Hiatus Hernias

Question 1

Describe a hiatus hernia

Answer 1

Where the top of the stomach herniates through the oesophageal diaphragmatic hiatus

Question 2

What type of hernia are 80% of hiatus hernias?

Answer 2

Sliding (stomach moves up through diaphragm)

Question 3

What type of hernia are 20% of hiatus hernias?

Answer 3

Rolling/Para-oesophageal

Fundus of the stomach moves through hiatus, while gastro-oesophageal junction stays below

Question 4

What risk factor is greatly associated with hiatus hernias?

Answer 4

Obesity

Question 5

What is a key component of the treatment of hiatus hernias?

Answer 5

Weight loss

Question 6

What are the 2 imaging techniques used for hiatus hernia diagnosis?

Answer 6

Sometimes seen on chest radiography

Most diagnostic is barium swallow

Question 7

What can a hiatus hernia normally cause?

Answer 7

GORD

Question 8

What percentage of people > 50y/o have a hiatus hernia?

Answer 8

30%

Question 9

What percentage of those with hiatus hernias are asymptomatic?

Answer 9

50%

Question 10

What is the management of hiatus hernias primarily focused around?

Answer 10

stopping reflux

Question 11

When is surgery indicated in hiatus hernias?

Answer 11

When symptoms are intractable, or if complications develop