Hiatus Hernia Flashcards
1
Q
How are hiatus hernias classified?
A
Sliding (80%)
Rolling (15%)
Mixed (5%)
2
Q
What is the difference between a sliding and a rolling hiatus hernia?
A
Sliding - Gastro-oesophageal junction slides up into chest
Rolling - GOJ stays in abdomen
3
Q
Which type of hiatus hernia is most commonly associated with GORD?
A
Sliding
4
Q
What are the three investigations for a Hiatus Hernia
A
CXR
Barium swallow
OGD
5
Q
Treatment of a Hiatus Hernia? (3)
A
Lose weight
Treat reflux
Surgery if rolling hernia or if symptoms persist despite medical Rx
*Rolling hernias can strangulate
