New or enlarging hiatal hernias after thoracic surgery for early lung cancer

Cai, Qiang; Zhu, Yaqiong; Singh, Ayushi; Lewis, Eric; Kaufman, Andrew; Lee, Dong‐Seok; Song, Kimberly J.; Rosenzweig, Kenneth E.; Gomez, Jorge; Beasley, Mary Beth; Zakowski, Maureen F.; Chung, Michael; Nicastri, Daniel G.; Raad, Wissam; Buyuk, Zrzu; Friedman, Adie; Dreifuss, Ronald; Verzosa, Stacey; Yakubox, Mariya; Aloferdova, Karina; Stacey, Patricia; Nobrega, Simone De; Kantor, Sydney; Hakami, Ardeshir; Adler, Shana; Zhu, Jeffrey; Crawford, Berne; Donnington, Jessica; Cooper, Benjamin; Moreirea, Andre; Sorensen, Audrey; Dunton, Robert F.; Wallen, Jason; Curtiss, Christopher; Ellinwood, L. E.; Connery, Clifford P.; Torres, Emilo; Cruzer, Dan; Gendron, Bruce; Alyea, Sonya; Lackaye, Daniel; Studer, Lauren; Taioli, Emanuela; Schwartz, Rebecca; Becker, Betsy Jane; You, Nan; Chan, Huiwen; Care, Christiana; Green, Jeremy; O’Brien, James; Henschke, Claudia I.; Yankelevitz, David F.; Yip, Rowena; Jirapatnakul, Artit; Flores, Raja M.; Wolf, Andrea; Libby, Daniel M.; Smith, James P.; Pasmantier, Mark; Reeves, Anthony P.; Markowitz, Steven; Miller, Albert; Deval, José Cervera; Roberts, Heidi C.; Patsios, Demetris; Sone, Shusuke; Hanaoka, Takaomi; Zulueta, Javier; de‐Torres, Juan P.; Lozano, María Dolores; Aye, Ralph W.; Manning, Kristin; Bauer, Thomas; Canitano, Stefano; Giunta, Salvatore; Cole, Enser; Klingler, Karl; Austin, John; Pearson, Gregory; Shaham, Dorith; Aylesworth, Cheryl; Meyers, Patrick; Andaz, Shahriyour; Vafai, Davood; Naidich, David P.; McGuinness, Georgeann; Sheppard, Barry; Rifkin, Matthew D.; Thorsen, M K; Hansen, Richard L.; Kopel, Samuel; Mayfield, William; Luedke, Dan W.; Klippenstein, Donald; Litwin, Alan; Loud, Peter A.; Kohman, Leslie J.; Scalzetti, Ernest M.; Thurer, Richard J.; Villamizar, Nestor; Khan, Arfa; Shah, Rakesh; Liu, Xueguo; Herzog, Gary; Yeh, Diana; Wu, Ning; Lowry, J.; Salvatore, Mary M.; Frumiento, Carmine; Mendelson, David S.; Smith, Michael V.; Korst, Robert J.; Taylor, Jana; Ginsberg, Michelle S.; Straznicka, Michaela; Widmann, Mark D.; Cecchi, G; Matalon, Terence A.S.; Scheinberg, Paul; Odzer, Shari-Lynn; Olsen, David R.; Grannis, Fred; Rotter, A; Ray, Daniel; Mullen, David; Wiernik, Peter H.; Cheung, Edson H.; Lim, Melissa; DeCunzo, Louis; Glassberg, Robert; Pass, Harvey I.; Endress, Carmen; Yoder, Mark; Shah, Palmi; Welch, Laura S.; Kalafer, Michael; Walsh, James J.; Bertsch, David; Camacho, Elmer; Chin, Cynthia; Willey, James C.

doi:10.1016/j.xjon.2022.02.013

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…Mediastinal surgery may disrupt the esophageal hiatus leading to greater laxity [ 11 ]. Gastric dilatation has been reported to occur postoperatively in cardiothoracic surgeries and may influence the development of hiatal hernias as well [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Hiatal Hernia of Stomach and Lesser Omentum in a Cadaver: Is It a Type III or IV?

Alvarez,

Debski,

Egli

et al. 2024

Cureus

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Hiatal hernias, protrusions of abdominal viscera through the esophageal hiatus, are classified into four types. Types I and II involve ascent of the stomach without affecting the gastroesophageal junction. Types III and IV involve the gastroesophageal junction. Type IV specifically may have stomach as well as other abdominal organ involvement, such as pancreas or omentum. Among these types, type IV is the most complex and rare form, accounting for only 0.1% of all cases of hiatal hernias. This report presents a case of a type IV hiatal hernia involving the lesser omentum and a significant portion of the stomach in an 86-year-old male cadaver with a history of mediastinal surgery. To our knowledge, this presentation in a cadaver has not previously been reported in the literature. This case highlights classification inconsistencies in the literature, particularly regarding type IV hiatal hernias. It is unclear given the current classification system, whether this presentation would be considered a type III or type IV hiatal hernia as it fits both criteria and there are several interpretations of the criteria of a type IV hiatal hernia. Inconsistencies in the classification system may impede standardization of care. This report highlights the need for a more precise classification system that better accounts for anatomical changes and clinical presentation.

show abstract

Section: Discussionmentioning

confidence: 99%

Hiatal Hernia of Stomach and Lesser Omentum in a Cadaver: Is It a Type III or IV?

Alvarez,

Debski,

Egli

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…They are both important to understand to help prepare ourselves and our patients. Occasionally, we discover new unintended consequences of standard, well-studied procedures, as is reported by Song and colleagues 1 in this month's JTCVS Open . As the authors acknowledge, there exists only case reports of new and worsening hiatal hernias (HHs) with gastroesophageal reflux disease symptoms following lobectomy.…”

mentioning

confidence: 83%

Commentary: How significant is statistically significant?

Dingley

Seder

2022

JTCVS Open

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New or enlarging hiatal hernias after thoracic surgery for early lung cancer

Cited by 2 publications

References 18 publications

Hiatal Hernia of Stomach and Lesser Omentum in a Cadaver: Is It a Type III or IV?

Hiatal Hernia of Stomach and Lesser Omentum in a Cadaver: Is It a Type III or IV?

Commentary: How significant is statistically significant?

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