Classification · Sliding hiatus hernia (80%)– the gastro-oesophageal junction (GOJ), the abdominal part of the oesophagus, and frequently the cardia of the ...TheBasicsTheatreBasicsTheatreEtiquetteHandWashingScrubbing,Gowning,andGlovingAssistinginTheatreTheOperationNoteSurgicalSafetySurgicalEquipmentSutureMaterialsSurgicalInstrumentsDiathermySurgicalSkillsKnotTyingSuturingInfiltrationofLocalAnaestheticDrainInsertionAbscessDrainageSkinLesionExcisionWoundHealingDamagetoLocalStructuresAcuteInflammationChronicInflammationWoundHealingBasicWoundManagementClinicalSkillsVenepunctureCannulationBloodCulturesIntravenousInfusionsFemaleCatheterisationMaleCatheterisationPeri-OpCarePeri-OperativeCarePre-OpAssessmentPre-OpManagementFluidManagementBloodProductsPerioperativeNutritionEnhancedRecoveryDayCaseSurgeryGeneralHaemorrhageSepsisPainNausea&VomitingPyrexiaDeliriumCardio-RespiratoryAtelectasisPneumoniaDVT&PEARDSGastrointestinalAnastomoticLeakPost-OpIleusBowelAdhesionsIncisionalHerniaConstipationUrinaryAcuteKidneyInjuryUrinaryRetentionUrinaryTractInfectionEndocrineHypoglycaemiaHyperkalaemiaHypokalaemiaHypernatremiaHyponatraemiaSkinSurgicalSiteInfectionWoundDehiscenceKeloidsOntheWardsInitialAssessmentTheGeneralApproachA-EAssessmentReferringaPatientIVFluidManagementPost-OpFeverPost-OpPainExaminationsCardio-RespiratoryCardiovascularRespiratoryGastrointestinalAbdominalGroinStomaDigitalRectalVascularPeripheralVascularPeripheralVenousNeurologicalCranialNervesPeripheralNeurologicalEndocrineDiabeticFootThyroidGlandOrthopaedicShoulderHandSpineHipKneeENTEarNoseOralCavityNeckLumpsBPPVOtherBreastRenalCertifyingDeathGeneralPresentationsAcuteAbdomenAbdominalIncisionsHaematemesisDysphagiaBowelObstructionBowelPerforationMelenaRectalBleedingOesophagusGORDOesophagealCancerOesophagealTearsMotilityDisordersStomachHiatusHerniaPepticUlcerDiseaseGastricCancerSmallBowelInguinalHerniaFemoralHerniaOtherHerniasGastroenteritisAngiodysplasiaSmallBowelTumoursNeuroendocrineTumoursLargeBowelAcuteAppendicitisCol

Classification[edit] · Type I: A type I hernia, also known as a sliding hiatal hernia, occurs when part of the stomach slides up through the hiatal opening in ...HiatalherniaFromWikipedia,thefreeencyclopediaJumptonavigationJumptosearchTypeofherniainwhichabdominalorgans(typicallythestomach)slipthroughthediaphragmintothemiddlecompartmentofthechestMedicalconditionHiatalherniaOthernamesHiatusherniaAdrawingofahiatalherniaSpecialtyGastroenterology,generalsurgerySymptomsTasteofacidinthebackofthemouth,heartburn,troubleswallowing[1]ComplicationsIrondeficiencyanemia,volvulus,bowelobstruction[1]TypesSliding,paraesophageal[1]RiskfactorsObesity,olderage,majortrauma[1]DiagnosticmethodEndoscopy,medicalimaging,manometry[1]TreatmentRaisingtheheadofthebed,weightloss,medications,surgery[1]MedicationH2blockers,protonpumpinhibitors[1]Frequency10–80%(US)[1]Ahiatalherniaisatypeofherniainwhichabdominalorgans(typicallythestomach)slipthroughthediaphragmintothemiddlecompartmentofthechest.[1][2]Thismayresultingastroesophagealrefluxdisease(GERD)orlaryngopharyngealreflux(LPR)withsymptomssuchasatasteofacidinthebackofthemouthorheartburn.[1][2]Othersymptomsmayincludetroubleswallowingandchestpains.[1]Complicationsmayincludeirondeficiencyanemia,volvulus,orbowelobstruction.[1]Themostcommonriskfactorsareobesityandolderage.[1]Otherriskfactorsincludemajortrauma,scoliosis,andcertaintypesofsurgery.[1]Therearetwomaintypes:slidinghernia,inwhichthebodyofthestomachmovesup;andparaesophagealhernia,inwhichanabdominalorganmovesbesidetheesophagus.[1]Thediagnosismaybeconfirmedwithendoscopyormedicalimaging.[1]Endoscopyistypicallyonlyrequiredwhenconcerningsymptomsarepresent,symptomsareresistanttotreatment,orthepersonisover50yearsofage.[1]Symptomsfromahiatalherniamaybeimprovedbychangessuchasraisingtheheadofthebed,weightloss,andadjustingeatinghabits.[1]MedicationsthatreducegastricacidsuchasH2blockersorprotonpumpinhibitorsmayalsohelpwiththesymptoms.[1]Iftheconditiondoesnotimprovewithmedications,asurgerytocarryoutalaparos

SkiptoMainContentMinimallyInvasiveandGastrointestinalSurgeryBrowsePeopleEducationResearchViewResearchKindelLabPatientCareViewPatientCareBariatricSurgeryProgramCondonHerniaInstituteGERDandGastrointestinalSurgeryProgramOurTeamResearchandInnovationNewsEventsGivingHome/Departments/Surgery/Divisions/MinimallyInvasiveandGastrointestinalSurgery/PatientCare/GERDandGastrointestinalSurgeryProgram/ParaesophagealHerniaHiatalHerniaParaesophagealHernia(HiatalHernia)Whatisahiatalhernia?Anytimeaninternalbodypartpushesintoanareawhereitdoesn'tbelong,it'scalledahernia.Thehiatusisanopeninginthediaphragm-themuscularwallseparatingthechestcavityfromtheabdomen.Normally,theesophagusgoesthroughthehiatusandattachestothestomach.Inahiatalhernia,thestomachbulgesupintothechestthroughthatopening.Therearetwomaintypesofhiatalhernias:slidingandparaesophageal(nexttotheesophagus).Inaslidinghiatalhernia,thestomachandthesectionoftheesophagusthatjoinsthestomachslideupintothechestthroughthehiatus.Thisisthemorecommontypeofhernia.Theseslidinghiatalherniasareariskfactorfor gastroesophagealrefluxdisease(GERD),andmanypatientswithhiatalherniassufferfromGERDsymptomssuchasheartburn.Slidinghiatalherniasareverycommonandasmanyasmorethan1in4adultshasonebythetimetheyreachtheageof40.Theparaesophagealherniaislesscommonbutismorecauseforconcern.Inmanypatients,paraesophagealherniasmaynotcauseanysymptoms.Theseasymptomaticparaesophagealherniascanbesafelyobservedanddonotrequiresurgery.Whenaparaesophagealherniabeginstocausesymptoms(chestpain,upperabdominalpain,difficultyswallowing),theseareusuallyrepaired.Symptomaticparaesophagealherniasareathigherriskforprogressingtoincarceration(stomachgetsstuckresultinginobstruction)orischemia(bloodsupplytothestomachiscutoff)resultingintheneedforemergencysurgery.Whenshouldaslidinghiatalherniaberepaired?HiatalherniasareknowntocontributetoGERD.Whendiet,lifestylemodifications(loseweight,don’teatlateatnight,sleepupright),andacidreductionmedicationsfailtoadequatelycontrolsymptoms,hiatalherniarepa

ImportantannouncementsandvaccineinformationregardingCoronavirus(COVID-19)VaccineFAQs&RegistrationGetVaccinatedTodayAllServicesConditionsHerniaWhatIsaHernia?Aherniaoccurswhenpartofanorgan(orothertissue)pushesthroughanopeningorweakspotinthemuscleorconnectivetissue. Ifyou’vebeendiagnosedwithaherniaoryou’reexperiencingrelatedsymptoms,it’simportanttobecheckedbyaspecialistwhocandeterminethebesttreatmentplanforyourspecificcondition.ThespecialtytrainedgeneralsurgeonsaffiliatedwithMemorialHermannarehereforyou,toprovidespecializedcare,guidanceandthetreatmentnecessarytohelpyougetbacktoapain-freelife.Haveaquestionorlookingformoreinformation?ContactUsMostCommonTypesofHerniasTherearevarioustypesofherniasthatcanoccurindifferentpartsofthebody,eachwithspecificcauses,symptomsandtreatments.Themostcommonarelistedbelow.InguinalHerniaOccurringuptoeighttimesmoreofteninmenthanwomen,aninguinalherniaisthemostcommontypeofhernia,andoccurswhentheintestinespushthroughaweakspotortearinthelowerabdominalwallnearthegroin.Inmen,thisisusuallytheresultofabirthdefectwhen,beforebirth,thetesticlesdescendandleaveanopeninginthemusclewall,whichnormallyclosesbeforebirth.Ifthisopeningdoesnotcloseproperly,aholeremainsthatcanallowtissuetopushthrough.InguinalHerniasCausesandRiskFactorsSomeinguinalherniashavenoapparentcause.Othersmayoccurasaresultof:FailureoftheabdominalwalltocloseproperlyinthewombIncreasedabdominalpressureAweaknessinthemusclesoftheabdominalwallExcessivestrainfrombowelmovementsorurinationStrenuousactivityChroniccoughingorsneezingPregnancyOtherfactorsthatcanincreasetheriskofdevelopinganinguinalherniainclude:Ethnicity(Caucasiansareathigherrisk)Age(musclesweakenasyougetolder)ObesityLiftingheavyweightsFamilyhistoryofinguinalherniaChroniccoughChronicconstipation(strainingduringbowelmovements)Pregnancy(canweakentheabdominalmusclesandincreaseabdominalpressure)PriorherniaorherniarepairInguinalHerniasSymptomsThemostcommonsymptomsofinguinalherniainclude:AnabnormalbulgeorprotrusioninthegroinareaBurningorshar

A hiatal hernia occurs when part of the stomach bulges into the chest. ... types of surgery; Being born with an unusually large hiatus ...COVID-19:Advice,updatesandvaccineoptionsWeareopenforsafein-personcare.Learnmore:MayoClinicfactsaboutcoronavirusdisease2019(COVID-19)OurCOVID-19patientandvisitorguidelines,plustrustedhealthinformationLateston COVID-19vaccination bysite:ArizonapatientvaccinationupdatesArizona,FloridapatientvaccinationupdatesFlorida,RochesterpatientvaccinationupdatesRochesterandMayoClinicHealthSystempatientvaccinationupdatesMCHSSkiptositenavigationSkiptoContentThiscontentdoesnothaveanEnglishversion.ThiscontentdoesnothaveanArabicversion.SectionsforHiatalherniaSymptoms&causesDiagnosis&treatmentDoctors&departmentsCareatMayoClinicPrintOverviewHiatalherniaOpenpop-updialogboxCloseHiatalherniaHiatalherniaAhiatalherniaoccurswhentheupperpartofyourstomachbulgesthroughyourdiaphragmintoyourchestcavity.Ahiatalherniaoccurswhentheupperpartofyourstomachbulgesthroughthelargemuscleseparatingyourabdomenandchest(diaphragm).Yourdiaphragmhasasmallopening(hiatus)throughwhichyourfoodtube(esophagus)passesbeforeconnectingtoyourstomach.Inahiatalhernia,thestomachpushesupthroughthatopeningandintoyourchest.Asmallhiatalherniausuallydoesn'tcauseproblems.Youmayneverknowyouhaveoneunlessyourdoctordiscoversitwhencheckingforanothercondition.Butalargehiatalherniacanallowfoodandacidtobackupintoyouresophagus,leadingtoheartburn.Self-caremeasuresormedicationscanusuallyrelievethesesymptoms.Averylargehiatalherniamightrequiresurgery.Products&ServicesBook:MayoCliniconDigestiveHealthSymptomsMostsmallhiatalherniascausenosignsorsymptoms.Butlargerhiatalherniascancause:HeartburnRegurgitationoffoodorliquidsintothemouthBackflowofstomachacidintotheesophagus(acidreflux)DifficultyswallowingChestorabdominalpainFeelingfullsoonafteryoueatShortnessofbreathVomitingofbloodorpassingofblackstools,whichmayindicategastrointestinalbleedingWhentoseeadoctorSeeyourdoctorifyouhaveanypersistentsignsorsymptomsthatworryyou

Three types of hiatus hernia are distinguished. Axial hiatus hernia (synonyms: axial sliding hernia, type I hiatus hernia), in which the esophagogastric ...SkiptocontentsuchenGenericfiltersHiddenlabelHiddenlabelHiddenlabelHiddenlabelHomeClassificationsHiatusherniasandtheHillclassificationHiatusherniasandtheHillclassificationPriv.-Doz.Dr.med.F.Seyfried,JanaMayOberarztderKlinikundPoliklinikfürAllgemein-,Viszeral-,Transplantations-,Gefäß-undKinderchirurgieUniversitätsklinikumWürzburgHerniationofthestomachthroughtheesophagealhiatusintothemediastinumisknownashiatushernia.Itisafrequentincidentalfindingduringgastroscopy.Theprevalenceoftheconditionincreaseswithincreasingageandwhenthereisraisedintra-abdominalpressure(e.g.,inobesityorpregnancy).Malesexisalsoariskfactorforthepresenceofhiatushernia[1].Threetypesofhiatusherniaaredistinguished.Axialhiatushernia(synonyms:axialslidinghernia,typeIhiatushernia),inwhichtheesophagogastricjunctionandsometimesthecardia“slide”inasupradiaphragmaticdirection,isthemostfrequenttype,representingmorethan90%ofcases.Dependingonitsseverity,itcancausespatialdissociationofthecomplexsphinctermuscleapparatus,consistingofthediaphragmaticcruraandsmooth-musclewallofthecardia.Thiscanleadtoinsufficiencyofsphinctermusclefunctionintheareaoftheloweresophagealsphincter.Axialhiatusherniamaybe,butisnotnecessarily,associatedwithgastroesophagealrefluxdisease.Anindicationfortreatmentofaxialhiatusherniaisonlypresentwhenthereisfunctionalevidenceofrefluxdisease,secondarydisturbanceofesophagealmotility,orvolumereflux.Whenotherpartsofthestomachthantheesophagogastricjunctionorcardiaherniateinasupradiaphragmaticdirectionandthuscometoliealongsidetheesophagus,theconditionisdescribedasparaesophagealhiatushernia(synonym:typeIIhiatushernia).Themaximalvariantofthisiscompletethoracicstomach(knownas“upside-downstomach”).AmixedformconsistingofaxialslidingherniaandparaesophagealherniarepresentstypeIIIhiatushernia.TypesIIandIIIhiatusherniaaremuchmorerare,andduetothepotentialcomplica

Traditionally, hiatal hernias is divided into 2 types: sliding and paraesophageal hernia. In a sliding hiatal hernia, the stomach and the ...NCBISkiptomaincontentSkiptonavigationResourcesHowToAboutNCBIAccesskeysMyNCBISignintoNCBISignOutTryoutPMCLabsandtelluswhatyouthink.LearnMore.JournalListJNeurogastroenterolMotilv.26(1);2020JanPMC6955185JNeurogastroenterolMotil.2020Jan;26(1):4–5.Publishedonline2020Jan30.doi: 10.5056/jnm19227PMCID:PMC6955185PMID:31917912FindOuttheDifferencesbyTypesofHiatalHernia!RaRiChaAuthorinformationArticlenotesCopyrightandLicenseinformationDisclaimerDepartmentofInternalMedicine,GyeongsangNationalUniversityChangwonHospital,GyeongsangNationalUniversityCollegeofMedicine,Changwon,Gyeongsangnam-do,Korea*Correspondence:RaRiCha,MD,DepartmentofInternalMedicine,GyeongsangNationalUniversityChangwonHospital,GyeongsangNationalUniversityCollegeofMedicine,11Samjeongja-ro,Seongsan-gu,Changwon,Gyeongsangnam-do51472,Korea,Tel:+82-55-214-3715,Fax:+82-55-214-3250,E-mail:moc.revan@38irarReceived2019Dec3;Accepted2019Dec8.Copyright©2020TheKoreanSocietyofNeurogastroenterologyandMotilityThisisanOpenAccessarticledistributedunderthetermsoftheCreativeCommonsAttributionNon-CommercialLicense(http://creativecommons.org/licenses/by-nc/4.0)whichpermitsunrestrictednon-commercialuse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited.Hiatalherniaisastatusthatsomeupperpartofthestomachbulgesupintothethoraxthroughthatopening.1Itisknownashiatalherniaisasymptomatic.However,hiatalherniamayallowgastriccontentstorefluxintothedistalesophagusmoreeasily,iscloselyrelatedwithgastroesophagealrefluxdiseasedevelopmentandaggravation.2Traditionally,hiatalherniasisdividedinto2types:slidingandparaesophagealhernia.Inaslidinghiatalhernia,thestomachandthesectionoftheesophagusthatjoinsthestomachslideupintothechestthroughthehiatus.Thisisthemorecommontypeofhernia.Theparaesophagealherniaislesscommon,butismorecauseforconcern.Theesophagusandstomachstayintheirnormallocations,butpa

Pathology · type 1: sliding hiatal hernia (~95%) · type 2: paraesophageal hiatal hernia with the gastro-esophageal junction in a normal position · type 3: mixed or ...×ArticlesLogInCasesSignUpCoursesQuizDonateAbout×MenuSearchADVERTISEMENT:Radiopaediaisfreethankstooursupportersandadvertisers.BecomeaGoldSupporterandseenoads.ArticlesCasesCoursesLogInLoginSignup{"url":"/signup-modal-props.json?lang=us\u0026email="}ArticlesCasesCoursesQuizAboutRecentEditsGoad-freeSearchHiatusherniaDrMohammadTaghiNiknejad◉andAbhiDatiretal.Hiatushernias(alternativeplural:herniae) occurwhenthereisherniationofabdominalcontentsthroughtheesophagealhiatusofthediaphragm intothethoraciccavity.Onthispage:Article:EpidemiologyClinicalpresentationPathologyRadiographicfeaturesTreatmentandprognosisDifferentialdiagnosisSeealsoRelatedarticlesReferencesImages:CasesandfiguresImagingdifferentialdiagnosisEpidemiologyTheprevalenceofhiatusherniaincreaseswithage,withaslightfemalepredilection.ClinicalpresentationManypatientswithhiatusherniaareasymptomatic,anditisanincidentalfinding.However,symptomsmayincludeepigastricorchestpain,postprandialfullness,nauseaandvomiting3. Sometimeshiatusherniasareconsideredsynonymouswithgastro-esophagealrefluxdisease(GERD),butthereisapoorcorrelationbetweenthetwoconditions.PathologyThemostcommoncontentofahiatusherniaisthestomach. Therearetwomaintypesofhiatushernia(althoughtheymayco-exist):slidinghiatushernia (>90%)rolling(para-esophageal)hiatushernia (<10%)Somedividethemintofourtypes:type1:slidinghiatalhernia(~95%)type2:paraesophagealhiatalherniawiththegastro-esophagealjunctioninanormalpositiontype3:mixedorcompoundtype,paraesophagealhiatalherniawithdisplacedgastro-esophagealjunctiontype4:mixedorcompoundtypehiatalherniawithadditionalherniationofvisceraSubtypesSlidinghiatusherniaThisisthemostcommontypeofhiatushernia(~90%).Thegastro-esophagealjunction(GEJ) isusuallydisplaced>2cmabovetheesophagealhiatus.Theesophagealhiatusisoftenabnormallywidenedto3-4cm(theupperlimitofnormalis1.5cm).Und

橫膈膜裂孔疝氣分類(Types of Hiatal Hernia) Type I：Sliding hernia (95%) 滑脫型疝氣胃食道交界和部分的胃上移到後縱膈腔，多半無症狀，一般不.~Teachingcenter的醫學筆記~跳到主文如有錯誤歡迎各方專家指正謝謝部落格全站分類：醫療保健相簿部落格留言名片圖片太大，可以右鍵或長按後在新分頁開啟***更多討論***痞客邦--醫學邦***點我前往***~~~MAX台灣唯一信託加密貨幣交易所~~~有幫助的文章，可以給個推或讚，讓我知道哪些是對大家有益的Nov07Wed201816:00橫膈膜裂孔疝氣分類(TypesofHiatalHernia)橫膈膜裂孔疝氣分類(TypesofHiatalHernia) TypeI：Slidinghernia(95%) 滑脫型疝氣胃食道交界和部分的胃上移到後縱膈腔，多半無症狀，一般不會造成阻塞，但若是症狀嚴重至藥物無法控制時，可以考慮胃底摺疊手術(fundoplicationsurgery) TypeII：RollingorParaesophagealhernia(0.4%) 食道旁疝氣胃食道交界和賁門位置正常，但部分胃底經由裂孔疝氣，貼在食道旁，此類型不一定會有GERD的症狀 TypeIII：Combinedsliding-rollingorMixedhernia(4.5%) 混合型疝氣混合TypeIandII的異常，胃食道交界和胃底皆經由裂孔疝氣，最嚴重有可能進展至整個胃體都在胸腔中，而且順著胃體的縱軸旋轉180度(rotating180°arounditslongitudinalaxis)，即是賁門及幽門不動，中間的胃臟像烤香腸一樣轉180度，此情形又稱為胸腔胃(intrathoracicstomach) TypeIV：Hiatalherniawithadditionalorgan(0.1%) 多器官裂孔疝氣又被稱作巨型裂孔疝氣(Gianthiatalhernia)，疝氣的器官可能為網膜、脾臟、大腸或小腸，其中又以大腸為最常見  ※也有些書籍或文章會把TypeII+III+IV都稱為paraesophagealhernia，所以TypeII單獨時，多還是以rollinghernia稱呼，比較不會弄錯！文章標籤醫學醫療筆記外科疾病治療手術一般外科肝膽腸胃科消化外科疝氣裂孔食道賁門胸腔橫膈膜幽門脾臟全站熱搜創作者介紹TeachingCenter.~Teachingcenter的醫學筆記~TeachingCenter.發表在痞客邦留言(0)人氣()E-mail轉寄全站分類：醫療保健個人分類：外科此分類上一篇：消化外科-23此分類下一篇：術後噁心嘔吐(PONV)上一篇：消化外科-23下一篇：醫生如何面對死亡？歷史上的今天2018:消化外科-23▲top留言列表發表留言來訪人數本日人氣：累積人氣：熱門文章最新文章文章分類醫學筆記-小兒外科(3)小兒外科(9)小兒科(63)胚胎學、發育(24)醫學筆記-外科(2)外科(198)外科營養(15)醫學筆記-內科(3)內科(311)住院醫師生存守則(10)ACLS急救(12)醫學筆記-其他科(5)婦產科(28)精神科(5)皮膚科(3)急診(12)中英對照(8)全民健保(1)健保給付(17)輕鬆一下(4)笑話(9)優惠活動(3)敲獎券、經驗值(6)資源(4)生命(2)想法(40)藥物使用心得(個人經驗)(3)國中(2)數學(8)理化(2)高中(4)數學(36)物理(21)生物(5)地球科學(2)未分類文章(1)我的好友最新留言***更多討論***痞客邦--醫學邦***~~Freebitco.in水龍頭~~~~MAX台灣唯一信託加密貨幣交易所~~BitcoinDonation:1FWWCw3fbGfD3sNGQHsebK9Z3oi1MYx2hu回到頁首回到主文免費註冊客服中心痞客邦首頁©2003-2021PIXNET關閉視窗PIXNETFacebookYahoo!GoogleMSN{{guestName}}(登出)您尚未登入，將以訪客身份留言。

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There are two main types of hiatal hernias: sliding and paraesophageal. Ordinarily, your esophagus (food pipe) goes through the hiatus and ...MenuMedicalReferenceSlideshows&ImagesCrohn'sDiseaseHeartburn/GERDInflammatoryBowelDiseaseIrritableBowelSyndromeUlcerativeColitisNewsReferenceSlideshowsQuizzesVideosQuestions&AnswersFindaGastroenterologistAppendicitisCeliacDiseaseChronicConstipationCrohn'sDiseaseDiarrheaDiverticulosisGallstonesHemorrhoidsPepticUlcerDiseaseMoreRelatedTopicsDigestiveDisordersReferenceMenuMedicallyReviewedbyMineshKhatri, MDonDecember24,2019InthisArticleWhatIsaHiatalHernia?HiatalHerniaSymptomsHiatalHerniaCausesHiatalHerniaRiskFactorsHiatalHerniaDiagnosisHiatalHerniaTreatmentHiatalHerniaLifestyleChangesandHomeRemediesWhatIsaHiatalHernia?Ahiatalherniaiswhenyourstomachbulgesupintoyourchestthroughanopeninginyourdiaphragm,themusclethatseparatesthetwoareas.Theopeningiscalledthehiatus,sothisconditionisalsocalledahiatushernia.Therearetwomaintypesofhiatalhernias:slidingandparaesophageal.Ordinarily,youresophagus(foodpipe)goesthroughthehiatusandattachestoyourstomach.Inaslidinghiatalhernia,yourstomachandthelowerpartofyouresophagusslideupintoyourchestthroughthediaphragm.Mostpeoplewithhiatalherniashavethistype.Aparaesophagealherniaismoredangerous.Youresophagusandstomachstaywheretheyshouldbe,butpartofyourstomachsqueezesthroughthehiatustositnexttoyouresophagus.Yourstomachcanbecomesqueezedandloseits blood supply.Yourdoctormightcallthisastrangulatedhernia. HiatalHerniaSymptomsManypeoplewithhiatalherniadon’tnoticeanysymptoms.Othersmayhave:Heartburnfromgastroesophagealrefluxdisease(GERD)ChestpainBloatingBurpingTroubleswallowingBadtasteinyourmouthUpsetstomachandvomitingBackflowoffoodorliquidfromyourstomachintoyourmouthShortnessofbreathGetmedicalcarerightawayifyouhaveahiatalherniaand:SeverepaininyourchestorbellyUpsetstomachVomitingCan’tpoop orpassgasThesecouldbesignsofastrangulatedherniaoranobstruction,whicharemedicalemergencies.HiatalHerniaCausesDoctorsdon’tknowwhymost

There are generally two types of hiatal hernia: sliding hiatal hernias and fixed, or paraesophageal, hernias. Sliding hiatal hernia. This is the more common ...HealthlineSubscribeHiatalHerniaMedicallyreviewedbyAlanaBiggers,M.D.,MPH—WrittenbyAmandaDelgado—UpdatedonMarch22,2019CausesTypesSymptomsEmergenciesHiatalherniasandGERDDiagnosisTreatmentPreventionWeincludeproductswethinkareusefulforourreaders.Ifyoubuythroughlinksonthispage,wemayearnasmallcommission.Here’sourprocess.Whatisahiatalhernia?Ahiatalherniaoccurswhentheupperpartofyourstomachpushesupthroughyourdiaphragmandintoyourchestregion.Thediaphragmisalargemusclethatliesbetweenyourabdomenandchest.Youusethismuscletohelpyoubreathe.Normally,yourstomachisbelowthediaphragm,butinpeoplewithahiatalhernia,aportionofthestomachpushesupthroughthemuscle.Theopeningitmovesthroughiscalledahiatus.Thisconditionmostlyoccursinpeoplewhoareover50yearsold.Itaffectsupto60percentofpeoplebythetimethey’re60yearsold,accordingtotheEsophagealCancerAwarenessAssociation.Whatcausesahiatalhernia?Theexactcauseofmanyhiatalherniasisn’tknown.Insomepeople,injuryorotherdamagemayweakenmuscletissue.Thismakesitpossibleforyourstomachtopushthroughyourdiaphragm.Anothercauseisputtingtoomuchpressure(repeatedly)onthemusclesaroundyourstomach.Thiscanhappenwhen:coughingvomitingstrainingduringbowelmovementsliftingheavyobjectsSomepeoplearealsobornwithanabnormallylargehiatus.Thismakesiteasierforthestomachtomovethroughit.Factorsthatcanincreaseyourriskofahiatalherniainclude:obesityagingsmokingTypesofhiatalherniaTherearegenerallytwotypesofhiatalhernia:slidinghiatalherniasandfixed,orparaesophageal,hernias.SlidinghiatalherniaThisisthemorecommontypeofhiatalhernia.Itoccurswhenyourstomachandesophagusslideintoandoutofyourchestthroughthehiatus.Slidingherniastendtobesmall.Theyusuallydon’tcauseanysymptoms.Theymaynotrequiretreatment.FixedhiatalherniaThistypeofherniaisn’tascommon.It’salsoknownasaparaesophagealhernia.Inafixedhernia,partofyourstomachpushesthroughyourdiaphragmandstaysth

WhattoknowabouthiatalherniasurgeryMedicallyreviewedbySaurabhSethi,M.D.,MPH—WrittenbyJayneLeonardonMarch31,2018Whenissurgeryrequired?TypesofsurgeryRecoverytimeEffectivenessComplicationsAlternativesTakeawayWeincludeproductswethinkareusefulforourreaders.Ifyoubuythroughlinksonthispage,wemayearnasmallcommission.Here’sourprocess.Ahiatalherniaoccurswhenpartofthestomachmovesupwardsintothechest.Iftheherniacausesseveresymptomsorislikelytocausecomplications,thenhiatalherniasurgerymayberequired.Noteveryonewhohasahiatalherniawillrequiresurgery.Manypeoplewillbeabletotreattheconditionwithmedicationorlifestylechanges.However,forthosewhodoneedsurgery,thereisarangeofproceduresavailable,themostcommonbeingNissenfundoplication.Thisarticlediscusseshiatalherniasurgeryprocedures,expectedrecoverytimes.complications,andrisks.Whenissurgeryrequired?ShareonPinterestHiatalherniascanoftenbetreatedwithmedicationorlifestylechanges,butsomemayrequiresurgery.Mosthiatalherniasdonotcausesymptoms,andthereforetreatmentisnotusuallynecessary.Thosewhohavemildsymptoms,suchasheartburn,acidreflux,orgastroesophagealrefluxdisorder(GERD)maybeabletotreattheirconditionwithmedicationsorlifestylechanges.However,surgerymayberecommendedif:symptomsaresevereandinterferewithqualityoflifesymptomsdonotrespondtoothertreatmentstheherniaisatriskofbecomingstrangulated,whichiswherethebloodsupplytotheherniatedtissueiscutoff—asituationthatcanbefatalsymptomsincludebleeding,ulcers,ornarrowingofthefoodpipe(esophagus),whichisknownasanesophagealstrictureWhattypesofsurgeryarethere?Therearethreetypesofsurgeryforahiatalhernia:Nissenfundoplication(keyholesurgery),openrepairs,andendoluminalfundoplication.Allthreeproceduresrequireageneralanesthetic.NissenfundoplicationANissenfundoplicationisthemostcommonlyperformedsurgeryforahiatalhernia.Thisprocedureuseslaparoscopicrepairorkeyholesurgery.Thissurgeryisminimallyinvasiveandonlyrequiresthesurgeontomakeafewtinyincisionsintheabdomen.Thesurgeoninsertsalaparoscope,whichisathintubewithalightandacamer