Hiatal Herniation After Transhiatal Esophagectomy: an Underreported Complication.

Introduction: The incidence and presentation of hiatal hernias after esophagectomy (HHAE) are not well characterized, and may be changing with increased survival from esophageal cancer. The aims of this study were to define the incidence and presentation of HHAE in our population of patients undergoing transhiatal esophagectomy (THE), as it may have implications for management.

Methods: A retrospective cohort study (2004-2013) was performed of esophageal cancer patients who underwent THE.

Progressive mucosal injury in patients with gastroesophageal reflux disease and increasing peripheral blood eosinophil counts.

Hypothesis: Peripheral blood eosinophil count increases with the degree of mucosal injury associated with gastroesophageal reflux disease (GERD).

Design: Retrospective review.

Setting: Single-institution tertiary hospital.