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A hiatal hernia or hiatus hernia [2] is a type of hernia in which abdominal organs (typically the stomach) slip through the diaphragm into the middle compartment of the chest. [1] [3] This may result in gastroesophageal reflux disease (GERD) or laryngopharyngeal reflux (LPR) with symptoms such as a taste of acid in the back of the mouth or heartburn.
In one report 10% of 100 people investigated for iron deficiency anemia had a large hiatal hernia. [3] A 1967 review found that 20% of 1305 individuals having surgery for hiatal hernia were anemic. [4] Cameron in 1976 [5] compared 259 people with large hiatal hernias visible on chest x-ray with 259 controls without hernias. Present or past ...
Galloway–Mowat syndrome is a very rare autosomal recessive [1] genetic disorder, consisting of a variety of features including hiatal hernia, microcephaly and nephrotic syndrome. [ 2 ] Signs and symptoms
Endoscopic findings may include a hiatal hernia, esophagitis, strictures, tumors, or masses. [2] Increased pressure at the LES over time may result in an epiphrenic diverticulum. [ 2 ] Further evaluation for mechanical causes of obstruction may include CT scans, MRI, or endoscopic ultrasound.
A twist to this philosophic discussion on the art of diagnosis is that, in recent times, the possibility of an underlying pathophysiology has been considered—obesity is associated with gallstones, hiatal hernia, and diverticular disease, and there is the suggestion of an underlying connective tissue defect such as a "herniosis." [4]
Incarcerated umbilical hernia with surrounding inflammation. Symptoms and signs vary depending on the type of hernia. By far the most common hernias develop in the abdomen when a weakness in the abdominal wall evolves into a localized hole, or "defect", through which adipose tissue, or abdominal organs covered with peritoneum, may protrude.
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