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Post-esophagectomy hiatal hernia following minimally invasive esophagectomy in esophageal cancer patients.
Surg Endosc
March 2025
Division of Gastrointestinal and General Surgery, Department of Surgery, Oregon Health & Science University, Portland, OR, 97239, USA.
Introduction: Minimally invasive esophagectomy (MIE) has emerged as the preferred surgical method for esophageal cancer resulting from lower morbidity rates for MIE compared to open surgery. However, post-esophagectomy hiatal hernia (PEHH), also known as paraconduit hernia, once rare, is now increasingly observed as a late complication. This study aims to ascertain the prevalence, predictive factors, and surgical management of PEHH following MIE in esophageal cancer patients.
View Article and Find Full Text PDFLaparoscopic Hiatal Hernia Repair: Short-Term Results From Yemen in a Resource-Limited Setting.
Cureus
January 2025
Department of Surgery, University of Aden, Aden, YEM.
Background The laparoscopic minimally invasive surgery with anti-reflux procedure is the preferred method for hiatal hernia repair, showcasing a noticeable decrease in surgery-related morbidity and mortality. This study aimed to investigate various elements and variables that could affect and enhance the advantages of minimally invasive surgery for hiatal hernias and minimize the chances of complications occurring both during and after laparoscopic repair with fundoplication for hiatal hernia. Methods Hiatal hernia repair with fundoplication as anti-reflux surgery was conducted to evaluate perioperative and postoperative outcomes at Aden Hospital between 2023 and 2024.
View Article and Find Full Text PDFAmerican Society for Gastrointestinal Endoscopy guideline on the diagnosis and management of GERD: methodology and review of evidence.
VideoGIE
February 2025
Department of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida, USA.
This clinical practice guideline from the American Society for Gastrointestinal Endoscopy (ASGE) provides an evidence-based approach for strategies to diagnose and manage GERD. This document was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework and serves as an update to the prior ASGE guideline on the role of endoscopy in the management of GERD (2014). The updated guideline addresses the indications for endoscopy in patients with GERD, including patients who have undergone sleeve gastrectomy (SG) and peroral endoscopic myotomy (POEM).
View Article and Find Full Text PDFRobotic surgery for giant paraesophageal hernias: a promising approach to improved outcomes.
J Robot Surg
February 2025
Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA.
Giant paraesophageal hernias (GPEH) present challenges in management and surgical technique. Laparoscopic repair has been the gold standard for GPEH repair. Despite technical advances in laparoscopy, complications and recurrence remain high.
View Article and Find Full Text PDFFizz-computed tomography as a novel modality of objective esophageal hiatal assessment.
Langenbecks Arch Surg
February 2025
School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia.
Background: Traditional investigations of esophageal hiatal assessment for reflux disease and hiatal hernia (HH), such as endoscopy and barium swallow are subjective. High resolution manometry (HRM) limits hiatal hernia assessment to vertical length. We report a novel use of 3D volumetric Computed Tomography with effervescent oral contrast (Fizz-CT) as a means of preoperative HH diagnosis.
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