Yıl: 2022 Cilt: 27 Sayı: 1 Sayfa Aralığı: 11 - 15 Metin Dili: İngilizce DOI: 10.5505/ejm.2022.33341 İndeks Tarihi: 11-10-2022

Radiological Appearance of Hiatal Hernias on Computed Tomography

Öz:
A hiatal hernia is the herniation of organs and structures in the abdominal cavity through the esophageal opening of the diaphragm. We aimed to present the tomographic findings of hiatal hernia types. The computed tomography (CT) images and demographic characteristics of the patients diagnosed with hiatal hernias based on contrast-enhanced and/or non-contrast thorax-abdominal CT scan between January 2016 and December 2019 were retrospectively reviewed (Material & Method shortened in abstract.). Oral contrast material wasn’t given to the patients. (Added) 210 patients with hiatal hernias, 126 (60%) were female and 84 (40%) were male. Among these patients, 124 (59 %) had type 1, 76 (36 %) had type 2, nine (4.2 %) had type 3, and one (0.4 %) had type 4 hiatal hernia. The most common complaints were cough (64%) and mild shortness of breath (34%). The most common clinical signs seen in the majority of patients were weight loss (73%) and loss of appetite (41%). All of the cases were mainly diagnosed based on radiological (CT) findings. With the increase in the use of CT for thoracic and abdominal diseases, there has been an increase in the frequency of incidental detection of hiatal hernias. Hernia diagnosis is important for preoperative surgical planning. Radiologists should be aware that complications of hiatal hernia can cause morbidity and mortality. The best diagnosis method is considered as CT, which is also useful in determining the type of hiatal hernias.
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  • 1. Kahrilas PJ, Kim HC, Pandolfino JE. Approaches to the diagnosis and grading of hiatal hernia. Best practice & research Clinical gastroenterology 2008; 22: 601-616.
  • 2. Abbara S, Kalan MM, Lewicki AM. Intrathoracic stomach revisited. American Journal of Roentgenology 2003; 181: 403-414.
  • 3. Hampel H, Abraham NS, El-Serag HB. Meta-analysis: obesity and the risk for gastroesophageal reflux disease and its complications. Annals of internal medicine 2005; 143: 199-211.
  • 4. Pickhardt PJ, Boyce CJ, Kim DH, Hinshaw LJ, Taylor AJ, Winter TC. Should small sliding hiatal hernias be reported at CT colonography? American Journal of Roentgenology 2011; 196: W400-W4.
  • 5. Eren S, Çiriş F. Diaphragmatic hernia: diagnostic approaches with review of the literature. European journal of radiology 2005; 54: 448-459.
  • 6. Chang C-C, Tseng C-L, Chang Y-C. A surgical emergency due to an incarcerated paraesophageal hernia. The American Journal of Emergency Medicine 2009; 27: 134. e1-. e3.
  • 7. Eren S, Ceviz N, Alper F. Congenital diaphragmatic eventration as a cause of anterior mediastinal mass in the children: imaging modalities and literature review. European journal of radiology 2004; 51: 85-90.
  • 8. Menon S, Trudgill N. Risk factors in the aetiology of hiatus hernia: a meta-analysis. European journal of gastroenterology & hepatology 2011; 23: 133-138.
  • 9. Yamaguchi T, Sugimoto T, Yamada H, Kanzawa M, Yano S, Yamauchi M, et al. The presence and severity of vertebral fractures is associated with the presence of esophageal hiatal hernia in postmenopausal women. Osteoporosis international 2002; 13: 331-336.
  • 10. Horst M, Sacher P, Molz G, Willi UV, Meuli M. Tension gastrothorax. Journal of pediatric surgery 2005; 40: 1500-1504.
  • 11. Zedan M, El-Ghazaly M, Fouda A, El-Bayoumi M. Tension gastrothorax: a case report and review of literature. Journal of pediatric surgery 2008; 43: 740-743.
  • 12. Kavic SM, Segan RD, George IM, Turner PL, Roth JS, Park A. Classification of hiatal hernias using dynamic three-dimensional reconstruction. Surgical innovation 2006; 13: 49-52.
  • 13. Ellis FH, Crozier RE, Shea JA. Paraesophageal hiatus hernia. Archives of Surger. 1986; 121: 416-420.
  • 14. Treacy P, Jamieson G. An approach to the management of para oesophageal hiatus hernias. Australian and New Zealand Journal of Surgery 1987; 57: 813-817.
  • 15. Stylopoulos N, Gazelle GS, Rattner DW. Paraesophageal hernias: operation or observation? Annals of surgery 2002; 236: 492.
  • 16. Gantsev S, Kamaletdinova I, Gantsev K, Akmalova L, Riabova V. Differential diagnosis of hiatal hernia and cardioesophageal cancer. Voprosy onkologii 2005; 51: 595.
APA AYYILDIZ V, ÖZGÖKÇE M, TÜRKOĞLU S, Dündar İ, DURMAZ F, özkaçmaz s, TÜRKO E (2022). Radiological Appearance of Hiatal Hernias on Computed Tomography. , 11 - 15. 10.5505/ejm.2022.33341
Chicago AYYILDIZ VEYSEL ATİLLA,ÖZGÖKÇE MESUT,TÜRKOĞLU SAİM,Dündar İlyas,DURMAZ FATMA,özkaçmaz sercan,TÜRKO Ensar Radiological Appearance of Hiatal Hernias on Computed Tomography. (2022): 11 - 15. 10.5505/ejm.2022.33341
MLA AYYILDIZ VEYSEL ATİLLA,ÖZGÖKÇE MESUT,TÜRKOĞLU SAİM,Dündar İlyas,DURMAZ FATMA,özkaçmaz sercan,TÜRKO Ensar Radiological Appearance of Hiatal Hernias on Computed Tomography. , 2022, ss.11 - 15. 10.5505/ejm.2022.33341
AMA AYYILDIZ V,ÖZGÖKÇE M,TÜRKOĞLU S,Dündar İ,DURMAZ F,özkaçmaz s,TÜRKO E Radiological Appearance of Hiatal Hernias on Computed Tomography. . 2022; 11 - 15. 10.5505/ejm.2022.33341
Vancouver AYYILDIZ V,ÖZGÖKÇE M,TÜRKOĞLU S,Dündar İ,DURMAZ F,özkaçmaz s,TÜRKO E Radiological Appearance of Hiatal Hernias on Computed Tomography. . 2022; 11 - 15. 10.5505/ejm.2022.33341
IEEE AYYILDIZ V,ÖZGÖKÇE M,TÜRKOĞLU S,Dündar İ,DURMAZ F,özkaçmaz s,TÜRKO E "Radiological Appearance of Hiatal Hernias on Computed Tomography." , ss.11 - 15, 2022. 10.5505/ejm.2022.33341
ISNAD AYYILDIZ, VEYSEL ATİLLA vd. "Radiological Appearance of Hiatal Hernias on Computed Tomography". (2022), 11-15. https://doi.org/10.5505/ejm.2022.33341
APA AYYILDIZ V, ÖZGÖKÇE M, TÜRKOĞLU S, Dündar İ, DURMAZ F, özkaçmaz s, TÜRKO E (2022). Radiological Appearance of Hiatal Hernias on Computed Tomography. Eastern Journal of Medicine, 27(1), 11 - 15. 10.5505/ejm.2022.33341
Chicago AYYILDIZ VEYSEL ATİLLA,ÖZGÖKÇE MESUT,TÜRKOĞLU SAİM,Dündar İlyas,DURMAZ FATMA,özkaçmaz sercan,TÜRKO Ensar Radiological Appearance of Hiatal Hernias on Computed Tomography. Eastern Journal of Medicine 27, no.1 (2022): 11 - 15. 10.5505/ejm.2022.33341
MLA AYYILDIZ VEYSEL ATİLLA,ÖZGÖKÇE MESUT,TÜRKOĞLU SAİM,Dündar İlyas,DURMAZ FATMA,özkaçmaz sercan,TÜRKO Ensar Radiological Appearance of Hiatal Hernias on Computed Tomography. Eastern Journal of Medicine, vol.27, no.1, 2022, ss.11 - 15. 10.5505/ejm.2022.33341
AMA AYYILDIZ V,ÖZGÖKÇE M,TÜRKOĞLU S,Dündar İ,DURMAZ F,özkaçmaz s,TÜRKO E Radiological Appearance of Hiatal Hernias on Computed Tomography. Eastern Journal of Medicine. 2022; 27(1): 11 - 15. 10.5505/ejm.2022.33341
Vancouver AYYILDIZ V,ÖZGÖKÇE M,TÜRKOĞLU S,Dündar İ,DURMAZ F,özkaçmaz s,TÜRKO E Radiological Appearance of Hiatal Hernias on Computed Tomography. Eastern Journal of Medicine. 2022; 27(1): 11 - 15. 10.5505/ejm.2022.33341
IEEE AYYILDIZ V,ÖZGÖKÇE M,TÜRKOĞLU S,Dündar İ,DURMAZ F,özkaçmaz s,TÜRKO E "Radiological Appearance of Hiatal Hernias on Computed Tomography." Eastern Journal of Medicine, 27, ss.11 - 15, 2022. 10.5505/ejm.2022.33341
ISNAD AYYILDIZ, VEYSEL ATİLLA vd. "Radiological Appearance of Hiatal Hernias on Computed Tomography". Eastern Journal of Medicine 27/1 (2022), 11-15. https://doi.org/10.5505/ejm.2022.33341