Large hiatal hernia with floppy fundus: Clinical and radiographic findings

Steven Y. Huang, Marc S. Levine, Stephen E. Rubesin, David A. Katzka, Igor Laufer

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


OBJECTIVE. The purpose of this study was to compare the clinical and barium radiographic findings for 17 patients with large hiatal hernias and a floppy fundus with those for 61 patients with large hiatal hernias but no floppy fundus. CONCLUSIONS. Patients with large hiatal hernias can develop a floppy fundus, which has a characteristic appearance on barium studies because it droops below the most superior portion of the herniated gastric body. Distortion of the gastric anatomy in patients with this type of hernia can cause mechanical symptoms that usually resolve after surgical repair of the hernia. Radiologists should be aware of the barium radiographic findings associated with a floppy fundus and of the potential role of surgery in the treatment of patients with symptoms.

Original languageEnglish (US)
Pages (from-to)960-964
Number of pages5
JournalAmerican Journal of Roentgenology
Issue number4
StatePublished - Apr 1 2007


  • Barium
  • Gastrointestinal imaging
  • Hernia
  • Stomach

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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