Hiatal Hernia Repair by Restoration and Stabilization of Normal Anatomy An Evaluation in Four Dogs and One Cat

Authors

  • CAROLINE PRYMAK BVSc,

    Corresponding author
    1. Departments of Surgery, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
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  • H. MARK SAUNDERS VMD, DiplomateACVR,

    1. Departments of Radiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
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  • ROBERT J. WASHABAU VMD, DipiomateACVIM

    1. Departments of Medicine, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
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Department of Surgery, Small Animal Hospital, School of Veterinary Medicine, University of Liverpool, L7 7EX, England.

Abstract

Clinical signs of esophageal hiatal hernia in four dogs and one cat included regurgitation, vomiting, hematemesis, hypersalivation, dysphagia, and dyspnea. Thoracic radiographs, esophagram, and fluoroscopy were used to demonstrate cranial displacement of the esophagogastric junction and part of the stomach through the esophageal hiatus. Other findings included megaesophagus, esophageal hypomotility, gastroesophageal reflux, and pneumonia. Medical therapy failed to resolve the clinical signs. Reduction in size of the esophageal hiatus, fixation of the esophagus to the diaphragmatic crus (esophagopexy), and a left fundic gastro-pexy were performed. Surgical results were considered good to excellent.

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