Hiatus Hernia Flashcards
1
Q
What are the 2 main types of hiatus hernia?
A
Sliding
Para-oesophageal
2
Q
What is the problem caused by hiatus hernia?
A
Mucosa exposed to acid-pepsin and bile
3
Q
2 predisposing factors to hiatus hernia?
A
Obesity
Ageing
4
Q
4 complications of hiatus hernia?
A
Ulceration
Stricture
Carcinoma
Glandular metaplasia
5
Q
What is another name for glandular metaplasia?
A
Barrett’s oesophagus
6
Q
What is the treatment for hiatus hernia?
A
Same as reflux disease
7
Q
What anti reflux surgery can be offered?
A
Fundoplication - full/partial wrap
8
Q
What is fundoplication?
A
Wrapping top part of stomach around lower oesophagus
9
Q
When is anti reflux surgery offered?
A
When disease/symptoms wont go away (refractory)
10
Q
Side effects of anti reflux surgery? (5)
A
Dysphagia Difficulty to belch or vomit Gas bloating Excess flatulence Diarrhoea
