INTRODUCTION A Giant Hiatal Paraesophageal Hernia (GPEH) is a Hiatal Hernia (HH) that includes more than 30% of the stomach in the thorax. The gold standard form of repair today is the laparoscopic abdominal approach in elective scenarios. Laparoscopic HH repair advantages include, less postoperative pain, small incisions, reduced postoperative respiratory complications are reduced, shorter hos...

INTRODUCTION Esophageal hiatal hernias are the most frequent types of internal hernias. This condition involves disturbance of normal functioning of the stomach cardiac mechanism and reflux of the gastric contents to the esophagus. AIM To evaluate postoperative results in our Clinic and the comparison of these results to data from the literature. MATERIAL AND METHODS One hundred and seventy...

INTRODUCTION According to the Brazilian National Institute of Cancer, gastric cancer is the third leading cause of death among men and the fifth among women in Brazil. Surgical resection is the only potentially curative treatment. The most serious complications associated with surgery are fistulas and dehiscence of the jejunal-esophageal anastomosis. Hiatal hernia refers to herniation of elemen...

A female northern elephant seal (Mirounga angustirostris) weaned pup presented with malnutrition. During rehabilitation, the seal developed regurgitation and reduced lung sounds on auscultation. Radiographs and endoscopy performed under sedation suggested a diaphragmatic hernia. A Type I (or sliding) hiatal hernia was confirmed with a positive contrast upper gastrointestinal study, revealing va...

The augmented histamine test was performed in 150 cases of oesophageal hiatal hernia with and without duodenal ulcers and the results have been analysed. There was no significant difference in the result compared with normals. In addition there is no correlation between the acid secretion and either symptoms or size of the hernia. The pathogenesis of heartburn is briefly discussed.

Hiatal Hernia is rarely seen in a neonate. The mode of presentation in the neonatal period can be confused with the possibility of a congenital diaphragmatic hernia and other chest pathologies. The upper gastrointestinal tract contrast study is diagnostic in this disease, but careful viewing of the plain X-ray of the chest can also suggest the diagnosis.

1. Sfara A, Dumitrascu DL. The management of hiatal hernia: an update on diagnosis and treatment. Med Pharm Rep. 2019; 92(4): 321–325. doi: 10.15386/mpr-1323. CrossRef Google Scholar

Mixed (type III) hiatal hernias – with sliding and paraesophageal components – are uncommon, accounting for 10-15% of all hiatal hernias. Symptoms are that of gastroesophageal reflux disease. The paraesophageal hernia may get incarcerated and present as an emergency. We present a 50-year old patient with symptoms of severe reflux disease who was diagnosed with type III hiatus hernia. Laparoscop...

HYPOTHESIS Laparoscopic repair of large hiatal hernia is an appropriate management strategy. DESIGN A prospective patient series. SETTING A university teaching hospital. PATIENTS All patients with hiatal hernias 10 cm or greater in diameter repaired laparoscopically between February 1, 1992, and September 30, 1998. INTERVENTIONS Two operative strategies were used for laparoscopic repair...