Article
Surgery
Maysen E. Calzon, Bilal Koussayer, Joseph Sujka
Summary: This paper describes a robotic surgical technique for converting a slipped Nissen fundoplication to a Toupet fundoplication. The technique involves using robotic tools and an endoscope, and utilizing esophagogastroduodenoscopy as a bougie. This method can reduce reoperations and complications in patients undergoing fundoplication surgery.
UPDATES IN SURGERY
(2023)
Article
Surgery
Maria E. Linnaus, Anna Garren, Jon C. Gould
Summary: The most common location and mechanism for hiatal hernia recurrence is anterior dilation of the hiatus. Further research should be conducted on outcomes following techniques designed to reinforce the anterior hiatus and prevent hiatal dilation.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Colin P. Dunn, Jasmine Zhao, Jennifer C. Wang, Tanu A. Patel, Luke R. Putnam, Aleeson Eka, Caitlin C. Houghton, Nikolai A. Bildzukewicz, John C. Lipham
Summary: Magnetic sphincter augmentation in conjunction with large hiatal hernia repairs for patients with GERD achieves excellent long-term radiographic and clinical results, and a low overall need for reoperation, without the need for mesh.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Gastroenterology & Hepatology
Naveen Perisetla, William N. Doyle Jr, Lauren Ladehoff, Nicole Natarelli, Valerie Nemov, Karthik Pittala, Joseph Sujka, Adham R. Saad, Chistopher DuCoin, Vic Velanovich
Summary: This study found that patients with spinal deformities had a higher risk of hiatal hernia recurrence after repair, with shorter time to recurrence and a greater likelihood of having complex and larger hiatal hernias.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Surgery
Rocio E. Carrera Ceron, Robert B. Yates, Andrew S. Wright, H. Alejandro Rodriguez, Rebecca G. Lopez, Carlos A. Pellegrini, Brant K. Oelschlager
Summary: By reviewing surgical records, videos, and academic conference abstracts, we found no evidence of Type II hiatal hernias (HH). The current definition of Type II HH is problematic, as it can easily be mistaken for a paraesophageal hernia.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Kheman Rajkomar, Christophe R. Berney
Summary: This article systematically evaluates the repair of laparoscopic large hiatal hernia and proposes methods to improve surgical outcomes. Starting from defining and categorizing, it discusses preoperative evaluation, surgical techniques, issues in the repair phase, and postoperative investigations. The article is of great significance in improving the repair of large hiatal hernia.
Article
Surgery
Sharbel A. Elhage, Angela M. Kao, Michael Katzen, Jenny M. Shao, Tanushree Prasad, Vedra A. Augenstein, B. Todd Heniford, Paul D. Colavita
Summary: Elective repair versus watchful waiting in paraesophageal hernia (PEH) patients remains controversial. Generating predictive factors to determine patients at greatest risk for emergent repair may be helpful. Patients undergoing emergent repair are more likely to experience complications, require ICU care, have a higher mortality rate, and an increased likelihood of reoperation. An increase in intrathoracic hernia sac volume (HSV) predicts the need for emergent surgery. Patients with large PEH may benefit from early elective surgery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Walaa Abdelmoaty, Christy Dunst, Reid Fletcher, Huy Doan, Carmen Tugulan, Jarvis Walters, Daniel Davila-Bradley, Kevin Reavis, Lee Swanstrom, Steven DeMeester
Summary: This study used barium upper gastrointestinal series to evaluate the development and natural history of hiatal hernia. The results showed that both sliding and paraesophageal type hernias can develop over time and the majority of them increased in size. Additionally, 25% of sliding hernias became paraesophageal hernias. Recognizing changes in hiatal hernia size or type may be clinically relevant.
Article
Surgery
Bailey Su, Mikhail Attaar, Harry Wong, Zachary M. Callahan, Kristine Kuchta, Stephen Stearns, John G. Linn, Woody Denham, Stephen P. Haggerty, Michael B. Ujiki
Summary: This study found that a 40 ml balloon volume fill resulted in higher measurements of Dmin, CSA, IBP, and DI during fundoplication compared to a 30 ml fill. Reverse Trendelenburg positioning led to higher Dmin, IBP, and CSA values, while pneumoperitoneum significantly increased IBP but decreased DI. Surgeons should consider these variables when interpreting FLIP measurements during or after fundoplication.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Robert Allman, James Speicher, Austin Rogers, Ethan Ledbetter, Aundrea Oliver, Mark Iannettoni, Carlos Anciano
Summary: The study aimed to show that adding a fundic gastropexy to laparoscopic hiatal hernia repair and magnetic sphincter augmentation in patients at high risk for hiatal hernia recurrence improved outcomes without altering perioperative course.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Priscila R. Armijo, Crystal Krause, Tailong Xu, Valerie Shostrom, Dmitry Oleynikov
Summary: The study compared the efficiency of three types of mesh in hiatal hernia repair surgeries. While the surgical outcomes of the three mesh groups were similar, there was a significant difference in mesh costs. Surgeon and hospital preferences still play a role in choosing the type of mesh used, but knowledge of individual mesh costs can help in making more informed decisions.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Gastroenterology & Hepatology
Rachel Sillcox, Rocio Carrera, Andrew S. Wright, Brant K. Oelschlager, Robert B. Yates, Roger P. Tatum
Summary: This study compared esophageal motility disorders in patients with paraesophageal hernias (PEH) to those with sliding hiatal hernia. The results showed that PEH patients had higher rates of ineffective esophageal motility (IEM) and lower rates of absent peristalsis. High-resolution manometry (HRM) is important for preoperative assessment and procedure selection in PEH repair.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Surgery
Benjamin Clapp, Ali M. Kara, Paul J. Nguyen-Lee, Hani M. Annabi, Luis Alvarado, John D. Marr, Omar M. Ghanem, Brian Davis
Summary: The use of bioabsorbable mesh in hiatal hernia repair is more effective in reducing hernia recurrence rate compared to simple suture cruroplasty, according to a meta-analysis of available literature.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Salim Hosein, Tyson Carlson, Laura Flores, Priscila Rodrigues Armijo, Dmitry Oleynikov
Summary: The study found that laparoscopic hiatal hernia repair (LHHR) is currently the most commonly used approach, and LHHR and robotic-assisted repair (RHHR) have advantages over open repair (OHHR) in terms of cost, length of stay, complications, and mortality, unless patients are extremely ill. Patients should opt for minimally invasive hiatal hernia repair whenever possible, even in urgent or emergent settings.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Review
Surgery
Kevin Verhoeff, Jerry T. Dang, Andy Deprato, Janice Y. Kung, Noah J. Switzer, Daniel W. Birch, Clarence Wong, Shahzeer Karmali
Summary: Cameron lesions are often overlooked as a cause of gastrointestinal bleeding. Surgical management significantly improves therapeutic success compared to medical treatment, providing therapeutic benefits for patients.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
