Document Detail

Large hiatal hernia with floppy fundus: clinical and radiographic findings.
MedLine Citation:
PMID:  17377030     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The purpose of this study was to compare the clinical and barium radiographic findings for 17 patients with large hiatal hernias and a floppy fundus with those for 61 patients with large hiatal hernias but no floppy fundus.
CONCLUSIONS: Patients with large hiatal hernias can develop a floppy fundus, which has a characteristic appearance on barium studies because it droops below the most superior portion of the herniated gastric body. Distortion of the gastric anatomy in patients with this type of hernia can cause mechanical symptoms that usually resolve after surgical repair of the hernia. Radiologists should be aware of the barium radiographic findings associated with a floppy fundus and of the potential role of surgery in the treatment of patients with symptoms.
Steven Y Huang; Marc S Levine; Stephen E Rubesin; David A Katzka; Igor Laufer
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  188     ISSN:  1546-3141     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-03-22     Completed Date:  2007-04-04     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  960-4     Citation Subset:  AIM; IM    
Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104, USA.
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MeSH Terms
Aged, 80 and over
Barium Compounds*
Barium Sulfate / diagnostic use
Contrast Media
Hernia, Hiatal / diagnosis*,  radiography,  surgery
Middle Aged
Reg. No./Substance:
0/Barium Compounds; 0/Contrast Media; 0/Oxides; 7727-43-7/Barium Sulfate; 77603K202B/barium oxide

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