Search Our Scientific Publications & Authors

J Gastrointest Surg 2019 Jan 7. 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

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

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

AJR Am J Roentgenol 2019 Jan 7;212(1):103-108. 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

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

Lakartidningen 2018 10 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 2019 Jan 4;23(1):36-42. 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

BMJ Case Rep 2018 Sep 12;2018. Epub 2018 Sep 12.

Infectious Diseases, Hospital Universitari Son Espases, Palma de Mallorca, Spain.

Rev Fac Cien Med Univ Nac Cordoba 2018 03 29;75(1):64-65. Epub 2018 Mar 29.

Hospital General Universitario Gregorio Marañón.

87 years old male with a history of hypertension and ischemic cardiopathy. He arrives to the Emergency department with sudden intense epigastralgia, precordial oppression with irradiation to the interscapular area, profuse sweating, associated sensation of dyspnoea and palpitations. The patient is monitored and a venous peripheral access is placed. Read More

BMJ Case Rep 2018 Aug 9;2018. Epub 2018 Aug 9.

Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida, USA.

Cardiac tamponade is a common complication after cardiac surgery and is usually caused by bleeding or thrombus in the early postoperative period. Postoperative serous tamponade is more rare and usually of gradual onset. We report an unusual and life-threatening case of serous tamponade occurring on postoperative day 1 following a third-time paraesophageal hernia repair. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Jul;21(7):740-743

Department of General Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.

Da Vinci robotic surgical system has brought giant evolution to minimally invasive surgery, and also improved the development of hernia surgery. Recently, Da Vinci robotic surgical system has been successfully applied to the repair of incisional hernia, inguinal hernia, and esophageal hiatal hernia. In the area of incisional herniorrhaphy, endowrist with 7 degrees of freedom, high definition and naked eye 3D imaging system can make Da Vinci robotic surgical system easy to complete the subtle suture in the anterior abdominal wall from the abdominal cavity. Read More

Gastrointest Endosc 2018 11 19;88(5):830-840.e3. Epub 2018 Jul 19.

Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA; Department of Pathology, Massachusetts General Hospital, Boston, Massachusetts, USA; Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA; Harvard-MIT Division of Health Sciences Technology, Cambridge, Massachusetts, USA.

Background And Aims: Patients with many different digestive diseases undergo repeated EGDs throughout their lives. Tethered capsule endomicroscopy (TCE) is a less-invasive method for obtaining high-resolution images of the GI mucosa for diagnosis and treatment planning of GI tract diseases. In this article, we present our results from a single-center study aimed at testing the safety and feasibility of TCE for imaging the esophagus, stomach, and duodenum. Read More

Case Rep Surg 2018 8;2018:9069430. Epub 2018 May 8.

Department of Vascular, Plastic and General Surgery, Markusovszky University Teaching Hospital, Szombathely, Hungary.

Objectives: Nonreinforced tensile repair of giant hiatal hernias is susceptible to recurrence, and the role of mesh graft implantation remains controversial. Creating a new and viable choice without the use of high-cost biological allografts is desirable. This study presents the application of dermis graft reinforcement, a cost-efficient, easily adaptable alternative, in graft reinforcement of giant hiatal hernia repairs. Read More

Int J Cardiol 2018 Oct 9;268:241-244. Epub 2018 May 9.

Division of General Surgery, University of Milan, Department of Biomedical Sciences for Health, IRCCS Policlinico San Donato, Italy. Electronic address:

Background: Large hiatus hernia (LHH) is often associated with post-prandial dyspnea, palpitations or chest discomfort, but its effect on cardiac volumes and performance is still debated.

Methods And Results: Before and 3-months after laparoscopic repair, 35 patients underwent cardiovascular magnetic resonance (CMR) in the fasting state and after a standardized meal. Preoperatively, LHH size increased significantly after meal (p < 0. Read More

Echocardiography 2018 05;35(5):592-602

Department of Cardiology, Concord Hospital, The University of Sydney, Sydney, NSW, Australia.

Introduction: Large hiatal hernia (HH) is often associated with left atrial (LA) compression, anteroposterior cardiac compression (manifesting as reduced right ventricular outflow tract (RVOT) diameter), and left ventricular (LV) compression (manifesting as systolic paradoxical outward motion (LV-PM) of the posterobasal LV segment). Exercise impairment, also common in this population, improves following HH surgery. We aimed to identify echocardiographic parameters independently associated with exercise impairment due to HH-mediated cardiogenic compression. Read More

BMJ Case Rep 2018 May 12;2018. Epub 2018 May 12.

Division of Cardiology, Department of Pediatrics, University of Miami Miller School of Medicine, Miami, Florida, USA.

Unilateral lung agenesis is a relatively rare congenital anomaly with a reported incidence of 1 in 15 000 births. It is frequently associated with other congenital malformations. Some of the sequelae of lung agenesis are potentially life-threatening. Read More

Surg Laparosc Endosc Percutan Tech 2018 Jun;28(3):178-182

Department of Surgery, Division of Thoracic Surgery.

Endoluminal functional lumen imaging probe (EndoFLIP) can provide real time information about characteristics of the gastroesophageal junction. We performed retrospective analysis of prospectively collected data on use of EndoFLIP during minimally invasive hiatal hernia repair to tailor the size of the crural closure and size of the fundoplication. We then determined whether it provides good reflux control without significant dysphagia. Read More

Case Rep Surg 2018 31;2018:1259561. Epub 2018 Jan 31.

Department of General Surgery, Suleyman Demirel University Medical School, Isparta, Turkey.

Background: The anatomical variability of bile ducts can leave surgeons in very difficult conditions.Ultrasonography, computed tomography, magnetic resonance imaging (MRCP) and endoscopic imaging methods are used in diagnosis. In addition to conservative approaches, endoscopic procedures and laparoscopic or open surgical interventions may be necessary for treatment. Read More

Am J Med Sci 2018 Apr 6;355(4):e13. Epub 2018 Jan 6.

Divisions of Pulmonary, Critical Care and Sleep Medicine, University of Texas Health, McGovern Medical School, Houston, Texas.

Respirology 2018 10 11;23(10):921-926. Epub 2018 Apr 11.

Department of Medicine, University of British Columbia, Vancouver, BC, Canada.

Background And Objective: It is unknown whether oesophageal disease is associated with systemic sclerosis-associated interstitial lung disease (SSc-ILD) severity, progression or mortality.

Methods: High-resolution computed tomography (HRCT) scans from 145 SSc-ILD patients were scored for fibrosis score, oesophageal diameter and presence of hiatal hernia. Fibrosis asymmetry was calculated as: (most affected side - least affected side)/(most affected side + least affected side). Read More

Surg Obes Relat Dis 2018 06 8;14(6):764-768. Epub 2018 Mar 8.

Clinic for Visceral Surgery and Medicine, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland.

Background: Roux-en-Y gastric bypass (RYGB) is considered the gold standard in treatment of morbid obesity and gastroesophageal reflux disease (GERD). Resolution of GERD symptoms is reported to be approximately 85% to 90%.

Objective: To evaluate patients with persistent GERD symptoms after RYGB and to identify contributing factors. Read More

J Comput Assist Tomogr 2018 Sep/Oct;42(5):767-770

Department of Pathology, Shizuoka Medical Center, Shizuoka Prefecture, Japan.

Perforation of a peptic ulcer into the ventricle is uncommon, and the definitive diagnosis is difficult in living patients. We herein report a case of perforation of a peptic ulcer in a hiatal hernia into the left ventricle with systemic air and food embolism. This is the first case report of the perforation diagnosed by computed tomography and confirmed by autopsy. Read More

J Neurogastroenterol Motil 2018 Apr;24(2):255-267

GIOME, Department of Surgery, Chinese University of Hong Kong and Prince of Wales Hospital, Hong Kong.

Background/aims: Efficient transport through the esophago-gastric junction (EGJ) requires synchronized circular and longitudinal muscle contraction of the esophagus including relaxation of the lower esophageal sphincter (LES). However, there is a scarcity of technology for measuring esophagus movements in the longitudinal (axial) direction. The aim of this study is to develop new analytical tools for dynamic evaluation of the length change and axial movement of the human LES based on the functional luminal imaging probe (FLIP) technology and to present normal signatures for the selected parameters. Read More

JSLS 2018 Jan-Mar;22(1)

Department of Surgery, Methodist Dallas Medical Center, Dallas, Texas, USA.

Background And Objectives: Laparoscopic paraesophageal hernia repair (LPEHR) is the new standard, but the use of mesh is still debated. Biologic mesh has shown great promise, but only the U-shaped onlay has been extensively studied. Postoperative dysphagia has historically been a concern with the use of synthetic keyhole mesh and subsequently slowed its adoption. Read More

Surg Obes Relat Dis 2018 05 12;14(5):693-699. Epub 2018 Jan 12.

Department of Surgery, St. Claraspital AG, Basel, Switzerland.

Background: Despite the increasing use of bariatric surgery as the most effective treatment of morbid obesity, there is still no consensus on its preoperative diagnostic workup. The aim of this study was to identify the pathologies of the endoscopic and radiologic investigations before performing bariatric surgery and to evaluate their impact on the patient management.

Methods: Retrospective analysis of prospectively collected data of 1225 consecutive patients who underwent laparoscopic Roux-en-Y gastric bypass (n = 834) or sleeve gastrectomy (n = 391) at our institution. Read More

PLoS One 2018 15;13(2):e0192951. Epub 2018 Feb 15.

Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Hyogo, Japan.

Background: The association of alcohol intake with the incidence of Barrett's esophagus (BE) has been inconsistent. Although hiatal hernia and male sex are well-known risk factors of BE, its effect on the association of alcohol intake with the incidence of BE remains unknown.

Aim: To investigate whether the influence of alcohol intake on the occurrence of BE might differ depending on male sex and presence of hiatal hernia. Read More

Medicine (Baltimore) 2017 Dec;96(50):e9043

Pancreas Center, First Affiliated Hospital.

Rationale: Black pleural effusion (BPE) is an extremely uncommon type of pleural fluid, which can be due to infection, primary or metastatic malignancy, and hemorrhage. As reported in previous studies, BPE is also observed in some patients with pancreatic pseudocyst.

Patient Concerns: We herein reported a case of a 14-year-old female patient who was admitted to our center with a history of cough for 1 and a half months and right chest pain for 1 month. Read More

BMJ Case Rep 2018 Jan 26;2018. Epub 2018 Jan 26.

Acute Medicine Department, Doncaster Royal Infirmary, Doncaster, South Yorkshire, UK.

Surg Endosc 2018 Jul 16;32(7):3374-3379. Epub 2018 Jan 16.

Hoag Memorial Hospital Presbyterian, Newport Beach, CA, USA.

Background: We have previously reported short-term outcomes after hiatal hernia repair (HHR) at the time of magnetic sphincter augmentation (MSA) for gastroesophageal reflux disease (GERD). Here we report intermediate-term outcomes and hernia recurrence rate after concomitant MSA and HHR.

Methods: This is a retrospective cohort study of patients who underwent repair of a hiatal hernia 3 cm or larger at the time of MSA implantation between May 2009 and December 2015. Read More

Mayo Clin Proc 2018 02 16;93(2):247-251. Epub 2017 Dec 16.

Advisor to residents and Consultant in Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN. Electronic address:

BMJ Case Rep 2017 Dec 15;2017. Epub 2017 Dec 15.

Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA.

A previously healthy 55-year-old woman presented with worsening dyspnoea on exertion. The patient lived at altitude, did not smoke and had no exposure to occupational or environmental toxins. Her physical examination, including pulmonary, was unremarkable. Read More

Turk Kardiyol Dern Ars 2017 12;45(8):768

Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center Training and Research Hospital, Istanbul, Turkey.

Am J Case Rep 2017 Nov 29;18:1261-1265. Epub 2017 Nov 29.

Assia Medical Group, Tel Aviv, Israel.

BACKGROUND A Bochdalek hernia (BH) is a rare congenital condition consisting of a posterolateral defect in the diaphragm. A para-esophageal hernia (PEH) is a rare variant of hiatus hernia. BH and PEH may present with gastric volvulus or incarceration, requiring emergency treatment. Read More

Int J Surg Case Rep 2017 13;41:366-369. Epub 2017 Nov 13.

1 Hurley Plaza, 7 B Trauma services Flint, Michigan, 48503, USA. Electronic address:

Introduction: Gastric volvulus (GV) is a rare and life threatening condition if not treated promptly or wrongly diagnosed. The main complication of gastric volvulus is foregut obstruction. The extreme rotation can cut off blood supply to the stomach and even distal organs, which can lead to ischemia and necrosis of the affected area. Read More

Thorac Surg Clin 2018 Feb 18;28(1):1-7. Epub 2017 Oct 18.

Division of Thoracic Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address:

Thoracic surgeons are sometimes asked to consult on the management of a patient who is pregnant. Conditions commonly encountered are empyema, spontaneous pneumothorax, and diaphragmatic hernia. Lung cancer is rarely seen in pregnancy, but its incidence is rising. Read More

Zhonghua Yi Xue Za Zhi 2017 Nov;97(42):3306-3311

Department of Gastroesophageal Reflux Disease, Rocket Force General Hospital PLA, Beijing 100088, China.

To analyze esophageal motility dysfunction in gastroesophageal reflux disease (GERD) with different severity of esophagitis, and the relationship between the esophageal motility dysfunction and the severity of esophagitis. GERD patients simultaneously undergone endoscopy and high-resolution manometry were divided into four groups: Non-esophagitis (Non-erosive gastroesophageal reflux disease, NERD) group, mild esophagitis group, moderate esophagitis group and severe esophagitis group. The gender and age were matched for each group, and every group consisted of 80 cases. Read More

Vet Surg 2018 Feb 2;47(2):243-251. Epub 2017 Nov 2.

Department of Clinical Sciences, FARAH, Faculty of Veterinary Medicine, University of Liege, Quartier Vallée 2, Avenue de Cureghem 3 - B44, Liege, Belgium.

Objective: To determine the influence of manipulations aimed at increasing the transdiaphragmatic pressure gradient on the gastro-esophageal junction (GEJ) of dogs with brachycephalic airway obstructive syndrome (BAOS), and to identify the manipulation that most improves the detection of GEJ abnormalities and sliding hiatal hernia (SHH) in dogs with BAOS.

Study Design: In vivo experimental pilot study and prospective clinical study.

Animals: Five purpose-bred Beagles and 20 dogs diagnosed with BAOS. Read More

Vet Surg 2017 Nov;46(8):1098-1109

Population Health and Reproduction, School of Veterinary Medicine, University of California-Davis, Davis, California.

Objective: To evaluate response to surgical management of sliding hiatal hernia (SHH) and gastroesophageal reflux (GER) in dogs using standardized clinical scoring, videofluoroscopic swallow studies, and impedance planimetry.

Study Design: Prospective clinical trial.

Animals: A total of 17 client-owned dogs. Read More

Ann Thorac Surg 2017 Dec 17;104(6):1865-1871. Epub 2017 Oct 17.

Paris Descartes University, Paris, France; Department of Thoracic Surgery, Cochin Hôtel-Dieu Hospital, Assistance Publique-Hopitaux de Paris, Paris, France.

Background: Thoracic endometriosis syndrome refers to a broad spectrum of clinical manifestations related to the presence of ectopic intrathoracic endometrial tissue. Few studies have reported on manifestations other than pneumothorax.

Methods: Clinical, surgical, and pathology records of all consecutive women of reproductive age referred to our institution from September 2001 to August 2016 for clinically suspected thoracic endometriosis syndrome were retrospectively reviewed. Read More

Semin Thorac Cardiovasc Surg 2017 Autumn;29(3):418-425. Epub 2017 May 29.

Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, Texas.

The aim of this study was to assess symptomatic recurrence in patients who underwent a laparoscopic repair of large hiatal hernia without an esophageal lengthening procedure. Patients who underwent a laparoscopic repair of a large hiatal hernia from September 2009 to September 2015 by a single surgeon were identified in the retrospective review. The patients were followed up prospectively by the operating surgeon using a structured questionnaire, administered by telephone, to assess the symptoms. Read More

Nihon Shokakibyo Gakkai Zasshi 2017;114(10):1836-1844

Department of Gastroenterology and Hepatology, Nagasaki University Graduate School of Biomedical Sciences.

An 87-year-old woman with a 4-month history of postprandial gastrointestinal obstruction was admitted to our facility after suddenly vomiting black matter. Computed tomography and esophagogastroduodenoscopy revealed gastric prolapse and prolapse of the duodenum and transverse colon. Morgagni hernia combined with esophageal hiatal hernia was diagnosed. Read More

J Small Anim Pract 2017 Dec 30;58(12):703-708. Epub 2017 Sep 30.

Veterinary Sciences, University of Bristol, School of Veterinary Sciences, Langford, Bristol, BS40 5DU, UK.

Objectives: To report the prevalence of abnormal fluoroscopic findings in brachycephalic dogs that were presented to a referral hospital for obstructive airway syndrome.

Methods: Hospital records between May 2013 and November 2015 identified 36 brachycephalic dogs investigated for obstructive airway disease: 21 French bulldogs, six bulldogs, four Boston terriers, two pugs, two boxers and one shih-tzu. The presence or absence of hiatal hernia, delayed oesophageal transit, gastro-oesophageal reflux and redundant oesophagus were recorded. Read More

Rev Prat 2017 10;67(8):e367-e374

Service d'hépato-gastro-entérologie, hôpital Saint-André, 33075 Bordeaux Cedex, France.

Surg Obes Relat Dis 2017 11 24;13(11):1929-1931. Epub 2017 Aug 24.

Department of Abdominal Surgery, Regional Hospital of Val de Sambre, Verviers, Belgium.

J Thorac Dis 2017 Aug;9(8):E682-E684

Department of Cardiothoracic Surgery, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.

Hiatal hernias are due to defects in the esophageal hiatus in the diaphragm and can be classified into sliding or paraesophageal hernias. A 31-year-old male raised a suspicion of a Bochdalek hernia but at surgery had a large paraesophageal hernia. Bochdalek hernia, a congenital diaphragmatic hernia presents in adulthood asymptomatically or with vague abdominal symptoms. Read More

Echocardiography 2017 Oct 12;34(10):1515-1518. Epub 2017 Sep 12.

Jefferson Radiology Associates, West Jefferson Medical Center, Marrero, LA, USA.

Identification of a hiatal hernia by computed tomography (CT) scanning, and particularly with axial imaging from a coronary artery calcium score exam, is often subjective. There are several CT features that are diagnostic or at least suggestive of a hiatal hernia. As a hiatal hernia may be the etiology of a chest pain syndrome, it is important to be aware of CT findings suggestive of such. Read More

Dis Esophagus 2017 Dec;30(12):1-6

Departments of Gastroenterology and Hepatology.

The classic manometric findings in systemic sclerosis are aperistalsis of the esophageal body with hypotensive lower esophageal sphincter. These changes contribute to gastroesophageal reflux disease in these patients. With widespread use of high-resolution esophageal manometry, diverse abnormalities are seen. Read More

BMC Res Notes 2017 Sep 6;10(1):450. Epub 2017 Sep 6.

Indiana University School of Medicine, Indianapolis, IN, USA.

Background: Pancreatic tissue found in the mediastinum (both true ectopic and herniated pancreas) is rare. It becomes even more challenging when there are complications associated with this entity.

Case Presentation: We report an unusual case of pancreatic herniation into the mediastinum in a 90-year-old Caucasian female. Read More

Curr Gastroenterol Rep 2017 Aug 24;19(10):51. Epub 2017 Aug 24.

The Oregon Clinic, 4805 NE Glisan St, Suite 6N60, Portland, OR, 97213, USA.

Purpose Of Review: We aim to review the endoscopic evaluation of post-fundoplication anatomy and its role in assessment of fundoplication outcomes and in pre-operative planning for reoperation in failed procedures.

Recent Findings: There is no universally accepted system for evaluating post-fundoplication anatomy endoscopically. However, multiple reports described the usefulness of post-operative endoscopy as a quality control measure and in the evaluation of complex cases such as repeat procedures and paraesophageal hernias (PEH). Read More