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Hiatal Hernia
Tyler H. Ternes, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Hiatal hernia, hiatus hernia (HH)
          • Definitions

            • Herniation through esophageal hiatus
            • Sliding HH: Intrathoracic herniation of gastroesophageal (GE) junction and gastric cardia
            • Paraesophageal hernia (true): Normal position of GE junction and intrathoracic gastric herniation along distal esophagus

          IMAGING

          • General Features

            • Radiographic Findings

              • Fluoroscopic Findings

                • CT Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    Selected References

                                    1. Mazaheri P et al: CT of gastric volvulus: interobserver reliability, radiologists' accuracy, and imaging findings. AJR Am J Roentgenol. 212(1):103-8, 2019
                                    2. Petrov RV et al: Surgical anatomy of paraesophageal hernias. Thorac Surg Clin. 29(4):359-68, 2019
                                    3. Sfara A et al: The management of hiatal hernia: an update on diagnosis and treatment. Med Pharm Rep. 92(4):321-5, 2019
                                    4. Guniganti P et al: CT of gastric emergencies. Radiographics. 35(7):1909-21, 2015
                                    5. Huang SY et al: Large hiatal hernia with floppy fundus: clinical and radiographic findings. AJR Am J Roentgenol. 188(4):960-4, 2007
                                    6. Gourgiotis S et al: Acute gastric volvulus: diagnosis and management over 10 years. Dig Surg. 23(3):169-72, 2006
                                    7. Kavic SM et al: Classification of hiatal hernias using dynamic three-dimensional reconstruction. Surg Innov. 13(1):49-52, 2006
                                    8. Eren S et al: Diaphragmatic hernia: diagnostic approaches with review of the literature. Eur J Radiol. 54(3):448-59, 2005
                                    9. Abbara S et al: Intrathoracic stomach revisited. AJR Am J Roentgenol. 181(2):403-14, 2003
                                    10. Jang KM et al: The spectrum of benign esophageal lesions: imaging findings. Korean J Radiol. 3(3):199-210, 2002
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Hiatal hernia, hiatus hernia (HH)
                                            • Definitions

                                              • Herniation through esophageal hiatus
                                              • Sliding HH: Intrathoracic herniation of gastroesophageal (GE) junction and gastric cardia
                                              • Paraesophageal hernia (true): Normal position of GE junction and intrathoracic gastric herniation along distal esophagus

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • Fluoroscopic Findings

                                                  • CT Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Staging, Grading, & Classification

                                                            • Gross Pathologic & Surgical Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      Selected References

                                                                      1. Mazaheri P et al: CT of gastric volvulus: interobserver reliability, radiologists' accuracy, and imaging findings. AJR Am J Roentgenol. 212(1):103-8, 2019
                                                                      2. Petrov RV et al: Surgical anatomy of paraesophageal hernias. Thorac Surg Clin. 29(4):359-68, 2019
                                                                      3. Sfara A et al: The management of hiatal hernia: an update on diagnosis and treatment. Med Pharm Rep. 92(4):321-5, 2019
                                                                      4. Guniganti P et al: CT of gastric emergencies. Radiographics. 35(7):1909-21, 2015
                                                                      5. Huang SY et al: Large hiatal hernia with floppy fundus: clinical and radiographic findings. AJR Am J Roentgenol. 188(4):960-4, 2007
                                                                      6. Gourgiotis S et al: Acute gastric volvulus: diagnosis and management over 10 years. Dig Surg. 23(3):169-72, 2006
                                                                      7. Kavic SM et al: Classification of hiatal hernias using dynamic three-dimensional reconstruction. Surg Innov. 13(1):49-52, 2006
                                                                      8. Eren S et al: Diaphragmatic hernia: diagnostic approaches with review of the literature. Eur J Radiol. 54(3):448-59, 2005
                                                                      9. Abbara S et al: Intrathoracic stomach revisited. AJR Am J Roentgenol. 181(2):403-14, 2003
                                                                      10. Jang KM et al: The spectrum of benign esophageal lesions: imaging findings. Korean J Radiol. 3(3):199-210, 2002