Background/Aims Esophageal motor disorder (EMD) has been shown to be associated with gastroesophageal reflux disease (GERD). However, the association of EMD with a Barrett's esophagus (BE) is controversial. Our objective was to evaluate whether the presence of EMD was an independent factor associated with BE. Methods A retrospective case-control study was conducted in GERD patients who all ha...

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...

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 ...

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...

BACKGROUND Plication of an esophageal hiatus during surgery for esophageal hiatal hernia is a common practice; however, a mesh may be used if the hiatus is markedly enlarged. Recently, various late complications occurring as a result of mesh-induced esophageal and/or gastric wall injuries have been reported. CASE PRESENTATION A 71-year-old woman presented at a neighborhood clinic in November ...

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...

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...

: Tetanus with hiatal hernia was diagnosed in a four-month-old female sheepdog pup. The animal was treated with tetanus antitoxin, antibiotics, fluids and intensive nursing care for three weeks and subsequently made a full recovery.

This paper presents the results of a surgical and histopathological study regarding the microanatomical modifications of the thoraco-abdominal diaphragm and of the peri-esophageal structures in the hiatal hernias, establishing a cause-effect relationship between these structural modifications and the hiatal hernia. The study was represented by two groups of patients: a control group and a group...