title: Unusual swallow syncope caused by huge hiatal hernia.
abstract: Swallowing is a rare cause of syncope. A 76-year-old woman was admitted to a hospital due to postprandial loss of consciousness. Although no remarkable cardiogenic problem was proven, upper gastrointestinal barium examination revealed a huge hiatal hernia. Both echocardiography and MRI presented the collapsed left atrium due to the herniated stomach. Water pouring examination successfully represented lightheadedness, and Nissen's fundoplication was carried out. After this procedure, she never suffered from syncopal attack.
authors.affiliation: Department of Gastroenterology, Kanebo Memorial Hospital, Kobe.
authors.forename: Toru
authors.initials: T
authors.lastname: Maekawa
authors.forename: Masakuni
authors.initials: M
authors.lastname: Suematsu
authors.forename: Temiko
authors.initials: T
authors.lastname: Shimada
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Go
authors.forename: Takao
authors.initials: T
authors.lastname: Shimada
mesh_terms: D000368:Aged; D003679:Deglutition; D005260:Female; D006551:Hernia, Hiatal / Q000150:complications* / Q000473:pathology; D006801:Humans; D013575:Syncope / Q000209:etiology*