Why BARIUM SWALLOW failed to identify PARAESOPHAGEAL HERNIA?

Resolved question:
Hello,

I am now confused..
1st endoscopy showed 2 cm hiatal hernia - doc said not a concern, also pathology came back as eosinophilia ( only did lower stomach sampling). Doctor kept trying different ppi's that did not work

I decided to get another opinion from Mayo Clinic specialist. A second endoscopy was done within 6 weeks. it showed a large para esophageal hernia and no eosinophilia issues ( only in stomach). T

Then had a manometry test who he'd concluded absence of peristalsis in lower esophagus. mayo specialist scheduled appt with surgeon.

This morning had barium swallow. That doctor said he did not see the para esophageal hernia.

Now, I am waiting for my next appt with Gatrologist to discuss all tests and then the following day meeting with surgeon.


But, I am now very confused as to why the endoscopy showed the para esophageal hernia and the barium swallow did not.. Which one is more reliable? Can this be something else?

Thank you.

Wendy

Submitted: 4 Days
Category: Gastroenterologist, Surgical

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