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: