A. Radiogram of a type I (sliding) hiatal hernia. B

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Presentation transcript:

A. Radiogram of a type I (sliding) hiatal hernia. B A. Radiogram of a type I (sliding) hiatal hernia. B. Radiogram of a type II (rolling or paraesophageal) hernia. C. Radiogram of a type III (combined sliding-rolling or mixed) hernia. D. Radiogram of an intrathoracic stomach. This is the end stage of a large hiatal hernia regardless of its initial classification. Note that the stomach has rotated 180° around its longitudinal axis, with the cardia and pylorus as fixed points. (Reproduced with permission from DeMeester TR, Bonavina L: Paraesophageal hiatal hernia, in Nyhus LM, Condon RE (eds): Hernia, 3rd ed. Philadelphia: Lippincott, 1989, p 684.) Source: Esophagus and Diaphragmatic Hernia, Schwartz's Principles of Surgery, 10e Citation: Brunicardi F, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE. Schwartz's Principles of Surgery, 10e; 2014 Available at: https://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/980/bru_ch25_f039ab.png&sec=100398563&BookID=980&ChapterSecID=59610867&imagename= Accessed: October 12, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved