Hiatus hernia Flashcards
What is a hiatus hernia?
Hiatus hernia is the protrusion of intra-abdominal contents through an enlarged oesophageal hiatus of the diaphragm.
What is the epidemiology of a hiatus hernia?
Clinical estimates of the prevalence of hiatus hernia in western populations range up to 50%
Related to GORD
What are the risk factors of a hiatus hernia?
Obesity Male Elevated intra abdominal pressure Structural abnormality Hernia Advanced age
What are the signs and symptoms of a hiatus hernia?
Heartburn Regurgitation Obesity Chest pain Dysphagia Odynophagia Haematemesis SOB Cough Wheeze Fever and chills Confusion
What investigations might you fo dor a hiatus hernia?
CXR
OGD
CT/MRI
What is the management of a hiatus hernia?
Surgical repair
PPI and lifestyle changes
What are the complications of a hiatus hernia?
Bloating Volvulus Obstruction Haemorrhage Fundal necrosis Infection Recurrence Barrett's oesophagus
What is the prognosis of a hiatus hernia?
Most patients with an uncomplicated sliding hiatus hernia will have adequate relief of symptoms (but not cure) with medical therapy.
