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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
#1
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/29110377/abnormal-esophageal-acid-exposure-on-high-dose-proton-pump-inhibitor-therapy-is-common-in-systemic-sclerosis-patients
#2
E K Stern, D A Carlson, S Falmagne, A D Hoffmann, M Carns, J E Pandolfino, M Hinchcliff, D M Brenner
BACKGROUND: Esophageal dysfunction and gastro-esophageal reflux disease (GERD) are common among patients with systemic sclerosis (SSc). Although high-dose proton pump inhibitors (PPIs) typically normalize esophageal acid exposure, the effectiveness of PPI therapy has not been systematically studied in SSc patients. The aim of this study was to characterize reflux in SSc patients on high-dose PPI using esophageal pH-impedance testing. METHODS: In this case-controlled retrospective analysis, 38 patients fulfilling 2013 American College of Rheumatology SSc criteria who underwent esophageal pH-impedance testing on twice-daily PPI between January 2014 and March 2017 at a tertiary referral center were compared with a control-cohort of 38 non-SSc patients matched for PPI formulation and dose, hiatal hernia size, age, and gender...
November 6, 2017: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
https://www.readbyqxmd.com/read/29104588/preoperative-diagnosis-of-hiatal-hernia-barium-swallow-x-ray-high-resolution-manometry-or-endoscopy
#3
Michael Weitzendorfer, Gernot Köhler, Stavros A Antoniou, Leo Pallwein-Prettner, Lisa Manzenreiter, Philipp Schredl, Klaus Emmanuel, Oliver Owen Koch
Background: The assessment of hiatal hernias (HH) is typically done with barium swallow X‑ray, upper endoscopy, and by high-resolution esophageal manometry (HRM). The aim of this study was to assess the clinical utility of these methods in terms of HH detection and their correlation to gastroesophageal reflux disease (GERD). Methods: A retrospective comparative analysis of patients with symptoms of GERD was carried out. The performance of endoscopy and HRM in diagnosing HH was assessed, taking barium swallow X‑ray as a reference...
2017: European Surgery: ACA: Acta Chirurgica Austriaca
https://www.readbyqxmd.com/read/29103785/are-esophagocrural-sutures-needed-during-laparoscopic-fundoplication-a-prospective-randomized-trial
#4
Shawn D St Peter, Ashwini Poola, Obinna Adibe, David Juang, Jason D Fraser, Pablo Aguayo, G W Holcomb
PURPOSE: Historically, fundoplication has been performed with extensive dissection of the esophageal attachments to the diaphragm. Previously, we conducted a randomized trial demonstrating that minimal esophageal dissection and mobilization reduce the rate of wrap herniation and the need for reoperation. In that study, four esophagocrural (EC) sutures were placed in both groups to help obliterate the space between the esophagus and diaphragmatic crura. In this current study, we evaluate the need for these EC sutures...
October 8, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29102334/extensive-cavitary-lung-cancer-mimicking-paraesophageal-hiatal-hernia
#5
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/29101564/first-experience-with-the-autolap%C3%A2-system-an-image-based-robotic-camera-steering-device
#6
Paul J M Wijsman, Ivo A M J Broeders, Hylke J Brenkman, Amir Szold, Antonello Forgione, Henk W R Schreuder, Esther C J Consten, Werner A Draaisma, Paul M Verheijen, Jelle P Ruurda, Yuval Kaufman
BACKGROUND: Robotic camera holders for endoscopic surgery have been available for 20 years but market penetration is low. The current camera holders are controlled by voice, joystick, eyeball tracking, or head movements, and this type of steering has proven to be successful but excessive disturbance of surgical workflow has blocked widespread introduction. The Autolap™ system (MST, Israel) uses a radically different steering concept based on image analysis. This may improve acceptance by smooth, interactive, and fast steering...
November 3, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29094360/effects-of-manipulations-to-detect-sliding-hiatal-hernia-in-dogs-with-brachycephalic-airway-obstructive-syndrome
#7
Olivier Broux, Cécile Clercx, Anne-Laure Etienne, Valeria Busoni, Stéphanie Claeys, Annick Hamaide, Frédéric Billen
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...
November 2, 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/29090865/prospective-evaluation-of-surgical-management-of-sliding-hiatal-hernia-and-gastroesophageal-reflux-in-dogs
#8
Philipp D Mayhew, Stanley L Marks, Rachel Pollard, William T N Culp, Philip H Kass
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. METHODS: Dogs were included if they had clinical signs and videofluoroscopic evidence of SHH and/or GER. Owners were asked to complete a standardized canine dysphagia assessment tool (CDAT) preoperatively and postoperatively...
November 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/29078570/robotic-technological-aids-in-esophageal-surgery
#9
REVIEW
Fabrizio Rebecchi, Marco E Allaix, Mario Morino
Robotic technology is an emerging technology that has been developed in order to overcome some limitations of the standard laparoscopic approach, offering a stereoscopic three-dimensional visualization of the surgical field, increased maneuverability of the surgical tools with consequent increased movement accuracy and precision and improved ergonomics. It has been used for the surgical treatment of most benign esophageal disorders. More recently, it has been proposed also for patients with operable esophageal cancer...
2017: J Vis Surg
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/29051629/-boerhaave-s-syndrome-secondary-to-gastric-volvulus
#11
I Eguaras Córdoba, A Goikoetxea Urdiain, A Hernando Sanz, I Esquiroz Lizaur, B Camarero Triana, A Artajona Rosino
Boerhaave's syndrome is a spontaneous rupture of the oesophagus, caused by an increase of intraluminal pressure that is produced in the context of negative intrathoracic pressure. It has a high index of morbimortality (14-40%), which is why it requires early diagnosis and treatment. When a patient presents vomiting, the differential diagnosis should include epigastric pain. Para-esophageal hiatal hernias can be complicated by gastric volvulus. In its turn, this can produce both oesophageal and gastric necrosis requiring early surgical treatment...
October 19, 2017: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/29033259/comment-on-evaluating-the-feasibility-of-phrenoesophagopexy-during-hiatal-hernia-repair-in-sleeve-gastrectomy-patients
#12
EDITORIAL
Jose Vicente Ferrer
No abstract text is available yet for this article.
September 22, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29031705/laparoscopic-repair-of-large-hiatal-hernia-without-the-need-for-esophageal-lengthening-with-low-morbidity-and-rare-symptomatic-recurrence
#13
Farzaneh Banki, Chandni Kaushik, David Roife, Kyle G Mitchell, Charles C Miller
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. Symptomatic recurrence was defined as the requirement for a reoperative procedure for symptomatic recurrent hiatal hernia...
May 29, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29030837/totally-robotic-combined-roux-en-y-gastric-bypass-and-hiatal-hernia-repair-with-biological-mesh-technical-points
#14
Fabian Reche, Adrian Mancini, Anne-Laure Borel, Jean-Luc Faucheron, Catherine Arvieux
No abstract text is available yet for this article.
October 13, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29027694/can-we-evaluate-hiatal-ballooning-by-measuring-the-anteroposterior-diameter-with-2-dimensional-translabial-ultrasonography
#15
Lieming Wen, Qichang Zhou
OBJECTIVES: To analyze the association between the anteroposterior hiatal diameter and pelvic organ prolapse and to determine whether 2-dimensional translabial ultrasonography can evaluate hiatal ballooning by measuring the anteroposterior diameter. METHODS: This study was a retrospective analysis of 312 women seen for lower urinary tract symptoms or pelvic organ prolapse between December 2014 and July 2016. All women had an International Continence Society (ICS) Pelvic Organ Prolapse Quantification (POP-Q) system examination and 4-dimensional translabial ultrasonography...
October 13, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29019566/preoperative-manometry-for-the-selection-of-obese-people-candidate-to-sleeve-gastrectomy
#16
Antonio Carlos Valezi, Fernando Augusto Herbella, Jorge Mali-Junior, Mariano de Almeida Menezes, Mário Liberatti, Rafael Onuki Sato
BACKGROUND: Sleeve gastrectomy may alter esophageal motility and lower esophageal sphincter pressure. AIM: To detect manometric changings in the esophagus and lower esophageal sphincter before and after sleeve gastrectomy in order to select patients who could develop postoperative esophageal motilitity disorders and lower esophageal sphincter pressure modifications. METHODS: Seventy-three patients were selected. All were submitted to manometry before the operation and one year after...
July 2017: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29019565/sleeve-gastrectomy-and-fundoplication-as-a-single-procedure-in-patients-with-obesity-and-gastroesophageal-reflux
#17
Juan Pablo Lasnibat, Italo Braghetto, Luis Gutierrez, Felipe Sanchez
BACKGROUND: Bariatric surgery in Chile has seen an exponential increase in recent years, especially in sleeve gastrectomy. Its use is currently discussed in patients suffering from gastroesophageal reflux disease. Different options have been considered for the management of these patients but up to now laparoscopic Roux-en-Y gastric bypass seems to be the best option. Sleeve gastrectomy plus concomitant fundoplication or hiatal hernia repair also has been suggested in patients having reflux or small hiatal hernia...
July 2017: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/28986682/efficacy-and-safety-of-pleurodesis-using-platelet-rich-plasma-and-fibrin-glue-in-management-of-postoperative-chylothorax-after-esophagectomy
#18
Daryoush Hamidi Alamdari, Mehdi Asadi, Ahmad Nejad Rahim, Ghodratollah Maddah, Shahariar Azizi, Soudabeh Shahidsales, Mostafa Mehrabibahar
INTRODUCTION: Chylothorax is by definition a collection of lymphatic fluids in the pleural cavity because of leakage from main thoracic duct or its tributaries. It is an uncommon but serious postoperative complication in esophageal cancer patients. There is no standard therapeutic algorithm for chylothorax because no prospective or randomized trials have yet been performed to evaluate the available treatment options. The aim of this study was to evaluate the efficacy of pleurodesis with a combination of platelet-rich plasma (PRP) and fibrin glue to the treatment of chylothorax after trans-hiatal esophagectomy...
October 6, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28986002/management-of-gastroesophageal-reflux-disease-and-hiatal-hernia-post-sleeve-gastrectomy-cardiopexy-with-ligamentum-teres
#19
Salman Al-Sabah, Shehab Akrouf, Mohannad Alhaddad, Jonathon D Vaz
No abstract text is available yet for this article.
September 1, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28984047/using-z-scores-to-evaluate-levator-hiatal-dimensions-with-four-dimensional-translabial-ultrasound
#20
Lieming Wen, Jing Zhang, Shi Zeng, Qichang Zhou
AIM: This study represents the first attempt to use 'Z-scores' to assess levator hiatal dimensions and quantify hiatal expansion. METHODS: We undertook a retrospective study on the data of 110 nulliparae and 73 pelvic organ prolapse (POP) patients who had a clinical POP exam and translabial 4-D ultrasound. We used Z-scores to normalize the dimensions of nulliparae levator hiatus and to build a Z-score model to evaluate the 'hiatal ballooning' against the POP staging...
October 6, 2017: Journal of Obstetrics and Gynaecology Research
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