A 53 year old man with several months history of dysphagia and apreistaltic esophagus had undergone a laparoscopic esophagomyotomy in early 2008 with short lived symptom relief. The operative report indicated the myotomy had been carried well up on the e
35 year old female with history of Nissen, now with dysphagia and GERD, UGI shows partial slippage into the chest.
This is an image of an anterior fundoplication after repair of a paraesophageal hernia
This is an image of a paraesophageal hernia after primary suture repair
This is an image of the hiatus with a paraesophageal hernia after dissection
This is an image of a paraesophageal hernia after reduction of the entire stomach from the chest
This is an image of the esophageal hiatus with a paraesophageal hernia with the entire stomcah in the chest
66 year-old male with epiphrenic diverticulum and diffuse esophageal spasm dysmotility.
Authors: Yosuke Izumi, MD, Akinori Miura, MD, Tsuyoshi Kato, MD
Surgical field — Laparoscopic view- Sliding Hiatal Hernia.