Example of hudge sliding hiatal(esophageal) hernia on Endoscopy.This is the forward and reflexed view (Retrovision maneuver)in a patient demonstrating sliding hiatal hernia.
Attaching the esophageal and gastric tube prior to mobilization.
Port placement for thoracoscopic esophageal mobilization.
Room setup for thoracoscopic esophageal mobilization.
The esophageal opening is recognized as a simple slit at the base of the triangle formed by the glottis, just behind the arytenoid cartileges. The two piriform sinuses lie on each side of the esophageal opening.