Hiatus hernia

Question 1

two types of haitus hernia?

Answer 1

sliding and rolling

Question 2

what is the more common type of hernia?

Answer 2

sliding (95%)

Question 3

Part of stomach at the oesophageal gastric junction is pulled upwards through the diaphragm. This reduces the angle between the oesophagus and the stomach

Answer 3

sliding HH

Question 4

why would you get GORD with sliding HH?

Answer 4

This reduces the angle between the oesophagus and the stomach, and thus removes one of the natural anatomical barriers to reflux

Question 5

what happens in a rolling hiatus hernia?

Answer 5

part of the funds of the stomach extends through the diaphragm at a separate site from the oesophagus

Question 6

do you get symptoms from a rolling HH?

Answer 6

no, very rarely. usually incidental finding

Question 7

First investigation?

Answer 7

barium swallow

Question 8

treatment of sliding hernia?

Answer 8

symptomatic (GORD)

Question 9

rolling or unresponsive

Answer 9

Nissen fundoplication