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Gastro and Hepatology > Hiatus hernia > Flashcards

Hiatus hernia Flashcards

1
Q

RFs
[…]
Previous […] surgery
Increased intra-abdominal pressure (such as chronic cough, multiparity or ascites)

A

Obesity
Previous hiatal surgery
Increased intra-abdominal pressure (such as chronic cough, multiparity or ascites)

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2
Q

DIagnosis

A

barium swallow
endoscopy

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3
Q

Conservative mx

lifestyle changes

Lose […]
Elevate the […] of the bed
Avoid […] meals before […]
Avoiding […] and […] foods
Avoid smoking as nicotine relaxes the lower oesophageal sphincter (as can chocolate, peppermint, caffeine, fatty foods, and medications such as calcium-channel blockers, nitrates, and beta-blockers)

A

Conservative mx

lifestyle changes

Lose weight
Elevate the head of the bed
Avoid large meals and eat 3-4 hours before bedtime
Avoiding alcohol and acidic foods
Avoid smoking as nicotine relaxes the lower oesophageal sphincter (as can chocolate, peppermint, caffeine, fatty foods, and medications such as calcium-channel blockers, nitrates, and beta-blockers)

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4
Q

Medical management

A

PPI

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5
Q

Surgical management

A

Nissen’s fundoplication

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Gastro and Hepatology (23 decks)

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