A colonoscopy and an esophagogastroduodenoscopy (EGD) were performed (figure 1a-1c), with results suggestive of diverticulosis, probable Barrett's mucosa, esophageal ulcer, huge hiatal hernia
(at least one-half of the stomach was in the chest), and Cameron ulcers.
Perniceni, "Laparoscopic repair of hiatal hernia
after minimally invasive esophagectomy," Surgical Endoscopy, vol.
"A hiatal hernia
can push the LES above the diaphragm," Dr.
Approximately 10%-15% of the general population have hiatal hernia
Attempts began early in the last century to classify hiatal hernia
Reinforced cruroplasty during LSG in patients with large hiatal hernia
has been proposed to prevent recurrence, with good results .
Of the 32 patients who died, over half had type III or type IV hiatal hernias
; 4 patients had type II hiatal hernias
, with the remaining 3 deceased having an unknown type.
This may involve corrective surgery to repair the hiatal hernia
or clear obstructions in the airways.
The radiologist should be aware that a prominent esophageal vestibule can mimic a sliding hiatal hernia
. The vestibule is a normal anatomic component of the lower esophageal sphincter and is bordered superiorly by a muscular A ring and inferiorly by a mucosal B ring at the squamocolumnar junction (Z-line) (Figure 2).
Gavaler, "Large hiatal hernias
, anemia, and linear gastric erosion: studies of etiology and medical therapy," American Journal of Gastroenterology, vol.
In patients with hiatal hernias
, the proximal end of these gastric folds provided "a fixed, reproducible, anatomic landmark at endoscopy" and could be used as the mucosal EGJ that was, they believed, equivalent to the muscular EGJ.
Wedges may also offer relief for those suffering from hiatal hernias
and circulatory problems.