{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:57:00Z","timestamp":1753876620031,"version":"3.41.2"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T00:00:00Z","timestamp":1710374400000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The aim of this report is to describe the management of an iatrogenic diaphragmatic eventration following surgery to relieve neurogenic symptoms of thoracic outlet syndrome in a patient with a prior history of sleeve gastrectomy. We discuss the case of a 46-year-old woman with a 6-month history of gastro-oesophageal reflux and dyspnoea. Imaging demonstrated a left hemidiaphragm eventration and hiatus hernia. The patient underwent laparoscopic plication of the left hemidiaphragm, repair of the hiatus hernia, and an omega loop gastric bypass, with satisfactory resolution of her symptoms. This demonstrates that surgical diaphragmatic plication has good outcomes in cases where the abdominal anatomy is already altered as a result of previous bariatric surgery, and that concurrent hiatus hernia repair, plication of iatrogenic diaphragm eventration, and sleeve to gastric bypass conversion satisfactorily relieve reflux and dyspnoea in a morbidly obese patient.<\/jats:p>","DOI":"10.1093\/jscr\/rjae117","type":"journal-article","created":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T03:01:28Z","timestamp":1710385288000},"source":"Crossref","is-referenced-by-count":0,"title":["Iatrogenic eventration of the hemidiaphragm in a post-bariatric surgery patient"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1759-4138","authenticated-orcid":false,"given":"Leonora E","family":"Long","sequence":"first","affiliation":[{"name":"Department of Surgery, St George Hospital , Grey St, Kogarah, NSW 2217 , Australia"},{"name":"St George and Sutherland Clinical School , Faculty of Medicine and Health, , Sydney, NSW 2217 , Australia"},{"name":"University of New South Wales , Faculty of Medicine and Health, , Sydney, NSW 2217 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam Tharwat","family":"Alhayo","sequence":"additional","affiliation":[{"name":"Department of Surgery, St George Hospital , Grey St, Kogarah, NSW 2217 , Australia"},{"name":"St George and Sutherland Clinical School , Faculty of Medicine and Health, , Sydney, NSW 2217 , Australia"},{"name":"University of New South Wales , Faculty of Medicine and Health, , Sydney, NSW 2217 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Talbot","sequence":"additional","affiliation":[{"name":"Department of Surgery, St George Hospital , Grey St, Kogarah, NSW 2217 , Australia"},{"name":"St George and Sutherland Clinical School , Faculty of Medicine and Health, , Sydney, NSW 2217 , Australia"},{"name":"University of New South Wales , Faculty of Medicine and Health, , Sydney, NSW 2217 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,3,13]]},"reference":[{"key":"2024031402594260400_ref1","first-page":"960","article-title":"Diaphragmatic paresis: pathophysiology, clinical features, and investigation","author":"Gibson","year":"1989"},{"key":"2024031402594260400_ref2","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1136\/thorax.57.7.613","article-title":"Diaphragm plication following phrenic nerve injury: a comparison of paediatric and adult patients","volume":"57","author":"Simansky","year":"2002","journal-title":"Thorax"},{"article-title":"Minimally invasive diaphragm plication for acquired unilateral diaphragm paralysis: a systematic review","author":"Gritsiuta","key":"2024031402594260400_ref3","doi-asserted-by":"crossref","DOI":"10.1177\/15569845221097761"},{"key":"2024031402594260400_ref4","doi-asserted-by":"crossref","first-page":"1754","DOI":"10.1016\/0003-4975(94)91680-2","article-title":"Successful plication for postoperative diaphragmatic paralysis in an adult","volume":"58","author":"Glassman","year":"1994","journal-title":"Ann Thorac Surg"},{"key":"2024031402594260400_ref5","doi-asserted-by":"crossref","first-page":"1944","DOI":"10.1016\/j.rmed.2006.03.005","article-title":"Spontaneous recovery of diaphragmatic strength in unilateral diaphragmatic paralysis","volume":"100","author":"Verin","year":"2006","journal-title":"Respir Med"},{"key":"2024031402594260400_ref6","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1007\/s00464-003-8127-8","article-title":"Laparoscopic diaphragmatic plication: long-term results of a novel surgical technique for postoperative phrenic nerve palsy","volume":"18","author":"Huttl","year":"2004","journal-title":"Surg Endosc"},{"key":"2024031402594260400_ref7","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1016\/j.ejcts.2009.07.031","article-title":"Clinical and surgical specifications of adult unilateral diaphragmatic eventration according to their aetiology in 28 patients. Importance of using diaphragmatic patch and minimal thoracotomy incision","volume":"37","author":"Balci","year":"2010","journal-title":"Eur J Cardiothorac Surg"},{"key":"2024031402594260400_ref8","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1007\/s12262-016-1580-0","article-title":"Morgagni\u2019s hernia: analysis of 21 patients with our clinical experience in diagnosis and treatment","volume":"80","author":"Arikan","year":"2018","journal-title":"Indian J Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/3\/rjae117\/56961244\/rjae117.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/3\/rjae117\/56961244\/rjae117.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T03:01:32Z","timestamp":1710385292000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae117\/7627951"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3,5]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae117","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2024,3]]},"published":{"date-parts":[[2024,3]]},"article-number":"rjae117"}}