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Paraesophageal hernia

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https://www.readbyqxmd.com/read/29306040/here-and-now-clinical-practice-hiatal-and-paraesophageal-hernias
#1
James P Callaway, Michael F Vaezi
No abstract text is available yet for this article.
January 3, 2018: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29237144/robotic-assisted-simultaneous-repair-of-paraesophageal-hernia-and-morgagni-hernia-technical-report
#2
Shawn S Fu, Melissa M Carton, Iman Ghaderi, Carlos A Galvani
Morgagni hernias are a rare form of congenital diaphragmatic hernia, accounting for 2%-3% of cases. The presence of a simultaneous Morgagni hernia and paraesophageal hernia (PEH) is even more rare, with only a few reported cases in the surgical literature. Both open and laparoscopic surgical approaches have been previously described. Herein we discuss a robotic-assisted surgical approach to the repair of simultaneous Morgagni hernia and PEH in a 65-year-old woman. Simultaneous repair of Morgagni hernia and PEH is indicated mainly when symptoms are generally indistinctive...
December 13, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29234939/the-role-of-preoperative-high-resolution-manometry-in-predicting-dysphagia-after-laparoscopic-nissen-fundoplication
#3
Sonam Kapadia, Turner Osler, Allen Lee, Edward Borrazzo
BACKGROUND: Laparoscopic fundoplication is an accepted surgical management of refractory gastro-esophageal reflux disease (GERD). The use of high resolution esophageal manometry (HRM) in preoperative evaluation is often applied to determine the degree of fundoplication to optimize reflux control while minimizing adverse sequela of postoperative dysphagia. OBJECTIVE: Assess the role of preoperative HRM in predicting surgical outcomes, specifically risk assessment of postoperative dysphagia and quality of life, among patients receiving laparoscopic Nissen fundoplication for GERD with immediate postoperative (< 4 weeks clinic), short-term (3-month clinic), and long-term (34 ± 10...
December 12, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29177588/treatment-of-giant-paraesophageal-hernia-pro-laparoscopic-approach
#4
REVIEW
B Dallemagne, G Quero, A Lapergola, L Guerriero, C Fiorillo, S Perretta
PURPOSE: Giant paraesophageal hernias (GPEH) are relatively uncommon and account for less than 5% of all primary hiatal hernias. Giant Secondary GPEH can be observed after surgery involving hiatal orifice opening, such as esophagectomy, antireflux surgery, and hiatal hernia repair. Surgical treatment is challenging, and there are still residual controversies regarding the laparoscopic approach, even though a reduced morbidity and mortality, as well as a shorter hospital stay have been demonstrated...
November 25, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29169828/comment-on-concurrent-bariatric-surgery-and-paraesophageal-hernia-repair-comparison-of-sleeve-gastrectomy-and-roux-en-y-gastric-bypass
#5
EDITORIAL
Michel Gagner
No abstract text is available yet for this article.
October 31, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29162971/long-term-patient-reported-outcomes-of-paraesophageal-hernia-repair
#6
Damien J Lazar, Desmond H Birkett, David M Brams, Heather A Ford, Christina Williamson, Dmitry Nepomnayshy
Background and Objectives: There is a lack of consensus on the optimal repair technique and the definition of good outcomes in paraesophageal hernia (PEH) repair. We reviewed long-term patient-reported outcomes of open and laparoscopic PEH repair to assist with our future surgical consent process. Methods: This was a retrospective case-control study including all patients with PEH repair performed from 2000 through 2012 at a single center without the use of mesh...
October 2017: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/29153816/a-decreased-preload-due-to-a-loaded-stomach-a-rare-presentation-of-a-paraesophageal-hernia
#7
Rens A van der Linde, Seilenna S Lases, Thomas J Buist, Henderik L van Westreenen, Vincent B Nieuwenhuijs
A hiatal hernia is a condition in which intraabdominal content herniates into the intrathoracic cavity. On rare occasions, a hiatal hernia can lead to cardiorespiratory compromise. We report a case of chest pain followed by cardiac arrest in a patient not known to have hiatal hernia, and without preliminary symptoms. The patient was suspected of having cardiac ischemia; however, angiography did not reveal any abnormalities. Chest tomography revealed a large paraesophageal hernia with compression of the right ventricle causing decreased preload and cardiac output...
December 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29130015/jejunal-diverticular-perforation-causing-small-bowel-obstruction-in-a-type-4-hiatal-hernia-a-rare-case-report-of-a-nonagenarian-patient-and-review-of-relevant-literature
#8
Saptarshi Biswas, Shekhar Gogna, Prem Patel
Type IV paraesophageal hernia (PEH) is very rare and is characterized by the intrathoracic herniation of the abdominal viscera other than the stomach into the chest. We describe a case of a 90-year-old male patient who presented at our emergency department complaining of epigastric pain that he had experienced over the past few hours and getting progressively worse. On the day after admission, his pain became severe. Chest radiography revealed an intrathoracic intestinal gas bubble; emergency exploratory laparotomy identified a type IV PEH with herniation of only the jejunum with perforated diverticula on mesenteric side through a hiatal defect into mediastinum...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/29102334/extensive-cavitary-lung-cancer-mimicking-paraesophageal-hiatal-hernia
#9
Luis Gorospe Sarasúa, Andrés González-García, Isabel García Gómez-Muriel
No abstract text is available yet for this article.
November 1, 2017: Archivos de Bronconeumología
https://www.readbyqxmd.com/read/29052066/long-term-clinical-outcomes-after-intrathoracic-stomach-surgery-a-decade-of-longitudinal-follow-up
#10
Allison M Blake, Sumeet K Mittal
BACKGROUND: A subset of patients with large paraesophageal hernias have more than 75% of the stomach herniated above the diaphragm; such cases are referred to as intrathoracic stomach (ITS). Herein, we report longitudinal symptomatic outcomes over a decade after surgical ITS repair in a large patient cohort. METHODS: Patients who underwent surgical treatment for ITS from 01/2004 to 05/2016 were studied. Preoperative and follow-up data were prospectively collected...
October 19, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28980036/-unusual-intraoperative-findings-in-laparoscopic-fundoplication-for-paraesophageal-hiatal-hernia
#11
B Nickel
No abstract text is available yet for this article.
October 4, 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/28976874/paraesophageal-hernia-as-a-cause-of-chronic-asymptomatic-anemia-in-a-6-years-old-boy-case-report-and-review-of-the-literature
#12
Dimitrios Patoulias, Maria Kalogirou, Thomas Feidantsis, Ignatios Kallergis, Ioannis Patoulias
Esophageal hiatal hernia is defined as the prolapse of one or more intra-abdominal organs through the esophageal hiatus. Four types are identified: type Ι or sliding hiatal hernia, type II or paraesophageal hernia (PEH), type III or mixed hernia and type IV. Congenital type II esophageal hiatal hernia is caused by a remaining gap after the formation of pleuroperitoneal membrane. We present a case of a six years old boy admitted to our department, appearing with asymptomatic anemia, who was incidentally diagnosed with Type II esophageal hiatal hernia...
2017: Acta Medica (Hradec Králové)
https://www.readbyqxmd.com/read/28936790/favorable-results-from-a-prospective-evaluation-of-200-patients-with-large-hiatal-hernias-undergoing-linx-magnetic-sphincter-augmentation
#13
F P Buckley, Reginald C W Bell, Kate Freeman, Stephanie Doggett, Rachel Heidrick
INTRODUCTION: Magnetic sphincter augmentation (MSA) of the lower esophageal sphincter restores the antireflux barrier in patients with hiatal hernias ≤3 cm. We performed a prospective study in patients undergoing MSA with the LINX device during repair of paraesophageal and hernias over 3 cm axial component. METHODS AND PROCEDURES: Multicenter, prospective study of consecutive patients treated with MSA at the time of repair of hiatal hernias >3 cm. RESULTS: 200 patients (110 female) were treated between March 2014 and February 2017 via laparoscopic hernia repair and MSA...
September 21, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28932585/an-unusually-large-paraesophageal-hernia-mimicking-a-bochdalek-hernia
#14
Daneish Selvakumar, Karan Sian, Ajay J Iyengar, Ross Mejia
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. It is paramount to confirm the diagnosis and rule out any fatal complications with imaging studies. Prompt surgical management with large complicated hernias, such as in our case presentation would ensure the most favorable outcome...
August 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28913670/tension-gastrothorax-and-hemodynamic-collapse-due-to-gastric-outlet-obstruction-in-a-paraesophageal-hernia
#15
Jordan D Bohnen, Julia Park, David W Rattner
No abstract text is available yet for this article.
September 14, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/28905803/diagnosis-and-treatment-of-gastroesophageal-reflux-disease-complicated-by-barrett-s-esophagus
#16
Andriy Stasyshyn
The aim of the study was to evaluate the effectiveness of a diagnostic and therapeutic algorithm for gastroesophageal reflux disease complicated by Barrett's esophagus in 46 patients. MATERIALS AND METHODS: A diagnostic and therapeutic algorithm for complicated GERD was developed. To describe the changes in the esophagus with reflux esophagitis, the Los Angeles classification was used. Intestinal metaplasia of the epithelium in the lower third of the esophagus was assessed using videoendoscopy, chromoscopy, and biopsy...
August 31, 2017: Polski Przeglad Chirurgiczny
https://www.readbyqxmd.com/read/28869165/concurrent-bariatric-surgery-and-paraesophageal-hernia-repair-comparison-of-sleeve-gastrectomy-and-roux-en-y-gastric-bypass
#17
Amber L Shada, Miloslawa Stem, Luke M Funk, Jacob A Greenberg, Anne O Lidor
BACKGROUND: Paraesophageal hernia (PEH) is a common condition that bariatric surgeons encounter. Expert opinion is split on whether bariatric surgery and PEH repair should be completed concurrently or sequentially. We hypothesized that concurrent bariatric surgery and PEH repair is safe. OBJECTIVES: We examined 30-day outcomes after concomitant PEH repair and bariatric surgery. SETTING: National database, United States. METHODS: Using the American College of Surgeons National Surgical Quality Improvement Program database (2011-2014), we identified patients who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) with or without PEH repair...
July 29, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28840522/endoscopic-evaluation-of-post-fundoplication-anatomy
#18
REVIEW
Walaa F Abdelmoaty, Lee L Swanstrom
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)...
August 24, 2017: Current Gastroenterology Reports
https://www.readbyqxmd.com/read/28832862/paraesophageal-hernia-repair-outcomes-using-minimally-invasive-approaches
#19
Patrick J McLaren, Kyle D Hart, John G Hunter, James P Dolan
No abstract text is available yet for this article.
August 23, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28828685/modern-diagnosis-and-treatment-of-hiatal-hernias
#20
REVIEW
Steve R Siegal, James P Dolan, John G Hunter
PURPOSE: Hiatal hernias are a common finding on radiographic or endoscopic studies. Hiatal hernias may become symptomatic or, less frequently, can incarcerate or become a volvulus leading to organ ischemia. This review examines latest evidence on the diagnostic workup and management of hiatal hernias. METHODS: A literature review of contemporary and latest studies with highest quality of evidence was completed. This information was examined and compiled in review format...
December 2017: Langenbeck's Archives of Surgery
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