Hiatus hernia Flashcards
1
Q
What are the red flag symptoms for hiatus hernia?
A
Very severe chest pain
Pain when swallowing
Difficulty swallowing
Haematemesis
2
Q
Which imaging investigations would you do in order for hiatus hernia?
A
CXR Contrast upper GI series/ barium oesophagram Oesophago-gastro-duodenoscopy CT scan MRI scan
3
Q
how would you manage sliding hiatus hernia with symptomatic GORD?
A
PPI - eg. omeprazole
4
Q
how would you manage types 2, 3, 4 and type 1 (if refractive to surgery) hiatus hernias?
A
laparoscopic transabdominal surgery
open transabdominal surgery
5
Q
what are the complications of hiatus hernia?
A
haemorrhage, volvulus, obstruction, irreversible organ ischaemia and/or necrosis
