Intraluminal pressure, transmucosal potential difference, and pH studies in the oesophagus of patients before and after Collis repair of a hiatal hernia Intraluminal pressure, transmucosal potential difference, and endo-oesophageal pH measurements were studied in patients with hiatal hernia-before and after a hiatal repair. The operation employed is the Collis (1968) repair for uncomplicated hi...

background laparoscopic sleeve gastrectomy (lsg) has become popular both as a definitive and a staged procedure for morbid obesity. gastroesophageal reflux disease (gerd) is a common co-morbid disease in bariatric patients.rn patients and methods the participants in the study were twenty patients, 14 women and 6 men, with a mean body mass index of 43.4 ± 1.9 kg/m2 and mean age of 47 years. all ...

Fundoplication (FP) efficacy is a trade-off between protection against reflux and postoperative dysphagia from the surgically altered mechanical balance within the esophagogastric segment. The purpose of the study was to contrast quantitatively the mechanical balance between normal and post-FP esophageal emptying. Physiological data were combined with mathematical models based on the laws of me...

aim : this study aimed at determining the prevalence of hiatal hernia (hh) in patients with endoscopic erosive esophagitis (ee). background : gastro-esophageal reflux disease (gerd) is one of the most common problems all over the world. this may lead to erosive esophagitis. previous studies have demonstrated that hh has an important role in the pathogenesis of reflux disease. the rising prevale...

The widespread use of meshes for hiatal hernia repair has emerged in the era of laparoscopic surgery, although sporadic cases of mesh augmentation of traumatic diaphragmatic rupture have been reported. The indications for biologic meshes in diaphragmatic repair are ill defined. This systematic review aims to investigate the available evidence on the role of biologic meshes in diaphragmatic rupt...

Objective Large hiatal hernias are more common in older patients and they are more likely to be female. In addition, the patients who underwent operation for large hiatal hernia are on average 20 years older than patients without hiatal hernias treated for elective antireflux surgery. The laparoscopic surgery rapidly became the more acceptable approach for gastrooesophageal reflux disease and r...

A series of 207 cases of carcinoma of the cardia and thoracic oesophagus was reviewed. Ten patients (9-8% of those with carcinoma of the cardia) had a hiatal hernia with a coexisting adenocarcinoma. Five other patients (2-4%) had long-standing records of hiatal hernia, and chronic peptic oesophagitis with stricture before the development of carcinoma. In the cases of hiatal hernia coexisting wi...

BACKGROUND Even though there is no consensus, many authors believe that in the cases of large hiatal defects, structurally altered crura and/or absence of peritoneal lining, a crural reinforcement should be performed. Reinforcement could be performed with different techniques and different type of mesh, either synthetic or biologic. The disadvantages of mesh repair include the possibility of se...

VV Gastroesophageal reflux disease (GERD) results from the failure of the lower esophageal sphincter to keep acid and other fluids in the stomach. This incompetency is commonly caused by the presence of a hiatal hernia, although a person can have pathologic reflux without a hiatal hernia and, conversely, can have no pathologic reflux even in the presence of a hiatal hernia. Most reflux is actua...

Hiatal hernia and Morgagni hernia are sorts of diaphragmatic hernias that are rarely detected on transthoracic echocardiography. Although echocardiographic findings have an important role for differential diagnosis of cardiac masses, we often might overlook diaphragmatic hernia. We report three cases of diaphragmatic hernias having specific features. The first case is huge hiatal hernia that en...