hiatus hernia Flashcards
1
Q
what types of hiatus hernia are there?
A
- sliding (80%) where the GOJ herniates
- rolling (20%) where the gOJ doesn’t herniate
2
Q
what are the risk factors for this?
what is it associated with?
A
- obesity
- pregnancy
- age
- ascites
- Barrett’s oesophagus
- Oesophageal adenocarcinoma
- reflux laryngitis
3
Q
what is the management?
surgery?
A
- same as GORD
- Nissens procedure
- only if not controlled by medication and lifestyle