Hernia

Question 1

hiatal hernia

Answer 1

protrusion of stomach through the diaphragm

Question 2

hiatal hernia symptsom

Answer 2

GERD, heartburn, sudden regurgitation, belching, pain on swallowing warm fluids, feeling of food sticking in esophagus

Question 3

hiatal hernia RF

Answer 3

overweight middle-aged women and elderly ppl; can occur during preg

Question 4

types of hiatal hernia

Answer 4

sliding and paraesophageal

Question 5

sliding hernia

Answer 5

95%; widening of the muscular hiatal tunnel and circumferential laxity of the phrenoesophageal membrane- allows a protion of the gastric cardia to herniate upward

phrenoesophageal membrane remains intact- (attaches esophagus to diaphragm)

Question 6

paraesophageal

Answer 6

recognized complication of surgical dissection of the hiatus as occurs during antireflux procedure, esophagotomy, or partial gastrectomy

Question 7

type II PE hernia

Answer 7

localized defect in the phrenoesophageal membrane, while the gastroesophageal junction remains fixed to the preaortic fascia and the median arcuate ligament. Thus, the GASTRIC FUNDUS serves as the leading point of herniation

Question 8

type III hernia

Answer 8

have elements of both types I and II. With progressive enlargement of the hernia through the hiatus, the phrenoesophageal membrane stretches, displacing the gastroesophageal junction above the diaphragm, thereby adding a sliding element to the type II hernia.

Question 9

type IV hernia

Answer 9

large defect in the phrenoesophageal membrane, allowing other organs, such as the colon, spleen, pancreas, and small intestine, to enter the hernia sac.

Question 10

hernia dz

Answer 10

barium meal x-ray or by gastroscopy

Question 11

tx of hernia

Answer 11

losing weight, eating small meals, no smoke, antacid, no spicy foods, no hot drinks; possilbe surgery