Hiatal Hernia Flashcards
opening in the diaphragm through which the esophagus
passess becomes enlarged and part of the upper stomach
moves up into the lower portion of the thorax
Hiatal Hernia
Occurs more often in women than in men
Hiatal Hernia
2 Types of Hiatal Hernia
Type 1
Paraesophageal
Types of Hiatal Hernia
Sliding occurs when the upper stomach and the
gastroesophageal junction are displaced upward and slide
in and out of the thorax
Type 1 Hiatal Hernia
Types of Hiatal Hernia
Occurs when all of the parts of the stomach pushes through the diaphragm beside the esophagus
Paraesophageal
Clinical Manifestations: Hiatal Hernia
Pyrosis
Regurgitation
Dysphagia
Intermittent epigastric pain
Fullness after eating
Large hiatal hernia Intolerance to food, nausea and
vomiting
Assessment and Diagnostic Findings
- Xray
- Barium enema
- Esophagogastroduodenoscopy
- Esophageal manometry
- Chest CT scan
Management: Hiatal Hernia
Frequent small frequent feeding
Not to recline 1 hr. after eating Elevate head of bed 4-8
inches.
Surgical Hernia repair for patient with gastric outlet
obstruction or suspected strangulation: Post operative
report immediately belching, vomiting, gagging, abdominal
distention and epigastric chest pain.
drinking barium sulfate, then taking X-rays to help see problems in the esophagus and the stomach, to view how big the hiatal hernia
Barium Swallow
upper digestive system is viewed with an endoscope (a long, thin, flexible instrument about 1/2 inch in diameter).
Endoscopy
measures the strength and muscle coordination of your esophagus when you swallow.
Esophageal Manometry
Symptoms: Hiatal Hernia
- Never have symptoms
- Similar of having GERD (heartburn, bitter or sour taste in the back of the throat, bloating and belching, discomfort or pain in the stomach or esophagus)
