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Recent News and Articles on the Keywords: hiatal hernia + hiatal hernia: + hernia  Related to the article below (Last Update: 8/5/2008)

REMINDER: ORLive Presents: Breast Reconstruction With Tissue Expansion
MarketWatch - Jul 31, 2008
Veritas has been used successfully in a variety of surgical procedures including: complex abdominal wall repair, laparoscopic hiatal hernia repair, ...PINK:PSUG - OTC:CMTX
Preoperative Endoscopy Advised for Asymptomatic Bariatric Surgery ...
MedPage Today, NJ - Jul 29, 2008
Consideration for screening was also advised in patients undergoing laparoscopic adjustable gastric band surgery because an undetected hiatal hernia can ...
Acid-reflux sufferers should avoid 'trigger' foods
Tulsa World, OK - Jul 28, 2008
In some cases of hiatal hernia, symptoms persist, and surgery may be necessary to tighten the opening between the stomach and throat. ...
Should you cuddle up with COBRA?
MiamiHerald.com, FL - Jul 27, 2008
She was taking medications for a hiatal hernia and anxiety,'' says Foertsch. She was able to find policies for both, but the wife's included provisions ...

El Universal (M?xico)
Reportan estable a Germ?n Ortega tras operaci?n de hernia
El Universal (M?xico), Mexico - Jul 22, 2008
19:43 El comediante Germ?n Ortega se recupera de forma favorable en un nosocomio, tras ser hospitalizado de emergencia a causa de una hernia hiatal. ...
Germ?n Ortega, intervenido Esto
'Paga' Germ?n la factura de 15 a?os sin descanso El Ma?ana de Nuevo Laredo
Sale bien de operaci?n Germ?n Ortega esmas
El Universal (M?xico)
all 18 news articles »
Deber? estar tres semanas en recuperaci?n Germ?n Ortega
El Financiero (M?xico), Mexico - Jul 25, 2008
El comediante ingres? el pasado martes a un hospital ubicado en el sur de la capital mexicana donde fue intervenido quir?rgicamente de una hernia hiatal, ...

Esto
Germ?n Ortega deja los escenarios tres semanas
Esto, Mexico - Jul 27, 2008
Germ?n Ortega convalecer? en su casa, tras su operaci?n de hernia hiatal, por la cual suspender? toda actividad en los escenarios teatrales -en "El Tenorio ...
Preparan los Ortega un Mago de Oz c?mico El Siglo de Torre?n
all 3 news articles »

esmas
1:25 PM. Sale del hospital Germ?n Ortega
esmas, Mexico - Jul 25, 2008
El comediante Germ?n Ortega sali? del hospital donde estuvo internado debido a una operaci?n de una hernia hiatal. El actor expres? a su salida del hospital ...

esmas
Operan de emergencia a Germ?n Ortega
esmas, Mexico - Jul 22, 2008
Operan de emergencia al comediante Germ?n Ortega, a causa de una hernia hiatal. Fuentes cercanas al actor aseguran que Ortega hab?a pospuesto en varias ...
7:30 PM. Operan a Germ?n Ortega La Oreja
all 3 news articles »
Intervienen de emergencia a Fredy Ortega
Exc?lsior, Mexico - Jul 22, 2008
Germ?n Ortega, habla sobre el estado de salud de su hermano, Fredy, quien fuera intervenido de emergencia, debido a una hernia hiatal que padece desde hace ...
Source: Google News

Determinants of gastroesophageal junction incompetence: hiatal hernia, lower esophageal sphincter, … -
S Sloan, AW Rademaker, PJ Kahrilas - Ann Intern Med, 1992 - ncbi.nlm.nih.gov
... 1992 Dec 15;117(12):1051-2. Determinants of gastroesophageal junction incompetence:
hiatal hernia, lower esophageal sphincter, or both? ...

Impairment of esophageal emptying with hiatal hernia. -
S Sloan, PJ Kahrilas - Gastroenterology, 1991 - ncbi.nlm.nih.gov
Gastroenterology. 1991 Mar;100(3):596-605. Impairment of esophageal emptying
with hiatal hernia. Sloan S, Kahrilas PJ. Department ...

Hiatal hernia size affects lower esophageal sphincter function, esophageal acid exposure, and the … -
MG Patti, HI Goldberg, M Arcerito, L Bortolasi, J … - Am J Surg, 1996 - ncbi.nlm.nih.gov
Click here to read Hiatal hernia size affects lower esophageal sphincter function,
esophageal acid exposure, and the degree of mucosal injury. ...

… esophageal sphincter relaxation induced by gastric distention in reflux patients with hiatal hernia -
PJ Kahrilas, G Shi, M Manka, RJ Joehl - Gastroenterology, 2000 - Elsevier
... Increased frequency of transient lower esophageal sphincter relaxation induced by
gastric distention in reflux patients with hiatal hernia star, open , star ...

… after eradication therapy for Helicobacter pylori: impacts of hiatal hernia and corpus gastritis -
F Password - Alimentary Pharmacology & Therapeutics, 2000 - Blackwell Synergy
... High incidence of reflux oesophagitis after eradication therapy for Helicobacter
pylori: impacts of hiatal hernia and corpus gastritis. ...

[PDF] Laparoscopic repair of large type III hiatal hernia: objective followup reveals high recurrence rate -
M Hashemi, JH Peters, TR DeMeester, JE Huprich, M … - J Am Coll Surg, 2000 - surgery.usc.edu
Page 1. Laparoscopic Repair of Large Type III Hiatal Hernia: ... 554 Hashemi et al
Laparoscopic Repair of Type III Hiatal Hernia J Am Coll Surg Page 3. ...
-

Reflux esophagitis, sliding hiatal hernia, and the anatomy of repair.
PR ALLISON - Surg Gynecol Obstet, 1951 - ncbi.nlm.nih.gov
Surg Gynecol Obstet. 1951 Apr;92(4):419-31. Reflux esophagitis, sliding
hiatal hernia, and the anatomy of repair. ALLISON PR. MeSH ...

Barrett's esophagus: prevalence and size of hiatal hernia -
AJ Cameron - American Journal of Gastroenterology, 1999 - Blackwell Synergy
... The hiatus is u... Table Full size Table 1. Prevalence of Hiatal Hernia. ... Free Content.
Full Text. Barrett's esophagus: prevalence and size of hiatal hernia. ...

Association of obesity with hiatal hernia and esophagitis -
LJ Wilson, W Ma, BI Hirschowitz - American Journal of Gastroenterology, 1999 - Blackwell Synergy
... Association of obesity with hiatal hernia and esophagitis. ... Whites are more likely
to have the combination of esophagitis and hiatal hernia than are blacks. ...

… Polytetrafluoroethylene (PTFE) Patch Repair vs Simple Cruroplasty for Large Hiatal Hernia -
CT Frantzides, AK Madan, MA Carlson, GP … - Archives of Surgery, 2002 - archsurg.highwire.org
... A Prospective, Randomized Trial of Laparoscopic Polytetrafluoroethylene (PTFE)
Patch Repair vs Simple Cruroplasty for Large Hiatal Hernia ...
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Source: Google Scholar
 

Hiatal Hernia

The diaphragm separates the chest cavity from the abdominal cavity. Normally, the esophagus passes through a hole in the diaphragm called the diaphragmatic hiatus before it joins the stomach.

The connection of the stomach and the esophagus is called the gastroesophageal junction. This is usually just below the diaphragm in the abdominal cavity. For about 15% of adult Americans, the junction and part of the stomach is located above the diaphragm. This is called a hiatal hernia.

The condition is common in patients with gastroesophageal reflux disease. Patients with a hiatal hernia have a weak muscle at the gastroesophageal junction, making the gastroesophageal reflux worse.

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Symptoms

The symptoms of hiatal hernia are usually the same as those for gastroesophageal reflux disease. These include:

  • Heartburn
  • Undigested food that comes back up
  • Belching up a sour substance
  • Nausea, especially in the morning
  • The sensation of something in the throat
  • Severe chest pain after eating. This is often the case when there is a large hiatal hernia with all or most of the stomach located above the diaphragm. This symptom suggests that the stomach is twisting. Twisting causes the blood flow to the stomach to be too low. This is a dangerous situation that needs prompt attention.

Treatment

Hiatal hernia associated with heartburn is treated the same way as gastroesophageal reflux disease - with lifestyle changes and medical treatments.

Lifestyle changes
  • Raising the head of the bed four to six inches
  • Avoiding alcohol, chocolate and caffeine
  • Avoiding overeating
  • Eating or drinking nothing two to three hours before bed
  • Avoiding greasy, fatty foods
  • Losing weight

Medical treatments

These include:

  • Antacids that offset having too much stomach acid
  • Drugs that lower acid production by the stomach. Two types of drugs do this: histamine 2 receptor blockers and proton pump inhibitors.
  • Surgery to tighten the junction between the stomach and esophagus. The most common surgery is done by pulling the stomach back below the diaphragm and wrapping the top of the stomach around the junction between the stomach and esophagus. The stomach is then sewn in place. Surgery is the only way to treat a hiatal hernia that is causing severe symptoms.
 
 
 
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