Hiatus Hernia types,clinical picture,investigations and treatment

Definition of Hiatus Hernia : This describes the herniation of a part of the stomach into the chest.

Definition of Hiatus Hernia :

This describes the herniation of a part of the stomach into the chest.

I. Sliding Hiatus hernia 

There is herniation of the gastro-esophageal junction through the esophageal hiatus in the diaphragm into the thorax.
This will affect the valvular mechanism of the gastro-esophageal junction leading to reflux of gastric contents into the esophagus.

Clinical features :

Heart burn (Pyrosis): It is a burning retrosternal pain occurring in lying down Qr leaning forward, it is severe during sleep.
Dysphagia may occur due to esophageal stricture.
Bleeding e.g. haematemesis, melena or presented with iron deficiency anemia due to esophagitis.
It may be asymptomatic.

Investigations :

1-Barium swallow.            2-Upper endoscopy

Treatment 

A. Medical :
 Weight reduction, also meals should be small.
Sleeping in sersl-slttlnq position.
H2 blockers and proton. pump inhibitors.
Prokinetic drug: Domperidone (motilium) .
B. Surgical 
Indicated in resistant cases, (fundoplication) .

II. Para-oesophageal (Rolling) hernia

A small part of the fundus of the stomach rolls up alongside the esophagus through the hiatus.
The gastro-esophageal junction remains in normal position, so there is no reflux.
It may lead to mediastinal syndrome if severe.
Also gastric volvulous or strangulation may occur.
Surgery is indicated in severe cases.

COMMENTS

BLOGGER
Name

andrology,2,Cardiology,10,Differential-diagnosis,5,E.N.T,31,General Surgery,4,General-Health,6,GIT,19,Gynecology,1,Hepatology,8,Internal-medicine,1,Microbiology,3,Orthopedics,1,Psychiatry,3,Respiratory-diseases,59,Rheumatology,50,STDs,3,Symptomatology,9,Urology,36,
ltr
item
Med2Date: Hiatus Hernia types,clinical picture,investigations and treatment
Hiatus Hernia types,clinical picture,investigations and treatment
Definition of Hiatus Hernia : This describes the herniation of a part of the stomach into the chest.
https://www.epainassist.com/images/hiatal-hernia.jpg
Med2Date
http://www.med2date.com/2015/07/hiatus-hernia.html
http://www.med2date.com/
http://www.med2date.com/
http://www.med2date.com/2015/07/hiatus-hernia.html
true
1129835733813637495
UTF-8
Loaded All Posts Not found any posts VIEW ALL Readmore Reply Cancel reply Delete By Home PAGES POSTS View All RECOMMENDED FOR YOU LABEL ARCHIVE SEARCH ALL POSTS Not found any post match with your request Back Home Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sun Mon Tue Wed Thu Fri Sat January February March April May June July August September October November December Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec just now 1 minute ago $$1$$ minutes ago 1 hour ago $$1$$ hours ago Yesterday $$1$$ days ago $$1$$ weeks ago more than 5 weeks ago Followers Follow THIS CONTENT IS PREMIUM Please share to unlock Copy All Code Select All Code All codes were copied to your clipboard Can not copy the codes / texts, please press [CTRL]+[C] (or CMD+C with Mac) to copy