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

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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
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3
Q

what is the management?

surgery?

A
  • same as GORD
  • Nissens procedure
  • only if not controlled by medication and lifestyle
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