Surgery

Question 1

A 51-year-old man with moderate obesity (body mass index of 34 kg/m²) is seen in consultation for heartburn and regurgitation. He has a diagnosis of gastro-oesophageal reflux disease and has been treated with proton-pump inhibitors. His heartburn is less severe with the medication, but he is still bothered by regurgitation. His physical examination is unremarkable except for some bowel sounds heard above the diaphragm. Chest Xray is shown. What is the gold standard investigation for this condition?

Answer 1

Diagnosis is a hiatus hernia
Gold standard is a contrast upper gastrointestinal series (barium oesophagram)

Question 2

______ Hiatus Hernia make up 80% whilst ______ hernias make up 15%

Answer 2

Sliding hiatus hernias make up 80% whilst rolling hernias make up 15%

Question 3

what are more the non-surgical approaches to a hiatus hernia?

Answer 3

Lose Weight
Treat reflux disease with PPIs