PS01.071: DIAGNOSIS OF A HIATAL HERNIA: SURGEON’S PERSPECTIVE—AUGIS SURVEY

Abstract

Abstract Background The diagnosis and relevance of a hiatal hernia on different investigative modalities and the impact on treatment is important to outcomes after Antireflux surgery. Methods Aim To obtain perceptions from a surgeon's view on the diagnosis and importance of a Hiatal hernia. Methods A survey from the surgical community—AUGIS—Association of Upper GI Surgeons of Great Britain and Ireland. Results Results 55 surgeons participated in a 12 questionnaire survey performed through the AUGIS national portal. > 85% were consultant surgeons with > 60% performing over 100 OGD scopes per year. Greater than 50% of surgeons identified the OG junction by the Z line and < 50% identified the same by the upper border of the rugal folds. Only 12% of surgeons measured the hernia based purely on the rugal folds and the diaphragmatic impression. Over 70% of the surgeons felt that the diagnosis of a hiatal hernia was an indirect evidence of Gastro Oesophageal reflux disease (GERD). Over 90% felt that the presence of a hiatal hernia selectively altered the management thereafter. Conclusion There exists significant variation in the endosocpist surgeon's perspective on the landmarks of the OG junction, diagnosis and measurement of a hiatal hernia, which is a common entity in the diagnosis and management of GERD. This may selectively impact the treatment due to lack of uniform practice of this common condition. Disclosure All authors have declared no conflicts of interest.