Table 5.

Long-Term Outcomes of Three Hiatal Hernia + Esophagogastric Junction Outflow Obstruction Patients with Persistent Symptoms following Hiatal Hernia Repair

Patient #	Age/Gender	History	Surgery	Symptoms	Manometry	Other Diagnostics	Intervention	Resolution of Symptoms
1	59 F	Hx of RYGB, developed herniated gastric pouch	Lap HH repair, posterior cruroplasty, mesh placement, gastropexy	Persistent dysphagia, > 6 months	Yes (POD 67): EGJOO	Swallow study suggested possible concurrent cricopharyngeal dysfunction	Botox injection to upper esophageal sphincter	Resolved
2	49 F	Hx of chronic GERD and type III HH	Robotic HH repair, posterior cruroplasty, Nissen fundoplication	Persistent dysphagia and esophageal spasm, > 6 months	Yes (POD 209): EGJOO	Normal pH study; normal swallow study; normal gastric emptying study	Nitroglycerin for spasm symptoms	Persistent spasm symptoms, dysphagia resolved
3	76 F	Hx of HH repair via thoracotomy 8 years prior with recurrent HH	Robotic HH repair, posterior cruroplasty, mesh placement, gastropexy	Persistent dysphagia, > 3 months	Not performed	Swallow study showed esophageal dysmotility w/ mild narrowing at GE junction and delayed passage of tablet	None	Resolved

Abbreviations: Hx, history; RYGB, Roux-n-Y gastric bypass; GERD, gastroesophogel reflux disorder; HH, hiatal hernia; POD, postoperative delerium.