Dhakshina Moorthy Ganeshan, MD, Arlene M

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Diaphragmatic Hernia After Esophagectomy in 440 Patients With Long-Term Follow-Up Dhakshina Moorthy Ganeshan, MD, Arlene M. Correa, PhD, Priya Bhosale, MD, Ara A. Vaporciyan, MD, David Rice, MD, Reza J. Mehran, MD, Garrett L. Walsh, MD, Revathy Iyer, MD, Jack A. Roth, MD, Steven G. Swisher, MD, Wayne L. Hofstetter, MD The Annals of Thoracic Surgery Volume 96, Issue 4, Pages 1138-1145 (October 2013) DOI: 10.1016/j.athoracsur.2013.04.076 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Computed tomography scan of a 59-year-old man with postesophagectomy hernia containing omental fat (arrows). The Annals of Thoracic Surgery 2013 96, 1138-1145DOI: (10.1016/j.athoracsur.2013.04.076) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A 53-year-old man with distal esophageal adenocarcinoma treated with right transthoracic (Ivor-Lewis) esophagectomy presented for follow-up 6 months after surgery. (A) Axial computed tomography chest scan shows a small diaphragmatic hernia containing colon (arrow), but that was not reported. (B) Axial computed tomography chest scan performed at 12 months after surgery shows that the hernia (arrow) has significantly increased in size, and this was reported. Although the patient was asymptomatic, an elective repair was performed owing to the significant increase in size in such a relatively short time. The Annals of Thoracic Surgery 2013 96, 1138-1145DOI: (10.1016/j.athoracsur.2013.04.076) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Representative examples of small, medium, and large postesophagectomy diaphragmatic hernia (PDH [arrows]): (A) a 62-year-old man with small PDH hernia; (B) a 52-year-old man with medium PDH; and (C) a 32-year-old woman with large PDH. The Annals of Thoracic Surgery 2013 96, 1138-1145DOI: (10.1016/j.athoracsur.2013.04.076) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions