Early axial sliding hiatus hernia on oesophagogram
Epigastric pain and food stuck in his esophagus two weeks ago. He also lost 22 Ibs over last 6 years.
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- Esophagogram showing early axial sliding hiatus hernia with a gastric wall extension 24 mm above the gastric folds ( outlet ) reaching B ring level.
- B ring diameter is measuring 2 cm excluding schatzki ring.
Early detection of sliding hiatus hernia is one of main advantages of esophagogram. Trendelenburg position is important for early assessment of reflux and sliding hernia.
Presence of gastric wall above the diaphragm level and a distance of greater than 2 cm between gastric folds and B ring are suggestive findings of early hiatus hernia.
- Kahrilas PJ, Kim HC, Pandolfino JE. Approaches to the diagnosis and grading of hiatal hernia. Best Pract Res Clin Gastroenterol. 2008;22 (4): 601-16. doi:10.1016/j.bpg.2007.12.007 - Free text at pubmed - Pubmed citation