Hiatus Hernia

Question 1

What condition often occurs with a hiatus hernia?

Answer 1

GORD

Question 2

What are the risk factors for hiatus hernia?

Answer 2

• Obesity
• Previous GI procedure
• Male sex
• Other herniae

Question 3

What signs might you find on examinaiton in a patient with a hiatus hernia. How would you investigate this?

Answer 3

• Bowel sounds in the chest
• CXR
• Upper GI series (barium swallow)

Question 4

How is hiatus hernia managed?

Answer 4

• Treatment of concurrent GORD
  
  • PPI - omeprazole
• Surgical intervention (if symptom control unsatisfactory)
  
  • Fundoplication