INTRODUCTION There is controversy in the literature about the choice of expectant medical treatment versus surgical treatment of hiatal hernias, depending on the presence or absence of symptoms. This study presents the results obtained by our group, considering disease duration and postoperative results. PATIENTS AND METHOD A total of 121 patients were included and divided by age, disease dur...

INTRODUCTION Esophageal hiatal hernias are the most frequent types of internal hernias. This condition involves disturbance of normal functioning of the stomach cardiac mechanism and reflux of the gastric contents to the esophagus. AIM To evaluate postoperative results in our Clinic and the comparison of these results to data from the literature. MATERIAL AND METHODS One hundred and seventy...

BACKGROUND Gastric balloons for weight loss have historically been placed after a screening endoscopy. However, the utility and yield of these endoscopies has not been studied. Therefore, we wanted to evaluate the utility of screening endoscopy and to assess patients who had balloons placed without endoscopy. METHODS Data was collected on two cohorts. Cohort 1 consisted of patients who had a ...

BACKGROUND Although minimally invasive repair of giant hiatal hernias is a very surgical challenge which requires advanced laparoscopic learning curve, several reports showed that is a safe and effective procedure, with lower morbidity than open approach. In the present study we show the outcomes of 13 patients who underwent a laparoscopic repair of giant hiatal hernia. METHODS A total of 13 ...

HYPOTHESIS Large hiatal hernias are prone to disruption, resulting in reherniation, when repaired with simple cruroplasty. The use of mesh may decrease the rate of reherniation in the laparoscopic repair of large hiatal hernias. DESIGN Prospective, randomized controlled trial. SETTING University-affiliated private hospital. PATIENTS Seventy-two individuals undergoing laparoscopic Nissen f...

OBJECTIVE A Valsalva maneuver is used clinically and on imaging in order to determine female pelvic organ prolapse. We have examined the potential confounding effect of levator co-activation at the time of a Valsalva maneuver and the impact of repetition with biofeedback instruction. METHODS Fifty nulliparous women at 36-38 weeks' gestation received 3D/4D translabial ultrasound investigation ...

This study analyzed the effect of fundoplication on the mechanics of liquid and solid bolus transit across the esophagogastric junction (EGJ). The squamocolumnar junction was endoscopically clipped in seven controls, seven hiatal hernia patients, and seven patients after laparoscopic Nissen fundoplication. Concurrent manometry and fluoroscopy were done during swallows of liquid barium and a 13-...

BACKGROUND The Belsey Mark IV operation has been used for the management of hiatal hernia for over 40 years, but with the introduction of laparoscopic techniques its role has become questionable. To determine the current role of this procedure we present a contemporary series of patients. METHODS We reviewed fifteen consecutive patients, mean age of 63 years, who underwent a Belsey Mark IV fu...

AIMS To analyze whether episiotomy affects the urogenital hiatal area and the difference in the hiatus at rest and during contraction, as an indirect measurement of the contractile capacity of the levator ani muscle. METHODS We performed an observational, comparative, retrospective study of primiparous women who had normal vaginal deliveries. The urogenital hiatal area was compared in women w...

An 82-year-old man visited our outpatient department due to fever and cough for 5 days. He denied significant epigastralgic pain or heart burn in the past. The physical examination was unremarkable and the laboratory data were within normal limits. Chest radiograph (CXR) showed opacity with an air–fluid level in the right lower hemithorax behind the right heart and obscuring the right hemidiaph...