Gastroenterology & GI Surgery
Adolescent Obesity: Weight Loss and Bariatric Surgery
An expert discusses bariatric surgery, a well-tolerated and effective treatment option for adolescent obesity.
Findings Support Elective Paraesophageal Hernia Repair in Elderly Patients
Large outcomes study signals a shift from watchful to operative management of PEHs in older adults.
Ergonomic Factors in Endoscopy: Addressing the Training Gap
Practitioner injuries are widespread and early onset—new guidelines aim to stem the problem.
Low-Lipid Disorders: Rare, Yet Revealing, Metabolic Conditions
An expert discusses hypobetalipoproteinemia, rare conditions that can inform treatments for more prevalent lipid disorders.
Calculator Predicts Risk of Early-Onset Colorectal Cancer
A model incorporating lifestyle, genetic factors could pinpoint high-risk young adults.
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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.
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.
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.
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