Diagnosis

Expert Diagnosis is Key!

Comprehensive evaluation with accurate diagnosis is the foundation for achieving highly successful outcomes. That’s why it’s important to seek care from a center that provides academic level care from a multidisciplinary, specialized team of gastroesophageal experts experienced in the accurate diagnosis of esophageal diverticula, as well as other complex gastroesophageal diseases.

Beginning with a thorough evaluation that includes a comprehensive physical exam, personal medical history review and state-of-the-art diagnostic workup, Hoag’s multidisciplinary team of board-certified, fellowship trained gastrointestinal experts carefully evaluate each patient, so the most appropriate personalized treatment options can be employed.

Hoag’s state-of-the-art diagnostic technologies provide our team with the latest modalities in the accurate diagnosis of hiatal hernia and other gastroesophageal disorders. Some of the progressive imaging studies that may be utilized include:

  • Barium Swallow X-ray is an imaging study in which a liquid is swallowed that coats the lining of the esophagus. This makes the esophagus stand out on the X-ray so that physicians can identify certain problems, including cancers of the esophagus.
  • Video Esophagram is a radiologic study that is performed by dedicated radiologists with a focus in esophageal disorders. During this examination, the patient is asked to swallow barium liquid and soft food while a special x-ray machine videotapes the clearance of the swallowed material. This gives additional information regarding the function of the esophagus. It also provides information regarding any anatomic abnormalities that may be present, such as strictures, a hiatal hernia, or a diverticulum of the esophagus.
  • Esophageal Manometry is a diagnostic test that uses tiny transducers that are integrated into a thin catheter that is inserted into the esophagus to measure pressure, the ability to relax with swallowing, the contractile strength and coordination of the esophageal body, and the upper esophageal sphincter characteristics. Additionally, impedance technology may be necessary to further monitor how effective the esophagus can clear swallowed liquids.
  • Endoscopy is a minimally invasive procedure that allows a physician to look inside the esophagus, stomach, and duodenum (part of the small intestine). During an upper endoscopy, a thin, lighted tube called an endoscope is carefully guided down the esophagus. The endoscope transmits a high definition image to a monitor, so the physician can view the lining of these organs. Endoscopy allows physicians to visualize evidence of esophageal disorders, as well as possible injuries related to GERD, such as the development of a pre-cancerous condition known as Barrett’s esophagus and/or esophageal cancer. In addition, anatomic details critical for pre-operative planning may be observed during this procedure, such as strictures, or a hiatal hernia.

It’s important to note that proper diagnosis of a hiatal hernia is critical to developing a successful treatment plan. That’s why it’s so important to seek proper evaluation and treatment from a healthcare expert experienced in the most advanced gastroesophageal cancer care.

Innovative Treatment for Hiatal Hernia

When it comes to hiatal hernia and other gastroesophageal conditions, Hoag-USC Surgical Center for Digestive Diseases provides a full array of progressive treatment options. As a recognized leader and high-volume provider of innovative gastroesophageal care, Hoag’s multidisciplinary team of digestive disease experts performs some of the most advanced gastroesophageal procedures available in the nation with clinical outcomes that rival national figures.

Expert Care You Can Trust!

The Hoag Digestive Disease Center, in alliance with USC Norris Comprehensive Cancer Center, continues to lead the way in complex gastroesophageal care, providing access to a highly specialized surgical team that works collaboratively with Hoag-affiliated thoracic surgeons, gastroenterologists and other medical specialists to provide academic-level care. Hoag’s committed to accurate diagnosis, combined with progressive therapeutic options enables Hoag patients to achieve some of the highest clinical outcomes in the nation.

To schedule a comprehensive diagnostic evaluation, or a second-opinion consultation with a Hoag gastroesophageal expert, visit Meet the Team, or call us at: 888-566-9712.