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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.
Surgical hernia repair usually prevents anemia recurrence; in 2 large series, post-operative follow-up showed anemia had resolved in 71-92% of subjects. [6] [7] An isotope study showed correction of blood loss after hernia repair. [2] These findings showed that the hernia was the usual cause of the anemia.
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. [2]
Hiatus hernia: A hiatal hernia occurs when a portion of the stomach pushes upward through the diaphragm into the chest cavity. While gastroesophageal reflux, presenting as heartburn and regurgitation, is the hallmark symptom, other manifestations such as dysphagia, epigastric or chest pain, and chronic iron deficiency anemia may also occur.
The nonoperative mortality rate for gastric volvulus is reportedly as high as 80%. Historically, mortality rates of 30–50% have been reported for acute gastric volvulus, with the major cause of death being gastric strangulation, which can lead to necrosis and perforation. With advances in diagnosis and management, the mortality rate from ...
Death rate from obesity, 2019. Obesity is a risk factor for many chronic physical and mental illnesses.. The health effects of being overweight but not obese are controversial, with some studies showing that the mortality rate for individuals who are classified as overweight (BMI 25.0 to 29.9) may actually be lower than for those with an ideal weight (BMI 18.5 to 24.9). [1]
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Causes: Inadequate closure of the lower esophageal sphincter [6] Risk factors: Obesity, pregnancy, smoking, hiatal hernia, taking certain medicines [6] Diagnostic method: Gastroscopy, upper GI series, esophageal pH monitoring, esophageal manometry [6] Differential diagnosis: Peptic ulcer disease, esophageal cancer, esophageal spasm, angina [8 ...
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