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Home arrow Medical Procedures arrow Other Procedures arrow Hernia Treatments arrow Hiatal hernia or hiatus hernia repair
Hiatal hernia or hiatus hernia repair

Hiatual Hernia (Hiatus Hernia) and repair

Healthbase - hiatal hernia

A hiatus hernia or hiatal hernia is the protrusion (or herniation) of the upper part of the stomach into the thorax (chest) through a tear or weakness in the diaphragm. The diaphragm is the sheet of muscle that separates the chest from the abdomen. It is used in breathing.

 

Causes

•  Aging
•  Pregnancy
•  Obesity
•  Smoking
•  Previous surgery
•  Congenital

 

Symptoms

•  Acid reflux
•  Pain in the chest and upper stomach
•  Swallowing difficulty

In most patients, hiatus hernias cause no symptoms. Sometimes patients experience heartburn and regurgitation, when stomach acid refluxes back into the esophagus.

 

Diagnosis

•  Barium swallow x-ray
•  Esophagogastroduodenoscopy (EGD)

 

Treatment

•  Common measures: Reducing weight, quitting smoking, avoiding large meals, not lying down or bending immediately after meal.
•  Medications: Medications that neutralize stomach acidity, decrease acid production, or strengthen the lower esophageal sphincter (the muscle that prevents acid from backing up into the esphagus) may be prescribed.
•  Surgical repair: If the above measures fail to relieve symptoms, surgery may be recommended. The surgical procedure used is called Nissen fundoplication. In fundoplication, the gastric fundus (upper part) of the stomach is wrapped, or plicated, around the inferior part of the esophagus, preventing herniation of the stomach through the hiatus in the diaphragm and the reflux of gastric acid. The procedure is now commonly performed laparoscopically.
•  Visceral manipulation: Sometimes a visceral manipulation may be suggested for the treatment of hiatal hernias. Visceral manipulation is a manual therapy method done by a trained therapist and is used for returning the stomach to its proper position. It consists of applying specific forces which stimulate the mobility and motility of the tissues. In visceral manipulation one treats the fascia in between and around the organs.

 

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