Hiatus hernia diagnostic study of choice

	Hiatus Hernia Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Hiatus Hernia from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Electrocardiogram
Chest X Ray
Echocardiography or Ultrasound
MRI
CT
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Hiatus hernia diagnostic study of choice On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Hiatus hernia diagnostic study of choice All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Hiatus hernia diagnostic study of choice
CDC on Hiatus hernia diagnostic study of choice
Hiatus hernia diagnostic study of choice in the news
Blogs on Hiatus hernia diagnostic study of choice
Directions to Hospitals Treating Hiatus hernia
Risk calculators and risk factors for Hiatus hernia diagnostic study of choice

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]

Overview

When a patient is suspected for having a sliding hiatus hernia and symptoms of gastroesophageal reflux disease (GERD) which includes regurgitation, heartburn, and dysphagia epigastric pain or fullness, nausea, or vomiting. High resolution manometry with esophageal pressure topography (EPT) is the most sensitive test for the diagnosis of hiatal hernia.

High resolution manometry with esophageal pressure topography (EPT) is the most sensitive test for the diagnosis of hiatal hernia.^[1]^[2]^[3]
The following result of high resolution manometry is sensitive of hiatal hernia.
- Evidence of separation of the crural diaphragm from the lower esophageal sphincter(LES).
- Real-time localization of the esophagogastric junction.
- Identification of intermittent herniation.

The comparison table for diagnostic studies of choice for High resolution manometry and endoscopy.^[4]

Test	Sensitivity	Specificity
High resolution manometry	92%	95%
Endoscopy	73%	73%

↑ Kahrilas PJ, Kim HC, Pandolfino JE (2008). "Approaches to the diagnosis and grading of hiatal hernia". Best Pract Res Clin Gastroenterol. 22 (4): 601–16. doi:10.1016/j.bpg.2007.12.007. PMC 2548324. PMID 18656819.
↑ Cho YK (October 2011). "High-resolution manometry for assessing hiatal hernia in a patient with severe reflux esophagitis". J Neurogastroenterol Motil. 17 (4): 421–2. doi:10.5056/jnm.2011.17.4.421. PMC 3228984. PMID 22148113.
↑ Khajanchee YS, Cassera MA, Swanström LL, Dunst CM (January 2013). "Diagnosis of Type-I hiatal hernia: a comparison of high-resolution manometry and endoscopy". Dis. Esophagus. 26 (1): 1–6. doi:10.1111/j.1442-2050.2011.01314.x. PMID 22320417.
↑ Weijenborg PW, van Hoeij FB, Smout AJ, Bredenoord AJ (February 2015). "Accuracy of hiatal hernia detection with esophageal high-resolution manometry". Neurogastroenterol. Motil. 27 (2): 293–9. doi:10.1111/nmo.12507. PMID 25620528.