Large hiatal hernia with floppy fundus: clinical and radiographic findings.
OBJECTIVE
The purpose of this study was to compare the clinical and barium radiographic findings for 17 patients with large hiatal hernias and a floppy fundus with those for 61 patients with large hiatal hernias but no floppy fundus.


CONCLUSIONS
Patients with large hiatal hernias can develop a floppy fundus, which has a characteristic appearance on barium studies because it droops below the most superior portion of the herniated gastric body. Distortion of the gastric anatomy in patients with this type of hernia can cause mechanical symptoms that usually resolve after surgical repair of the hernia. Radiologists should be aware of the barium radiographic findings associated with a floppy fundus and of the potential role of surgery in the treatment of patients with symptoms.
Huang
Steven Y
SY
Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104, USA.
Levine
Marc S
MS
Rubesin
Stephen E
SE
Katzka
David A
DA
Laufer
Igor
I
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017609:Barium Compounds; D001466:Barium Sulfate; D003287:Contrast Media; D004733:Enema; D006551:Hernia, Hiatal / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D010087:Oxides; D011859:Radiography
D017609:Barium Compounds; D003287:Contrast Media; D010087:Oxides; D001466:Barium Sulfate; C077606:barium oxide