Hiatus hernia Flashcards
1
Q
what are the 2 types of hiatus hernia?
A
sliding: GOJ moves above diaphragm. 95%
rolling: paraoesophageal GOJ
remains below but another part of stomach herniates through. type 3 is both and type 4 is when other organs protrude through
2
Q
risk factors for hiatus hernia?
A
obesity, increased intraabdominal pressure ascites multiparity
3
Q
features of hiatus hernia?
A
heartburn, dysphagia, regurgitation chest pain
4
Q
investigation for hiatus hernia?
A
barium swallow, but most patient usually have endoscopy and find hiatus hernia incidentally
5
Q
therapy for hiatus hernia?
A
conservative: lose weight
medical: PPi
surgical: only for symptomatic paraesophageal hernias
6
Q
what does hiatus hernia normally cause?
A
GORD
