ArticleHernia : the journal of hernias and abdominal wall surgery2014
Predictability of hiatal hernia/defect size: is there a correlation between pre- and intraoperative findings?
Article in Hernia : the journal of hernias and abdominal wall surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Effect of Concomitant Laparoscopic Sleeve Gastrectomy and Hiatal Hernia Repair on Gastroesophageal Reflux Disease in Patients with Obesity: a Systematic Review and Meta-analysis.Obesity surgery · 2021Pooled it
- Guideline
- High-resolution 3-dimensional tomography may be a useful tool for understanding the anatomy of hiatal hernias and surgical planning of patients eligible for laparoscopic or robotic antireflux surgery.Surgical endoscopy · 2024Article
- Selecting the Best Gastric Anatomical Place for Biopsy to DetectMedical journal of the Islamic Republic of Iran · 2024Article
- Impact of laparoscopic repair on type III/IV giant paraesophageal hernias: a single-center experience.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Transient delayed gastric emptying following laparoscopic Nissen fundoplication for gastroesophageal reflux disease.Langenbeck's archives of surgery · 2021Article
- Health-related quality of life after laparoscopic repair of giant paraesophageal hernia: how does recurrence in CT scan compare to clinical success?BMC surgery · 2020Observational
- Use of computed tomography volumetric measurements to predict operative techniques in paraesophageal hernia repair.Surgical endoscopy · 2020Article
- Predictors of Hiatal Hernia Recurrence After Laparoscopic Anti-reflux Surgery with Hiatal Hernia Repair: a Prospective Database Analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Autologous Dermis Graft Implantation: A Novel Approach to Reinforcement in Giant Hiatal Hernias.Case reports in surgery · 2018Article
- Efficacy of magnetic sphincter augmentation in patients with large hiatal hernias.Surgical endoscopy · 2017Article
- Preoperative diagnosis of hiatal hernia: barium swallow X-ray, high-resolution manometry, or endoscopy?European surgery : ACA : Acta chirurgica Austriaca · 2017Article
- Multiplanar MDCT measurement of esophageal hiatus surface area: association with hiatal hernia and GERD.Surgical endoscopy · 2016Observational
- "Acute intrathoracic stomach!" How should we deal with complicated type IV paraesophageal hernias?Hernia : the journal of hernias and abdominal wall surgery · 2015Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeClosure of the esophageal hiatus is an important step during laparoscopic antireflux surgery and hiatal hernia surgery. The aim of this study was to investigate the correlation between the preoperatively determined hiatal hernia size and the intraoperative size of the esophageal hiatus.
methodsOne hundred patients with documented chronic gastroesophageal reflux disease underwent laparoscopic fundoplication. All patients had been subjected to barium studies before surgery, specifically to measure the presence and size of hiatal hernia. The size of the esophageal hiatus was measured during surgery by calculating the hiatal surface area (HSA). HSA size >5 cm(2) was defined as large hiatal defect. Patients were grouped according to radiologic criteria: no visible hernia (n = 42), hernia size between 2 and 5 cm (n = 52), and >5 cm (n = 6). A retrospective correlation analysis between hiatal hernia size and intraoperative HSA size was undertaken.
resultsThe mean radiologically predicted size of hiatal hernias was 1.81 cm (range 0-6.20 cm), while the interoperative measurement was 3.86 cm(2) (range 1.51-12.38 cm(2)). No correlation (p < 0.05) was found between HSA and hiatal hernia size for all patients, and in the single radiologic groups, 11.9 % (5/42) of the patients who had no hernia on preoperative X-ray study had a large hiatal defect, and 66.6 % (4/6) patients with giant hiatal hernia had a HSA size <5 cm(2).
conclusionsThe study clearly demonstrates that a surgeon cannot rely on preoperative findings from the barium swallow examination, because the sensitivity of a preoperative swallow is very poor.
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