INTRODUCTION There are four types of hiatal hernias, and diagnosis is established on the basis of gastroscopy in the majority of cases. Type III represents a mixed type in which the abdominal esophagus as well as the gastric cardia and fundus protrude into the thorax through the pathologically widened esophageal hiatus. Type IV, the so-called upside down stomach, can be considered an evolutiona...

Background: Prevalence of gastroesophageal reflux disease (GERD) has increased in the last decades, and it is now one of the most common chronic and recurrent diseases. The present study aimed at determining the frequency of gender (sex) and age in Iranian patients with GERD symptoms.    Methods: In this study, 803 patients aged 11 to 84 years, with erosive and nonerosive gastroesoph...

A 25-day-old female baby having eventration of diaphragm associated with a big hiatal hernia is being reported here. This is the second report describing the rare association.

CASE REPORT It has been demonstrated that paraesophageal hiatal hernia surgical repair can be performed by endoscopic means, but the procedure is not standardized and results have not been evaluated systematically so far. The Authors report a case of strangulated paraesophageal hiatal hernia occurred in a elderly man and treated with open approach. Eighteen months later, follow up has demonstra...

The gastroesophageal reflux disease is chronic and common condition that affects about 10% of the population in general22 and corresponds to about 75% of esophageal disorders, with a progressive increase in incidence over the years18. Surgical treatment is permanent, in most cases, since the fundoplication restores the competence of the lower esophageal sphincter and the hiatoplasty reduces and...

We present the case of a 76-y-old man with mixed (type III) paraesophageal hernia confirmed by endoscopy and CT of the chest who underwent a radionuclide gastric-emptying study that showed accumulation of the radiotracer in the herniated stomach and esophagus in the thorax and accelerated gastric emptying. A scintigraphic gastric-emptying study may be an option for noninvasively demonstrating g...

A MODIFIED NISSEN TOUPET PROCEDURE FOR THE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE AND HIATAL HERNIA: HOW I DO IT (Abstract): The laparoscopic fundoplication became the standard treatment for gastro-esophageal reflux disease and hiatal hernia. Nissen and Toupet techniques are the most used surgical procedures. Which of these techniques is superior is a subject of debate. The Nissen procedu...

BACKGROUND paraesophageal hiatal hernia represents 5-10% of hiatal hernias. Its importance is based on the severe complications it may have, including gastric volvulus, and surgical treatment is recommended when a diagnosis is established. MATERIAL AND METHODS a retrospective study of all patients who underwent surgery for paresophageal hernia between 1985 and 2007. RESULTS we studied 90 ca...

We describe the presence of anisakiasis in a patient who had a small hiatal hernia. A 60 year-old women presented general malaise, burning pain, flatulence, persistent nausea and abdominal distension during five days before consulting. She referred that she ate a dish of marinated raw fish with lemon and pepper ("cebiche") and after a few hours the symptoms began. An esophagogastroscopy showed ...