxity under Retroflexed Endoscopy Is a Reflection of Esophageal Hiatus Enlargement.

Gastroenterol Res Pract 2020 16;2020:9180167. Epub 2020 May 16.

Department of Gastroesophageal Surgery, PLA Rocket Force Characteristic Medical Center, Beijing, China.

Methods: Information from patients who underwent endoscopy and CT scan in our department was collected and analyzed retrospectively. Three-dimensional reconstruction of hiatus from CT images was performed using 3DSlicer software, and the degree of esophageal hiatus enlargement was compared with the degree of gastroesophageal laxity under retroflexed endoscopy.

Results: Information from 104 patients was included for analysis. Read More

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http://dx.doi.org/10.1155/2020/9180167DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246414PMC

[Epiphrenic diverticulum of the lower third of the esophagus after previous antireflux surgery].

Khirurgiia (Mosk) 2020 (5):76-80

Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University), Moscow, Russia.

In this article is described a rare postoperative complication: epiphrenal diverticulum of the esophagus of the lower third of the esophagus in patient after antireflux surgery. Brief description of the main stages of surgical treatment. 96 patients with cardiofundal, subtotal or total hiatal hernias underwent operation. Read More

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http://dx.doi.org/10.17116/hirurgia202005176DOI Listing

The evolution of TIF: transoral incisionless fundoplication.

Authors:
Glenn M Ihde

Therap Adv Gastroenterol 2020 21;13:1756284820924206. Epub 2020 May 21.

Matagorda Regional Medical Center, 600 Hospital Circle, Suite 201, Bay City, TX 77414, USA.

Transoral incisionless fundoplication (TIF) was introduced in 2006 as a concerted effort to produce a natural orifice procedure for reflux. Since that time, the device, as well as the procedure technique, has evolved. Significant research has been published during each stage of the evolution, and this has led to considerable confusion and a co-mingling of outcomes, which obscures the results of the current device and procedure. Read More

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http://dx.doi.org/10.1177/1756284820924206DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243382PMC

Incidence of de Novo Hiatal Hernia after Laparoscopic Sleeve Gastrectomy.

Obes Surg 2020 Jun 3. Epub 2020 Jun 3.

Service of Bariatric and Metabolic Surgery, Indisa Clinic, Avenida Santa María 1810, 7520440, Santiago, Chile.

Purpose: After laparoscopic sleeve gastrectomy (LSG), several studies have reported an increase in the incidence of gastroesophageal reflux (GERD). The etiopathogenesis of GERD post-LSG is multifactorial, and hiatal hernia (HH) is one of them. The primary objective was to measure the incidence of de novo HH post-LSG. Read More

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http://dx.doi.org/10.1007/s11695-020-04742-7DOI Listing

Correction to: Massive Hemothorax Due to Intrathoracic Herniation of the Gastric Remnant After Roux-en-Y Gastric Bypass with Concurrent Hiatal Hernia Repair.

Obes Surg 2020 Jun 3. Epub 2020 Jun 3.

General Surgery Department, Endocrine and Bariatric Surgery Division, Clinic University Hospital of Valencia, University of Valencia, Av. de Blasco Ibáñez, 17, 46010, Valencia, Spain.

The references were incorrectly ordered during production. Read More

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http://dx.doi.org/10.1007/s11695-020-04740-9DOI Listing

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 Jun 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

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http://dx.doi.org/10.1186/s13017-020-00316-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268602PMC

Reoperation after antireflux surgery: a population-based cohort study.

Br J Surg 2020 Jun 2. Epub 2020 Jun 2.

Vascular Surgery, Kolding Hospital, part of Hospital Lillebaelt, Kolding, Denmark.

Background: Antireflux surgery for gastro-oesophageal reflux disease (GORD) and/or hiatal hernia is effective. Between 10 and 20 per cent of patients undergo reoperation for recurrent symptoms. Most studies are undertaken in a single centre and possibly underestimate the rate of reoperation. Read More

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http://dx.doi.org/10.1002/bjs.11672DOI Listing

In the eye of the beholder: surgeon variation in intra-operative perceptions of hiatal hernia and reflux outcomes after sleeve gastrectomy.

Surg Endosc 2020 Jun 1. Epub 2020 Jun 1.

Department of Surgery, University of Michigan, 1500 E Medical Center Drive, SPC 5343, 2210 Taubman Center, Ann Arbor, MI, 48109, USA.

Background: Hiatal hernia repair performed at the time of laparoscopic sleeve gastrectomy (LSG) may reduce post-operative reflux symptoms. It is unclear whether intra-operative diagnosis of hiatal hernia varies among surgeons or if it affects outcomes.

Study Design: Surgeons (n = 38) participating in a statewide bariatric surgery quality improvement collaborative reviewed 33 videos of LSG in which no hiatal hernia repair was performed. Read More

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http://dx.doi.org/10.1007/s00464-020-07668-4DOI Listing

Management of paraesophageal hernia review of clinical studies: timing to surgery, mesh use, fundoplication, gastropexy and other controversies.

Dis Esophagus 2020 Jun 1. Epub 2020 Jun 1.

Division of Thoracic Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Despite paraesophageal hernias (PEH) being a common disorder, several aspects of their management remain elusive. Elective surgery in asymptomatic patients, management of acute presentation, and other technical aspects such as utilization of mesh, fundoplication or gastropexy are some of the debated issues. The aim of this study was to review the available evidence in an attempt to clarify current controversial topics. Read More

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http://dx.doi.org/10.1093/dote/doaa045DOI Listing

Mesh Repair of a Giant Para-Esophageal Hernia + Sleeve Gastrectomy. Combined Treatment of Intra-Thoracic Stomach and Morbid Obesity: a Video Case Presentation.

Obes Surg 2020 Aug;30(8):3255-3257

İstanbul Bariatrics, Obesity and Advanced Laparoscopy Center, Hakkı Yeten Cad, Yeşil Çimen Sok, Polat Tower, Şişli, 34394, İstanbul, Turkey.

Concurrent surgical treatment of an intra-gastric stomach + morbid obesity is demonstrated. Video footage on diagnosis (gastroscopy and upper GI series) and surgical steps, as well as 2-year outcome (upper GI series), is presented. Although controversy exists regarding the best bariatric option when concomitantly repairing a giant para-esophageal hernia, in the light of recent reports and our own experience, sleeve gastrectomy may be the procedure of choice if reflux is no issue. Read More

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http://dx.doi.org/10.1007/s11695-020-04707-wDOI Listing

Predictive value of preoperative DeMeester score on conversion to Roux-en-Y gastric bypass for gastroeosophageal reflux disease after sleeve gastrectomy.

Surg Obes Relat Dis 2020 Apr 19. Epub 2020 Apr 19.

Clinique de Chirurgie Cancérologique Digestive et Endocrinienne, Institut des Maladies de l'Appareil Digestif, Centre Hospitalo-universitaire de Nantes (CHU) Hôtel-Dieu, Nantes, France; L'institut du thorax, INSERM, CNRS, UNIV Nantes, Nantes, France. Electronic address:

Background: Obesity is well known to increase the risk of gastroesophageal reflux disease (GERD). The impact of sleeve gastrectomy (SG) on GERD is still discussed but seems to be associated with the development of de novo GERD or the exacerbation of preexisting GERD.

Objective: The objective of this study was to evaluate the impact of preoperative pH monitoring, using the DeMeester score (DMS), on the risk of conversion to Roux-en-Y gastric bypass (RYGB) after SG. Read More

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http://dx.doi.org/10.1016/j.soard.2020.04.010DOI Listing

Transverse colon perforation in the mediastinum after esophagectomy: a case report.

Surg Case Rep 2020 May 25;6(1):114. Epub 2020 May 25.

Division of Advanced Surgical Science and Technology, Graduate School of Medicine, University of Tohoku, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8574, Japan.

Background: While anastomotic leakage, recurrent laryngeal nerve paralysis, and pneumonia are well-known complications of esophagectomy, the incidence of hiatal hernia after esophagectomy for carcinoma has been reported to only be between 0.6 and 10%. We report a very rare case of hiatal hernia with transverse colon rupture in the mediastinum after esophagectomy in a 65-year-old woman. Read More

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http://dx.doi.org/10.1186/s40792-020-00862-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247284PMC

Transdiaphragmatic herniation after transthoracic esophagectomy: an underestimated problem.

Dis Esophagus 2020 May 22. Epub 2020 May 22.

Department of General, Visceral, Cancer and Transplantation surgery, University of Cologne, Cologne, Germany.

Diaphragmatic transposition of intestinal organs is a major complication after esophagectomy and can be associated with significant morbidity and mortality. This study aims of to analyze a large series of patients with this condition in a single high-volume center for esophageal surgery and to suggest a novel treatment algorithm. Patients who received surgery for postesophagectomy diaphragmatic herniation between October 2003 and December 2017 were included. Read More

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http://dx.doi.org/10.1093/dote/doaa024DOI Listing

Impact of Body Mass Index on Gastrointestinal Disorders: A Cross-sectional Study in a Pakistani Population.

Cureus 2020 Apr 18;12(4):e7722. Epub 2020 Apr 18.

Miscellaneous, Darul Sehat Hospital, Karachi, PAK.

Background:  The prevalence of obesity is on the rise globally. Pakistan ranks ninth out of 188 countries in terms of obesity. Literature regarding any potential role of obesity in gastrointestinal manifestations is limited. Read More

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http://dx.doi.org/10.7759/cureus.7722DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233932PMC

How high is too high? Extensive mediastinal dissection in patients with hiatal hernia repair.

Surg Endosc 2020 May 19. Epub 2020 May 19.

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

Background: Approximately 10% of patients receiving anti-reflux procedures present with shortened esophagus. Collis gastroplasty (CG) is the current gold standard for esophageal lengthening, but mediastinal esophageal mobilization without gastroplasty may be an alternative approach. This study assesses preoperative and intraoperative hernia characteristics and mediastinal dissection impact in patients with large hiatal hernia repair (HHR). Read More

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http://dx.doi.org/10.1007/s00464-020-07647-9DOI Listing

Combined partial posterior fundoplication with laparoscopic sleeve gastrectomy for morbid obese patients with symptomatic GERD. Video case report.

Int J Surg Case Rep 2020 8;71:34-36. Epub 2020 May 8.

Türkçapar Bariatrics, Obesity Center, İstanbul, Turkey.

İNTRODUCTION: Gastroesophageal reflux disease (GERD), which can be seen in up to 30% in postoperative series, is perhaps the most important complication of sleeve gastrectomy(SG). The general trend for patients who are planning to have bariatric surgery and have symptomatic GERD, Roux-en-Y gastric bypass is the most common choice. CASE PRESENTATION AND MANAGEMENT: A 42-year-old female patient with a body mass index of 36 kg/m presented to our clinic with obesity and symptomatic GERD. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235945PMC

Hiatal hernia repair: prevention of mesh erosion and migration into the esophagogastric junction.

Arq Bras Cir Dig 2020 18;33(1):e1489. Epub 2020 May 18.

Hospital Dr. José J. Aguirre, Faculty of Medicine, University of Chile, Santiago, Chile.

Background: Erosion and migration into the esophagogastric lumen after laparoscopic hiatal hernia repair with mesh placement has been published.

Aim: To present surgical maneuvers that seek to diminish the risk of this complication.

Method: We suggest mobilizing the hernia sac from the mediastinum and taking it down to the abdominal position with its blood supply intact in order to rotate it behind and around the abdominal esophagus. Read More

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http://dx.doi.org/10.1590/0102-672020190001e1489DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236328PMC

Massive Hemothorax Due to Intrathoracic Herniation of the Gastric Remnant After Roux-en-Y Gastric Bypass with Concurrent Hiatal Hernia Repair.

Obes Surg 2020 May 16. Epub 2020 May 16.

General Surgery Department, Endocrine and Bariatric Surgery Division, Clinic University Hospital of Valencia, University of Valencia, Av. de Blasco Ibáñez, 17, 46010, Valencia, Spain.

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http://dx.doi.org/10.1007/s11695-020-04679-xDOI Listing

Gastric diverticula as a diagnostic and therapeutic challenge: Case report and review of literature.

Int J Surg Case Rep 2020 11;70:93-95. Epub 2020 May 11.

Department of Digestive Surgery, Farhat Hached Hospital, Faculty of Medicine of Sousse, University of Sousse, 4000, Sousse, Tunisia.

Introduction: Gastric diverticula are a rare condition characterized by a pouch protruding from the gastric wall. It is commonly asymptomatic and managed without surgery. Gastric diverticulotomy is indicated in the case of symptomatic or complicated diverticula. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229412PMC

Cameron Ulcers: Rare Case of Overt Upper Gastrointestinal Bleed in a Patient with Alcohol Use Disorder.

Cureus 2020 Apr 12;12(4):e7644. Epub 2020 Apr 12.

Gastroenterology, BronxCare Health System, Bronx, USA.

Cameron lesion is an uncommon cause of overt upper gastrointestinal bleed (GI bleed). Though hiatal hernia is a well-known entity, Cameron lesions that may occur in them are usually missed during upper endoscopy. Patient with Cameron lesions usually presents as chronic iron deficiency anemia, rarely as acute GI bleed. Read More

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http://dx.doi.org/10.7759/cureus.7644DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217238PMC

Emergency Laparoscopic Repair of an Iatrogenic Gastric Perforation in a Hiatal Hernia following a Failed Endoscopic Closure.

Case Rep Surg 2020 25;2020:5060962. Epub 2020 Mar 25.

Department of Surgery, West Virginia University School of Medicine, One Medical Center Drive, PO Box 9238, Morgantown, WV 26508, USA.

Iatrogenic gastrointestinal perforation is a rare, life-threatening complication of endoscopic procedures, which requires either endoscopic or surgical repair. We report the account of an 82-year-old woman with an iatrogenic gastric perforation of a hiatal hernia secondary to an endoscopic retrograde cholangiopancreatography (ERCP) procedure. Despite immediate recognition of the complication and endoscopic closure with through-the-scope (TTS) clips, the patient developed mediastinitis, peritonitis, and sepsis. Read More

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http://dx.doi.org/10.1155/2020/5060962DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215237PMC

Tissue level implants in healthy versus medically compromised patients. A cohort comparative study.

Minerva Stomatol 2020 May 14. Epub 2020 May 14.

Unit of Stomatology and Oral Surgery, Department of Surgical, Medical, Molecular and Critical Needs Pathologies, University-Hospital of Pisa, University of Pisa, Pisa Italy.

Background: Dental implants placed in medically compromised patients have predictable outcomes and a high rate of survival, compared to those placed in healthy patients. The aims of this study were to observe and compare implant survival/success rates and soft tissue response to tissue-level implants placed in healthy and medically compromised patients with a 1-year follow-up.

Methods: 72 patients, 36 healthy patients (20 Females and 16 Males) and 36 medically compromised patients (18 Females and 18 Males) affected by Cardiovascular Diseases (Arrythmia, Hypertension, Atrial Fibrillation, Bypass and Pacemaker surgery), Depression, Endocrinous metabolic diseases (Hypercholesterolemia, Type II Diabetes, Hashimoto's Thyroiditis), Gastrointestinal diseases (Gastritis, Hiatal Hernia, Gastric Ulcers), Asthma, Osteoporosis or Glaucoma received one tissue-level implant. Read More

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http://dx.doi.org/10.23736/S0026-4970.20.04359-9DOI Listing

Persistent indefinite for dysplasia in Barrett's esophagus is a risk factor for dysplastic progression to low-grade dysplasia.

Dis Esophagus 2020 May 13. Epub 2020 May 13.

Division of Gastroenterology, University of Minnesota, Minneapolis, MN, USA.

Patients with Barrett's esophagus (BE) are at increased risk of esophageal adenocarcinoma (EAC). The risk is largely based on the degree of dysplasia. Dysplasia cannot always be differentiated from inflammatory changes, and therefore may be classified as indefinite for dysplasia (IND). Read More

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http://dx.doi.org/10.1093/dote/doaa015DOI Listing

Magnetic sphincter augmentation versus fundoplication for gastroesophageal reflux disease: pros and cons.

Curr Opin Gastroenterol 2020 Jul;36(4):323-328

The Division of Upper GI and General Surgery at the University of Southern California, Los Angeles, California, USA.

Purpose Of Review: The purpose of this magnetic sphincter augmentation (MSA) year in review article is to provide a clear understanding for the current state of MSA literature in 2019, and contrast MSA outcomes with traditional fundoplication.

Recent Findings: Continued work was performed in 2019 to expand patient populations eligible for MSA including those with hiatal hernia, post-bariatric patients, patients necessitating a thoracic approach, and patients with esophageal intestinal metaplasia. Additionally, a large systematic review reinforced earlier findings comparing laparoscopic fundoplication to MSA. Read More

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http://dx.doi.org/10.1097/MOG.0000000000000643DOI Listing

Vocal fold paralysis due to a hiatal hernia.

Acta Otorrinolaringol Esp 2020 May 7. Epub 2020 May 7.

Otorhinolaryngology Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.

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http://dx.doi.org/10.1016/j.otorri.2019.12.004DOI Listing