Hiatus Hernia Flashcards
1
Q
What are the two types of hiatus hernia?
A
Sliding (80%)
Rolling (20%)
2
Q
What is a sliding hiatus hernia?
A
Gastro-oesophageal junction slides up into the chest through the oesophageal hiatus
3
Q
What is a rolling hernia?
A
The gastro-oesophageal junction remains in the abdomen but a bulge of the stomach pushes up through the hiatus next to the oesophagus
4
Q
What are the clinical features of a hiatus hernia?
A
Often asymptomatic.
Most common in the obese.
Sometimes GORD
5
Q
What tests do we do for hiatus hernia?
A
Endoscopy
CT contrast
6
Q
What is the treatment for hiatus hernias?
A
Treat GORD
Lose weight
Surgery if aggressive and not improving and at high risk of strangulation
