The incidence of hiatal hernia has been reported by many authors and varied from 2.3% to 50%. Boyd3) found an incidence of 2.3% in 1, 500 barium examinations. Krothe,13) quoted by Bockus, reported an 8% incidence. Hafter7) noted a frequency of 12.5% in a large 않ries of 2,402 barium meal examinations. 1n 1960, Stein23) reported 50% in 100 consecutive barium meal examinations. These wide variatio...

OBJECTIVE To study whether avulsion and ballooning are independent risk factors for symptoms and/or signs of pelvic organ prolapse. DESIGN Retrospective analysis of data obtained in clinical practice. SETTING Tertiary urogynecology unit. POPULATION Seven hundred and sixty-one consecutive women with symptoms of pelvic floor dysfunction. METHODS Evaluation included history, vaginal examin...

We describe the case of a 78-year-old woman admitted to our department for suspected silent myocardial ischaemia with the evidence of T wave inversion in anterior lead. All the instrumental exams excluded inducible myocardial ischaemia. A gastroscopy showed a moderate hiatal hernia. We postulate that electrocardiogram modification could be attributed to hiatal hernia.

There has been controversy regarding the relationship between gastroesophageal reflux, microaspiration, and idiopathic pulmonary fibrosis (IPF). In the last decade, there is increasing evidence supporting a relationship between gastroesophageal reflux, microaspiration, and IPF. The presence of hiatal hernia further propagates microaspirations. Surgical management of hiatal hernia plays a vital ...

Hiatal hernias are usually sporadic and uncommon, requiring a high index of suspicion. Preterm monochorionic-monoamniotic twins with recurrent emesis had inconclusive radiographs contrast study consistent hiatal hernia. Genetic testing was performed due to concerns for familial inheritance. Early diagnosis treatment essential prevent complications.

Postoperative hiatal hernia after esophagectomy occurs with a frequency of 0.4-6%, and the local conditions following esophagectomy promote its occurrence. In the material presented here, hiatal hernia in the form of displacement of the colon to the mediastinum was established in 0.78% (2/256) of all performed esophagectomies. Both cases were reoperated successfully.

Hiatal herniation caused by contraction of the longitudinal muscle of the oesophagus has been prevented by disconnecting the local vagal nerve supply while preserving the vagal connections to more distant organs. A selective oesophageal vagotomy above the lung hilum may prove an effective adjunct to orthodox hiatal hernia repair in man.

BACKGROUND Postoperative intrathoracic wrap migration is the most frequent morphological complication after laparoscopic antireflux surgery. Previous authors have studied the use of prosthetic materials for hiatal closure to prevent recurrence of hiatal hernia and/or postoperative intrathoracic wrap herniation. HYPOTHESIS Patients with prosthetic hiatal closure have a higher rate of short-ter...