Gastroenterology & GI Surgery

david hudesman

Advancing Science

Maximizing the Impact of IBD Treatment

An array of new tools and therapies bring precision medicine to IBD clinical care.

Read More

NYU Langone Health:
A Leader in Gastroenterology & GI Surgery

gastro 2022 badge

Ranked #5

in Gastroenterology & GI Surgery

Best in New York State

1-year post liver transplant survival

> 125

Whipple surgeries/year

Complex Case Spotlight

Anemia of “Unknown Origin” Revealed to be Caused by Large Hiatal Hernia


Assessing the Cause of Anemia, Vomiting, Retching

A 68-year-old male presented with a history of anemia as well as complaints of acid reflux, vomiting, retching, and difficulty keeping food down. Multiple tests completed prior to the patient arriving revealed no obvious reason for the chronic blood loss. The patient was receiving regular iron infusions and blood transfusions to treat the anemia.

Coronal view of CT scan showing large intrathoracic stomach.
1 of 4

Detection of Large Hiatal Hernia

Upon referral for management of worsening symptoms, gastroenterologist Seth Gross, MD, detected a large hiatal hernia via endoscopy, which was subsequently confirmed on a CT scan.

Axial view of CT scan showing large intrathoracic stomach.
2 of 4

Cameron Lesions and Iron Deficiency Anemia

Dr. Gross suspected that, in addition to causing the symptoms of acid reflux, vomiting, and retching, Cameron lesions associated with the hiatal hernia were causing iron deficiency anemia. The patient was then referred to surgeon Tanuja Damani, MD, and underwent a minimally invasive robotic paraesophageal hernia repair.

Before paraesophageal hernia repair via minimally invasive robotic surgery.
3 of 4

Paraesophageal Hernia Repair

Mesh reinforcement of the diaphragm was completed during the repair to reduce the risk of hernia recurrence. In total, the procedure lasted 2.5 hours, and the patient was discharged within 48 hours. Following surgery, the patient’s hemoglobin levels – which reached a low of 5.4 g/dl pre-surgery – returned to normal (>15 g/dl), and his symptoms of acid reflux, vomiting, and retching completely resolved. READ THE FULL ARTICLE

After paraesophageal hernia repair via minimally invasive robotic surgery.
4 of 4

NYULH is proud to be ranked the #3 hospital in the U.S.

Refer a Patient

Your Partner in Every Patient’s Care

To refer a patient, browse our specialists.

Subscribe for Updates in Gastroenterology & GI Surgery

Sign up for Physician Focus emails for practice-changing news and perspectives from our experts at NYU Langone Health.

Select Your Interests