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hiatal hernia syndrome

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https://www.readbyqxmd.com/read/28803389/gastrointestinal-manifestations-of-stat3-deficient-hyper-ige-syndrome
#1
Manish Arora, Preet Bagi, Anna Strongin, Jennifer Heimall, Xiongce Zhao, Monica G Lawrence, Apurva Trivedi, Carolyn Henderson, Amy Hsu, Martha Quezado, David E Kleiner, Aradhana M Venkatesan, Steven M Holland, Alexandra F Freeman, Theo Heller
OBJECTIVE: STAT 3 deficiency (autosomal dominant hyper immunoglobulin E syndrome (AD-HIES)) is a primary immunodeficiency disorder with multi-organ involvement caused by dominant negative signal transducer and activator of transcription gene 3 (STAT3) mutations. We sought to describe the gastrointestinal (GI) manifestations of this disease. METHODS: Seventy subjects aged five to 60 years with a molecular diagnosis of AD-HIES were evaluated at the National Institutes of Health (NIH)...
August 13, 2017: Journal of Clinical Immunology
https://www.readbyqxmd.com/read/28799279/oesophageal-replacement-with-stomach-a-personal-series-and-review-of-published-experience
#2
Karim Awad, Bruce Jaffray
AIM: To describe the outcomes of oesophageal replacement using stomach in children. METHODS: All children undergoing oesophageal replacement in a regional centre were prospectively recorded in a customised database and subjected to continual follow up. Complications within 30 days were classified as early, and all other complications were classified as late. Outcomes were related to a comprehensive analysis of published experience where studies were classified as having long-term follow up if the median duration exceeded 5 years...
August 11, 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28670060/deglutition-syncope
#3
Nachiket Patel, Saif Ibrahim, Jainil Shah, Menfil A Orellana-Barrios, Timothy E Paterick, A Jamil Tajik
Deglutition syncope, also known as swallow syncope, is a neurally mediated reflex syndrome. The common intervention of the heart, esophagus, and stomach by the vagus nerve is central to its pathogenesis, whereby swallowing causes inhibition of the cardiac conduction system. It is most commonly associated with disorders of the esophagus, both organic and functional. Herein we describe the case of a 48-year-old man presenting with transient syncopal episodes that occurred while eating caused by an intrathoracic stomach due to a hiatal hernia...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28257716/the-risks-and-benefits-of-long-term-use-of-proton-pump-inhibitors-expert-review-and-best-practice-advice-from-the-american-gastroenterological-association
#4
REVIEW
Daniel E Freedberg, Lawrence S Kim, Yu-Xiao Yang
BACKGROUND & AIMS: The purpose of this review is to evaluate the risks associated with long-term use of proton pump inhibitors (PPIs), focusing on long-term use of PPIs for three common indications: gastroesophageal reflux disease (GERD), Barrett's esophagus (BE), and non-steroidal anti-inflammatory drug (NSAID) bleeding prophylaxis. METHODS: The recommendations outlined in this review are based on expert opinion and on relevant publications from PubMed, EMbase, and the Cochrane library (through July 2016)...
March 2017: Gastroenterology
https://www.readbyqxmd.com/read/28185474/ascending-aortic-aneurysm-and-diaphragmatic-hernia-in-a-case-of-marfan-syndrome
#5
Jignesh Kothari, Manish Hinduja, Kinnaresh Baria, Himani Pandya
Marfan syndrome commonly affects the skeletal, ocular, and cardiovascular systems. Involvement of the gastrointestinal system is known but uncommon. Intervention depends upon the system involved and the severity of symptoms. Special awareness is required for the diagnosis and management of gastrointestinal involvement in these patients. We report a rare case of simultaneous surgical repair of an ascending aortic aneurysm and a type IV hiatal hernia in a 35-year-old man with Marfan syndrome.
January 1, 2017: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/28007004/mallory-weiss-syndrome-is-not-associated-with-hiatal-hernia-a-matched-case-control-study
#6
Juan E Corral, Tara Keihanian, Paul T Kröner, Ryan Dauer, Frank J Lukens, Daniel A Sussman
BACKGROUND/OBJECTIVE: Hiatal hernia is considered to be a predisposing factor to develop Mallory-Weiss Syndrome (MWS). No large case-control studies verifying this hypothesis have been conducted. METHODS: We reviewed all esophagogastroduodenoscopies with findings of MWS (n = 2342) in a national database and compared with age and gender-matched controls (n = 9368). Demographics, endoscopic characteristics and presence of a hiatal hernia were compared between both groups...
April 2017: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/27606905/surgical-management-of-hiatal-hernia-in-children-with-asplenia-syndrome
#7
Hiromu Miyake, Koji Fukumoto, Masaya Yamoto, Hiroshi Nouso, Masakatsu Kaneshiro, Mariko Koyama, Naoto Urushihara
Purpose Patients with asplenia syndrome (AS) are likely to have upper gastrointestinal tract malformations such as hiatal hernia. This report discusses the treatment of such conditions. Methods Seventy-five patients with AS underwent initial palliation in our institution between 1997 and 2013. Of these, 10 patients had hiatal hernia. Of the patients with hiatal hernia, 6 had brachyesophagus and 7 had microgastria. Results Of the 10 patients with hiatal hernia, 9 underwent surgery in infancy (7 before Glenn operation, 2 after Glenn operation)...
June 2017: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27596512/-a-rare-case-of-chest-pain
#8
Beáta Bodócsi, István Koncz, Zsigmond Hum, Orsolya Serfőző, József Pap-Szekeres, István Szabó
Chest pain is a common symptom in patients who visit Emergency Departments. The main task is to exclude life-threatening diseases such as acute coronary syndrome, pulmonary embolization and dissection of thoracic aorta. The authors present the history of a patient, who had an intense chest pain for 7 hours. In accordance with the diagnostic algorithm of chest pain, ECG, blood collection, chest X-ray and chest computed tomography angiography were performed. Acute coronary syndrome, pulmonary embolization and dissection of the thoracic aorta were excluded, however, chest computed tomography CT revealed a huge hiatal hernia as an incidental finding...
September 2016: Orvosi Hetilap
https://www.readbyqxmd.com/read/27403357/collapsing-glomerulopathy-in-a-child-with-galloway-mowat-syndrome
#9
Cengiz Zeybek, Gokalp Basbozkurt, Salih Hamcan, Ayhan Ozcan, Davut Gul, Faysal Gok
Galloway-Mowat syndrome (GMS) is an autosomal recessive disorder with a poor prognosis that was first defined as a triad of central nervous system involvement, hiatal hernia, and nephrotic syndrome. However, this syndrome is now known to have a heterogeneous clinical presentation. The nephrotic syndrome is steroid resistant and is responsible for the outcome. The combination of collapsing glomerulopathy and GMS is very rare. A 26-month-old boy presented with steroid-resistant nephrotic syndrome associated with neurologic findings, including microcephaly, psychomotor retardation, and nystagmus...
2016: Case Reports in Nephrology
https://www.readbyqxmd.com/read/27234340/nissen-sleeve-n-sleeve-operation-preliminary-results-of-a-pilot-study
#10
David Nocca, El Mehdi Skalli, Eric Boulay, Marius Nedelcu, Jean Michel Fabre, Marcelo Loureiro
BACKGROUND: Sleeve gastrectomy (SG) is one of the most frequently performed bariatric procedures worldwide. Despite its impressive results, there is a growing concern about the relationship between SG and gastroesophageal reflux disease (GERD). OBJECTIVES: We present our pilot study of patients operated with a Nissen anti-reflux valve added to a standard SG. SETTING: University hospital in Montpellier, France. METHODS: A prospective monocentric study including 25 consecutive patients operated with a laparoscopic Nissen-Sleeve (N-Sleeve) gastrectomy was carried out between September 2013 and March 2014...
December 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27178618/fifth-international-consensus-conference-current-status-of-sleeve-gastrectomy
#11
Michel Gagner, Colleen Hutchinson, Raul Rosenthal
BACKGROUND: For the purpose of building best practice guidelines, an international expert panel was surveyed in 2014 and compared with the 2011 Sleeve Gastrectomy Consensus and with survey data culled from a general surgeon audience. OBJECTIVES: To measure advancement on aspects of laparoscopic sleeve gastrectomy and identify current best practices. SETTING: International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) 2014, Fifth International Summit for Laparoscopic Sleeve Gastrectomy, Montréal, Canada...
May 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27012229/new-findings-in-fetal-valproate-syndrome-hiatal-hernia-gastric-volvulus-and-ectopic-kidney
#12
Didem Arman, Selim Sancak, Sevilay Topcuoglu, Güner Karatekin
No abstract text is available yet for this article.
August 2016: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/26767905/-urgent-surgical-treatment-of-gastric-volvulus-related-to-upside-down-stomach-syndrome
#13
L Hána, M Kasalický, E Koblihová, Š Suchánek, P Horažďovský, M Ryska
Upside-down stomach syndrome is a rare type of a large paraoesophageal hiatal hernia, which requires an immediate surgical treatment in case of incarceration. The authors present a case report of a 53-year-old male patient with gastric volvulus related to the upside-down stomach syndrome. Surgical treatment was complicated by an injury to distal oesophagus, which was successfully treated using a self-expandable metallic stent among other methods. Despite the complicated postoperative course with a necessity of reoperation, insertion of an oesophageal stent, thoracotomy for a mediastinal abscess and secondary healing of the laparotomy, the patient was discharged in a good condition with healed oesophageal perforation and laparotomy after 52 days...
December 2015: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/26767901/-surgery-of-the-hiatal-hernia-and-gastroesophageal-reflux-dinase-nissen-or-toupet
#14
COMPARATIVE STUDY
M Kasalický, E Koblihová
INTRODUCTION: In 2016 60 years will have elapsed from the first publication by Nissen about his surgical method of 360° fundoplication around distal esophagus and its final effect. Nissens fundoplication is currently the most common surgical method for the gastroesophageal reflux (GER) and hiatal hernia (HH) probably. Incidence of HH ranges between 25-50% in the western population. Current prevalence of GER ranges between 4-10% in Europe and 5-7% in North America, but some studies report even 10-20%...
December 2015: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/26376608/ehlers-danlos-syndrome-and-gastrointestinal-manifestations-a-20-year-experience-at-mayo-clinic
#15
A D Nelson, M A Mouchli, N Valentin, D Deyle, P Pichurin, A Acosta, M Camilleri
BACKGROUND: Gastrointestinal (GI) manifestations are found in Ehlers Danlos syndrome (EDS) hypermobility subtype (HM). We aimed to assess associations between EDS HM and other EDS subtypes with GI manifestations. METHODS: We reviewed medical records of EDS patients evaluated at Mayo Clinic's Medical Genetics Clinic 1994-2013. We extracted information regarding EDS subtypes, GI manifestations, and treatments. KEY RESULTS: We identified 687 patients; 378 (56%) had associated GI manifestations (female 86...
November 2015: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
https://www.readbyqxmd.com/read/26328530/usefulness-of-upper-gastrointestinal-symptoms-as-a-driver-to-prescribe-gastroscopy-in-obese-patients-candidate-to-bariatric-surgery-a-prospective-study
#16
Marilia Carabotti, Marcello Avallone, Fabrizio Cereatti, Alessandro Paganini, Francesco Greco, Annunziata Scirocco, Carola Severi, Gianfranco Silecchia
BACKGROUND: Before bariatric surgery, the necessity of routine upper gastrointestinal endoscopy is controversial, and guidelines recommend endoscopy in symptomatic cases. However, impaired visceral sensation occurring in obese patients may be misleading. The purpose of the study is to evaluate prospectively the prevalence of gastrointestinal symptoms, endoscopic findings, and the relation between symptoms and endoscopic findings in obese patients before surgery. MATERIALS AND METHODS: One hundred forty-two consecutive patients candidate to primary bariatric surgery filled out the validated Rome III symptomatic questionnaire and performed endoscopy...
May 2016: Obesity Surgery
https://www.readbyqxmd.com/read/25868406/repair-of-paraesophageal-hiatal-hernias%C3%A2-is-a-fundoplication-needed-a-randomized-controlled-pilot-trial
#17
RANDOMIZED CONTROLLED TRIAL
Beat P Müller-Stich, Verena Achtstätter, Markus K Diener, Matthias Gondan, René Warschkow, Francesco Marra, Andreas Zerz, Carsten N Gutt, Markus W Büchler, Georg R Linke
BACKGROUND: The need for a fundoplication during repair of paraesophageal hiatal hernias (PEH) remains unclear. Prevention of gastroesophageal reflux represents a trade-off against the risk of fundoplication-related side effects. The aim of this trial was to compare laparoscopic mesh-augmented hiatoplasty with simple cardiophrenicopexy (LMAH-C) with laparoscopic mesh-augmented hiatoplasty with fundoplication (LMAH-F) in patients with PEH. STUDY DESIGN: The study was designed as a patient- and assessor-blinded randomized controlled pilot trial, registration number: DRKS00004492 (www...
August 2015: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/25847110/extracardiac-anomalies-in-prenatally-diagnosed-heterotaxy-syndrome
#18
I Gottschalk, R Stressig, J Ritgen, U Herberg, J Breuer, A Vorndamme, B Strizek, A Willruth, A Geipel, U Gembruch, C Berg
OBJECTIVE: To assess the incidence and impact of extracardiac anomalies on the prognosis of fetuses with heterotaxy syndrome. METHODS: All fetuses diagnosed with heterotaxy syndrome by three experienced examiners over a period of 14 years (1999-2013) were reviewed retrospectively. RESULTS: In total, 165 fetuses with heterotaxy syndrome were diagnosed in the study period. One hundred and fifty (90.9%) had cardiac defects; extracardiac anomalies that did not involve the spleen were present in 26/165 (15...
April 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/25820081/one-stage-robotically-assisted-laparoscopic-biliopancreatic-diversion-with-duodenal-switch-analysis-of-179-patients
#19
Gintaras Antanavicius, Masoud Rezvani, Iswanto Sucandy
BACKGROUND: Biliopancreatic diversion with duodenal switch (BPD-DS) has been reported to be the most effective procedure for weight loss and minimizing postoperative weight regain. However, because of its technical complexity and concerns for higher operative and metabolic complications, it has not obtained widespread acceptance among patients or bariatric surgeons. Nevertheless, the use of robotic systems has been increasing because of its ability to overcome technical challenges, such as torque, freedom of movement, and precision...
March 2015: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/25704642/etiology-and-management-of-esophageal-food-impaction-a-population-based-study
#20
Helga M Gretarsdottir, Jon Gunnlaugur Jonasson, Einar S Björnsson
OBJECTIVE: Esophageal food impaction (FI) is a common clinical problem with limited information on incidence. Previous population based studies are lacking. The incidence, main etiological factors, recurrence and outcome of FI was determined in the present study in a population based setting. MATERIAL AND METHODS: This was a study of consecutive adult patients who presented with FI from 2008 to 2013 at the National University Hospital of Iceland. The mean crude incidence rate of FI was calculated...
May 2015: Scandinavian Journal of Gastroenterology
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