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Int J Surg Case Rep 2022 Jun 20;96:107328. Epub 2022 Jun 20.

Department of General Surgery, Jendouba Hospital, Tunisia; Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.

Introduction And Importance: Hiatal hernia (HH) contents commonly include stomach, transverse colon, small intestine, and spleen but herniation of the pancreas is an extremely rare phenomenon, even rarer when HH is associated with acute pancreatitis.

Case Presentation: A 56-year-old female with hypertension and gastroesophageal reflux disease presented with abdominal pain, vomiting and chest discomfort evolving for 24 h. Physical examination revealed left-upper quadrant tenderness without guarding. Read More

Surg Endosc 2022 Jun 22. Epub 2022 Jun 22.

Esophagogastric Surgery Unit, Haut Lévêque Hospital, CHU Bordeaux, Bordeaux, France.

Background: Dyspnoea in patients with a para-oesophageal hernia (PEH) occurs in 7% to 32% of cases and is very disabling, especially in elderly patients, and its origin is not well defined. The present study aims to assess the impact of PEH repair on dyspnoea and respiratory function.

Methods: From January 2019 to May 2021, all consecutive patients scheduled for PEH repair presenting with a modified Medical Research Council (mMRC) score ≥ 2 for dyspnoea were included. Read More

Arq Bras Cir Dig 2022 17;35:e1657. Epub 2022 Jun 17.

Department of Surgery, Hospital "Dr. José J Aguirre", Faculty of Medicine, University of Chile, Santos Dumont 999, Santiago, Chile.

Aim: Laparoscopic Roux-en-Y gastric bypass (LGB) is the recommended procedure for morbidly obese patients with gastroesophageal reflux disease (GERD). However, there have been reported gastroesophageal reflux symptoms or esophagitis after LGB. Few functional esophageal studies have been reported to date. Read More

Cureus 2022 May 17;14(5):e25069. Epub 2022 May 17.

Internal Medicine, Conemaugh Memorial Medical Center, Johnstown, USA.

Numerous diseases related to gastric distension have been found and shown to be linked with noninvasive positive pressure ventilation (NIPPV). We describe the case of a 93-year-old female who came with progressively worsening shortness of breath that initially responded to NIPPV but subsequently deteriorated. Imaging revealed gaseous distension of a preexisting hiatal hernia with air-fluid levels and compressive effects on the left lower lobe of the lung. Read More

Surg Endosc 2022 Jun 17. Epub 2022 Jun 17.

Division of Bariatric and Foregut Surgery, Department of General Surgery, Geisinger Surgery Institute, Geisinger Medical Center, 100 N Academy Ave, Danville, PA, USA.

Background: Laparoscopic paraesophageal hernia repair (PEHr) is a safe and effective procedure for relieving foregut symptoms associated with paraesophageal hernias (PEH). Nonetheless, it is estimated that about 30-50% of patients will have symptomatic recurrence requiring additional surgical intervention. Revision surgery is technically demanding and may be associated with a higher rate of morbidity and poor patient-reported outcomes. Read More

Endosc Ultrasound 2022 Jun 8. Epub 2022 Jun 8.

Department of Gastroenterology and Hepatology, The First Medical Center, Chinese PLA General Hospital, Beijing, China.

Background And Objectives: Endoscopic therapy is an option for the treatment of refractory gastroesophageal reflux disease (GERD). We aimed to evaluate the efficacy and safety of transoral incisionless fundoplication with the Medigus ultrasonic surgical endostapler (MUSE™) for refractory GERD.

Materials And Methods: Patients with 2 years of documented GERD symptoms and at least 6 months of proton-pump inhibitors (PPIs) therapy were enrolled in four medical centers from March 2017 to March 2019. Read More

Obes Surg 2022 Jun 15. Epub 2022 Jun 15.

Min-Sheng General Hospital, Taoyuan City, Taiwan.

Purpose: One anastomosis/mini gastric bypass (OAGB/MGB) is up to date the third most performed obesity and metabolic procedure worldwide, which recently has been endorsed by ASMBS. The main criticisms are the risk of bile reflux, esophageal cancer, and malnutrition. Although IFSO has recognized this procedure, guidance is needed regarding selection criteria. Read More

J Am Coll Surg 2022 Jul 11;235(1):86-98. Epub 2022 Apr 11.

From the McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX (Hoffman, Buddha, Mai, Sanjeevi, Gutierrez, O'Neill, Banki).

Background: Laparoscopic hiatal hernia repair is commonly performed with a 1 to 2 night hospitalization. Our aim was to compare the feasibility and short-term outcomes of same-day surgery (SDS) laparoscopic hiatal hernia repair with an opioid-based anesthesia protocol (OBAP) vs an opioid-free anesthesia protocol (OFAP).

Study Design: Outcomes and pharmacy costs of repairs with OBAP were compared with OFAP. Read More

Eur J Surg Oncol 2022 Jun 4. Epub 2022 Jun 4.

Department of Surgery, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, UK; Leicester Cancer Research Centre, University of Leicester, UK. Electronic address:

Aim: To report the endoscopic findings for a cohort of patients referred for discussion at a specialist oesophago-gastric multi-disciplinary team (MDT) meeting, on the basis of CT mural thickening.

Patients And Methods: The records of patients discussed at a regional oesophago-gastric MDT during the time 1 April 2014 to 5 February 2016 were reviewed in order to identify patients who were endoscopy naïve at the time of CT and scans re-reviewed to measure maximum wall thickness.

Results: 456 patients were referred for discussion, 126 met the inclusion criteria. Read More

Dis Esophagus 2022 Jun 9. Epub 2022 Jun 9.

Department of Surgery, University of Chile, Hospital "Dr. José J. Aguirre" Faculty of Medicine, Santos Dumont 999, Santiago 3830000, Chile.

Giant paraesophageal hernias (GPHH) occur frequently in the elderly and account for about 5-10% of all hiatal hernias. Up to now controversy persists between expected medical treatment and surgical treatment. To assess if an indication for surgical repair of GPHH is possible in elderly patients. Read More

Am J Med 2022 Jun 6. Epub 2022 Jun 6.

Departments of Medicine (AS, ID) and Imaging (YG), Laniado Hospital, Sanz Medical Centre, Netanya, and the Faculty of Medicine, Hebrew University Hadassah Medical School, Jerusalem (AS), Israel.

J Laparoendosc Adv Surg Tech A 2022 Jun 7. Epub 2022 Jun 7.

Department of General Surgery, Memorial Hospital, Istanbul, Turkey.

The effect of metabolic risk factors on the recurrence rate of hiatal hernia (HH) after the initial repair is still controversial. In this study, we evaluated whether a poor preoperative metabolic profile is a risk factor for the recurrence of a HH after surgery. Perioperative patient data were obtained from hospital records. Read More

J Laparoendosc Adv Surg Tech A 2022 Jun 6. Epub 2022 Jun 6.

Department of Pediatric Surgery and Pediatric Minimally Invasive Surgery and New Technologies, San Bortolo Hospital, Vicenza, Italy.

Gastric volvulus (GV) is a rare and life-threatening condition if not promptly diagnosed and treated. Extreme rotation can cause obstruction cutting off blood supply to stomach and distal organs, leading to ischemia and necrosis. It is a clinically significant cause of acute/recurrent abdominal pain and chronic vomiting in children. Read More

Fam Cancer 2022 Jun 2. Epub 2022 Jun 2.

Colorectal Surgery, Cleveland Clinic, Cleveland, OH, USA.

Lynch syndrome (LS), the most common hereditary cause of colorectal cancer, predisposes to upper gastrointestinal neoplasia. The prevalence of Barrett's esophagus (BE) is elevated in some hereditary gastrointestinal cancer syndromes but has not been systematically evaluated in LS. We assessed the prevalence of BE, BE-related dysplasia, esophageal adenocarcinoma (EAC), and factors associated with BE in LS. Read More

Cureus 2022 Apr 28;14(4):e24564. Epub 2022 Apr 28.

Gastroenterology, HCA Florida Bayonet Point Hospital, Hudson, USA.

Hiatal hernias occur when part of the intra-abdominal contents protrude into the chest cavity. Paraesophageal hernia (PEH) is a type of hiatal hernia that is chronic and usually asymptomatic. Although patients may not present with alarming symptoms, the complications of PEH may be severe if left untreated. Read More

Surg Laparosc Endosc Percutan Tech 2022 Jun 1;32(3):404-408. Epub 2022 Jun 1.

Division of GI, Trauma, and Endocrine Surgery, Department of Surgery.

Introduction: Data is limited on hybrid transoral incisionless fundoplication (TIF) and hiatal hernia repair in giant paraoesophageal hernia (GPEH). We aimed to assess the safety, patient satisfaction, and symptom resolution following a hybrid paraoesophageal hernia (PEH) repair and TIF in patients with GPEH.

Patients And Methods: All single-session hybrid TIF combined with minimally invasive PEH repair performed between February 2020 and June 2021 were evaluated. Read More

Surg Endosc 2022 May 31. Epub 2022 May 31.

University of Texas Southwestern Medical Center, Dallas, TX, USA.

Introduction: Surgical treatment of foregut disease is a complex field that demands advanced expertise to ensure favorable outcomes for patients. To address the growing need for foregut surgeons, leaders within several national societies have become interested in developing a foregut fellowship. The aim of this study was to develop data-driven benchmarks that will aid in defining appropriate accreditation criteria for these fellowships. Read More

Ann Gastroenterol Surg 2022 May 23;6(3):366-374. Epub 2021 Dec 23.

Gastric Surgery Division National Cancer Center Hospital East Kashiwa Japan.

Aim: A hiatal hernia (HH) complicates the diagnosis and surgical treatment of gastroesophageal junction (GEJ) cancer. This study aimed to investigate the effect of HH on the survival outcomes of GEJ cancer patients.

Methods: This single-center study reviewed clinical data of 78 patients with GEJ adenocarcinoma who underwent R0 resection from 2008 to 2017. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2022 May;25(5):440-446

Department of General Surgery, First Medical Center, Chinese PLA General Hospital, Beijing 100853, China.

To explore the feasibility and preliminary technical experience of the double-tract reconstruction combined with π-shaped esophagojejunal anastomosis after total laparoscopic proximal gastrectomy (TLPG) in the treatment of adenocarcinoma of esophagogastric junction (AEG). A descriptive case series study method was used. Clinical data of 12 AEG patients who underwent the double-tract reconstruction combined with π-shaped esophagojejunal anastomosis after TLPG from January 2021 to June 2021 at the Department of General Surgery, First Medical Center, PLA General Hospital were retrospectively analyzed. Read More

J Robot Surg 2022 May 22. Epub 2022 May 22.

St. Luke's University Health Network, 801, Ostrum Street, Bethlehem, PA, 18015, USA.

Gastroesophageal reflux disease (GERD) results in a total healthcare cost of 12.3 billion dollars to the United States annually. GERD is often seen with hiatal hernias. Read More

Surgery 2022 May 18. Epub 2022 May 18.

Cardiovascular Outcomes Research Laboratories, Department of Surgery, University of California, Los Angeles, CA. Electronic address:

Background: Hiatal hernia repair is commonly performed by both general and thoracic surgeons. The present study examined differences in approach, setting, and outcomes by specialty for hiatal hernia repair.

Methods: Adults undergoing hiatal hernia repair were identified in the 2012-2019 American College of Surgeons National Surgical Quality Improvement Program. Read More

Clin Case Rep 2022 May 12;10(5):e05832. Epub 2022 May 12.

Department of Surgery National Hospital Organization Nagasaki Medical Center Omura Japan.

We describe a case of pancreatic tumor associated with a giant type IV hiatal hernia that had prolapsed into the posterior mediastinum. Hiatal hernia repair should be performed first because it enables laparoscopic distal pancreatectomy to be performed in the normal anatomical position. Read More

Int J Surg 2022 06 16;102:106659. Epub 2022 May 16.

Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsmedizin der Johannes-Gutenberg-Universität Mainz, Germany.

Hepatol Res 2022 May 18. Epub 2022 May 18.

Department of Medicine, Division of Gastroenterology, Kurume University School of Medicine, Kurume, Japan.

Aim: Reflux esophagitis is associated with metabolic dysfunction. Recently, fatty liver has been redefined as metabolic dysfunction-associated fatty liver disease (MAFLD). We investigated the impact of MAFLD and its subtypes on the incidence of reflux esophagitis. Read More

Langenbecks Arch Surg 2022 May 18. Epub 2022 May 18.

Department of Biomedical Science for Health, Division of General Surgery, University of Milan, Istituto Clinico Sant'Ambrogio, Via Luigi Giuseppe Faravelli, 16, 20149, Milan, Italy.

Background: Different methods have been described for laparoscopic hiatoplasty and hiatus hernia (HH) repair. All techniques are not standardized and the choice to reinforce or not the hiatus with a mesh is left to the operating surgeon's preference. Hiatal surface area (HSA) has been described as an attempt at standardization; in case the area is > 4 cm, a mesh is used to reinforce the repair. Read More

Surg Laparosc Endosc Percutan Tech 2022 Apr 19. Epub 2022 Apr 19.

Türkçapar Bariatrics, Obesity Center.

Aim: The aim of this study is to reveal incidence of gastroesophageal reflux disease (GERD) after laparoscopic sleeve gastrectomy (LSG) and to determine the effect of LSG with hiatal hernia repair on GERD.

Methods: A total of 440 patients, 395 of them underwent primary LSG (group A) and 45 of them underwent LSG with concomitant hiatal hernia repair (group B) between March 2018 and September 2020 were included in the study. Presence of hiatal hernia was evaluated with endoscopy and confirmed intraoperatively. Read More

Pol J Radiol 2022 5;87:e207-e214. Epub 2022 Apr 5.

Department of Cardiology, Pamukkale University, Denizli, Turkey.

Purpose: To evaluate the prevalence and significance of incidental non-cardiac findings (NCFs) on cardiac magnetic resonance imaging (MRI). We also aimed to assess the unreported rate and clinical significance of NCFs in official radiological reports.

Material And Methods: Consecutive cardiac MRI examinations of 400 patients were retrospectively analysed and MR images reviewed by 2 observers blinded to official radiology reports. Read More

Hernia 2022 May 16. Epub 2022 May 16.

Department of Biomedical Science for Health, Division of General Surgery, University of Milan, Istitituto Clinico Sant'Ambrogio, Milan, Italy.

Background: Paraesophageal hiatal hernia (PEH) is characterized by protrusion of intra-abdominal organs into the posterior mediastinum. Respiratory symptoms and reduced pulmonary function have been described as possibly related to lung compression.

Objective: To assess the effect of laparoscopic Toupet fundoplication (LTF) for PEH repair on pulmonary function, measured with pulmonary function tests (PFTs), and respiratory symptoms. Read More

J Am Anim Hosp Assoc 2022 May;58(3):141-145

From the Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy.

A 2 mo old domestic shorthair kitten was presented for acute respiratory distress and severe ambulatory difficulties. Thoracic radiography revealed hyperinflation of the left cranial lung lobe and a mass with soft-tissue/gas opacity in the caudal mediastinum, leading to the suspicion of congenital lung lobe emphysema and hiatal hernia. Decreased bone radiopacity and suspected pathological fractures were also present. Read More

Endoscopy 2022 May 13. Epub 2022 May 13.

Center for Gastroenterology, Teine-Keijinkai Hospital, Sapporo, Hokkaido, Japan.