Using high-resolution esophageal manometry (HREM) improves diagnosis of sliding hiatal hernia in morbidly obese patients.
- HREM identified intraoperative sliding hiatal hernia with an accuracy of 93%, compared to the upper gastrointestinal series.
- Study involved 137 bariatric surgery patients, confirming sliding hiatal hernias in 19% of cases.
Incorporating HREM into preoperative evaluations can enhance surgical planning and patient outcomes in this population.
