- intermittent dysphagia - chest pain due to distension - postprandial SOB - postprandial vomiting - palpitation due to pressure on heart - epigastric pain - anaemia secondary to ulceration (Cameron ulcer)

- CXR: air/fluid level in mediastinum - OGD - Barium swallow - CT scan: delineate extent of hernia

- hiatal repair combined with either fundoplication or gastropexy - large hiatal defects: reinforcement with biological mesh

Paraoesophageal Hiatus Hernia Flashcards by Jalyn Lim

Clinical features

intermittent dysphagia
chest pain due to distension
postprandial SOB
postprandial vomiting
palpitation due to pressure on heart
epigastric pain
anaemia secondary to ulceration (Cameron ulcer)

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Investigation

CXR: air/fluid level in mediastinum
OGD
Barium swallow
CT scan: delineate extent of hernia

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Complication

Acute gastric volvulus (stomach rotate >180–> closed loop obstruction–> strangulation and necrosis)
- Borchardt’s triad: severe epigastric pain, unproductive retching, inability to pass a nasogastric tube

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Treatment

hiatal repair combined with either fundoplication or gastropexy
large hiatal defects: reinforcement with biological mesh

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Paraoesophageal Hiatus Hernia Flashcards

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