We place the patient in a split-leg position. Abdominal access is gained with a Veress needle and optical trocar in the left upper quadrant. We then place three 5-mm ports in a standard formation for ...

Minimally invasive surgical techniques have revolutionized the treatment paraesophageal hernia — but there's continued controversy over some key technical aspects of the procedure. To inform the ...

This report, based on a large unbiased sample of patients operated upon for paraesophageal hernia, demonstrates a gratifying improvement in outcomes associated with a large increase in the frequency ...

A 67-year-old woman presented to the emergency department with severe dysphagia, persistent vomiting, epigastric pain and abdominal distension. The results of a electrocardiograph were normal, and a ...

With sliding or axial hiatal hernia there is thinning and elongation of the phrenoesophageal membrane leading to herniation of the stomach into the posterior mediastinum. As such, there is no ...

Dear Dr. Roach: I am a 72-year-old female with MGUS. I was just diagnosed with an ulcer, Barrett’s esophagus, GERD and a hiatal hernia of 8 cm. My surgeon has put me on high-dose Prilosec and Carafate ...

Dr. Keith Roach writes a medical question-and-answer column weekdays. Dear Dr. Roach: I am a 72-year-old woman with MGUS. I was just diagnosed with an ulcer, Barrett’s esophagus, GERD and a hiatal ...

Philadelphia, Pa. (October 28, 2013) – Minimally invasive surgical techniques have revolutionized the treatment paraesophageal hernia—but there's continued controversy over some key technical aspects ...

DEAR DR. ROACH: I am a 72-year-old female with MGUS. I was just diagnosed with an ulcer, Barrett's esophagus, GERD and a hiatal hernia of 8 cm. My surgeon has put me on high-dose Prilosec and Carafate ...