Walaa Abdelmoaty, Christy Dunst, Reid Fletcher, Huy Doan, Carmen Tugulan, Jarvis Walters, Daniel Davila-Bradley, Kevin Reavis, Lee Swanstrom, Steven DeMeester
Annals of surgery 2022 Mar 01The aim of this study was to use barium upper gastrointestinal series (UGI) to evaluate the development and natural history of a hiatal hernia. Hiatal hernias are common but the natural history of sliding and paraesophageal type hernias is poorly understood. We reviewed UGI reports from 1987 to 2017 using a word scanning software program to identify individuals that had a hiatal hernia. Only those with at least 2 UGI studies 5 or more years apart were selected. The studies were then reviewed. There were 89 individuals that met inclusion criteria. Twenty-one people had no hiatal hernia on initial UGI and over a median of 99 months a sliding hiatal hernia (SHH) developed in 16 and a PEH developed in 5 people. A SHH was present on initial UGI in 55 people and at a median of 84 months subsequent UGI showed the SHH was stable in 11 (20%), increased in size in 30 (55%), and changed to a PEH in 14 people (25%). In 13 people a PEH was present on initial UGI and over a median of 97 months it was stable in 5 and increased in size in 8 people (62%). We showed that both SHH and PEH can develop over time and that the majority of both increased in size on follow-up UGI study. Further, 25% of SHH became a PEH over time. Recognizing an increase in size or change in type of a hiatal hernia may be clinically relevant to help understand changing or worsening symptoms in an individual. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
Walaa Abdelmoaty, Christy Dunst, Reid Fletcher, Huy Doan, Carmen Tugulan, Jarvis Walters, Daniel Davila-Bradley, Kevin Reavis, Lee Swanstrom, Steven DeMeester. The Development and Natural History of Hiatal Hernias: A Study Using Sequential Barium Upper Gastrointestinal Series. Annals of surgery. 2022 Mar 01;275(3):534-538
PMID: 32773629
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