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hiatal hernia |
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hernia /her·nia/ (her´ne-ah) [L.] protrusion of a portion of an organ or tissue through an abnormal opening.her´nial abdominal hernia one through the abdominal wall, either a congenital defect or a complication of pregnancy or a surgical incision. Barth hernia one between the serosa of the abdominal wall and that of a persistent vitelline duct. Béclard's hernia femoral hernia at the saphenous opening. Bochdalek hernia congenital diaphragmatic hernia through the pleuroperitoneal hiatus. cerebral hernia protrusion of brain substance through the cranium. Cloquet's hernia pectineal h. complete hernia one in which the sac and its contents have passed through the hernial orifice. congenital diaphragmatic hernia one due to failure of a foramen in the fetal diaphragm to close when the infant is born; abdominal viscera in the thoracic cavity may cause fatal respiratory failure. diaphragmatic hernia hernia through the diaphragm. diverticular hernia protrusion of a congenital diverticulum of the intestine. epigastric hernia a hernia through the linea alba above the navel. extrasaccular hernia sliding h. fat hernia hernial protrusion of peritoneal fat through the abdominal wall. femoral hernia protrusion of a loop of intestine into the femoral canal. gastroesophageal hernia paraesophageal h. Hesselbach's hernia femoral hernia with a pouch through the cribriform fascia. hiatal hernia , hiatus hernia protrusion of any structure through the esophageal hiatus of the diaphragm. Holthouse's hernia an inguinal hernia that has turned outward into the groin. incarcerated hernia a hernia so occluded that it cannot be returned by manipulation; it may or may not be strangulated. incisional hernia one through an old abdominal incision. inguinal hernia hernia into the inguinal canal. intermuscular hernia , interparietal hernia an interstitial hernia lying between one or another of the fascial or muscular planes of the abdomen. interstitial hernia one in which a knuckle of intestine lies between two layers of the abdominal wall. intra-abdominal hernia congenital malpositioning of the intestine within the abdomen, with a portion of it protruding through a defect in the peritoneum or being trapped in a sac of peritoneum. ischiatic hernia sciatic h. labial hernia one into a labium majus. mesocolic hernia paraduodenal h. obturator hernia one protruding through the obturator foramen. omental hernia an abdominal hernia containing omentum. ovarian hernia hernial protrusion of an ovary. paraduodenal hernia an intra-abdominal hernia in which the small intestine rotates incompletely during development and becomes trapped in the mesentery of the colon. paraesophageal hernia hiatal hernia in which the esophagogastric junction is in place and a small or large part of the stomach protrudes into the thorax. pectineal hernia a femoral hernia that enters the femoral canal and then perforates the aponeurosis of the pectineus muscle. perineal hernia herniation of intestine into the perineum through a fissure in the levator muscle and its fascia. preperitoneal hernia , properitoneal hernia an interstitial hernia lying between the parietal peritoneum and the transverse fascia. reducible hernia one that can be returned by manipulation. retrograde hernia herniation of two loops of intestine, with the part between them being within the abdominal wall. Richter's hernia incarcerated or strangulated hernia in which only part of the circumference of the bowel wall is involved. sciatic hernia herniation of intestine through the greater or lesser sciatic foramen. scrotal hernia inguinal hernia that has passed into the scrotum. sliding hernia hernia of the cecum (on the right) or the sigmoid colon (on the left) in which the intestinal wall forms part of the hernial sac and the rest of the sac is formed by parietal peritoneum. sliding hiatal hernia hiatal hernia with the upper stomach and the esophagogastric junction protruding into the posterior mediastinum; the protrusion may be fixed or intermittent and is partially covered by a peritoneal sac. strangulated hernia incarcerated hernia so tightly constricted as to compromise the blood supply of the hernial sac, leading to gangrene of the sac and its contents. synovial hernia protrusion of the inner lining membrane through the fibrous membrane of an articular capsule. umbilical hernia an abdominal hernia with intestine inside the umbilicus and the body wall defect and protruding intestine covered by skin and subcutaneous tissue. hernia u´teri inguina´lis see persistent müllerian duct syndrome, under syndrome. vaginal hernia vaginocele; a hernia into the vagina. ventral hernia abdominal h.
Hiatal hernia A condition where part of the stomach extends through the diaphragm into the chest cavity. hiatal hernia, protrusion of a portion of the stomach upward through the diaphragm. The condition occurs in about 40% of the population, and most people display few, if any, symptoms. The major difficulty in symptomatic patients is gastroesophageal reflux, the backflow of the acid contents of the stomach into the esophagus. Diagnosis is made easily on x-ray films and may be an incidental finding of a chest radiogram. Surgical treatment is usually unnecessary, and efforts should be directed to alleviating the discomfort associated with reflux. See also diaphragmatic hernia, gastroesophageal reflux, heartburn. hernia (hur´nē n the protrusion of an organ through an abnormal opening in the muscle wall of the cavity that surrounds it. It may be congenital, may result from the failure of certain structures to close after birth, or may be acquired later in life because of obesity, muscular weakness, surgery, or illness. hernia, hiatal, n a protrusion of a portion of the stomach upward through the diaphragm. The condition occurs in approximately 40% of individuals and most people display few, if any, symptoms. The major difficulty is gastroesophageal reflux, which is the backflow of the acid contents of the stomach into the esophagus. hernia, inguinal (direct), n a protrusion of the intestines into an opening between the deep epigastric artery and the edge of the rectus muscle; (indirect) involves the internal inguinal ring and passes into the inguinal canal. hiatal hernia GI disease A herniation of the GE junction through the esophageal hiatus of the diaphragm into the thoracic cavity; HH affects up to 1% of the population, more common > age 50, 5% are symptomatic Risk factors Smoking,
obesity. See Fundoplication, Nissen repair.
Hiatal hernia
Sliding hiatal hernia 90% of cases, characterized by axial and craniad displacement of esophagogastric–EG junction, which slides in and out of the chest depending on intrathoracic and intraabdominal pressures; the SHH is ensheathed in
its own peritoneal sac Treatment Symptomatic cases are repaired by surgically returning the distal esophagus back to the peritoneal cavity with a valvoplasty
Para-esophageal hiatal hernia Less common and often accompanied by a sliding component; pure hiatal hernias are rare and associated with chronic hemorrhage and gastric volvulus, both indications for surgical repair
Patient discussion about hiatal hernia. Q. do you know of a good gastro doctor in staten island ny. I have acid refex so bad cant sleep, or lay flat.. years ago was told I had a hiatus hernia, and would only have fLare ups once in a while, have taken nexium for years, and it worked, but not anymore.. I really need to find a good doctor to test me again. A. Try www.ucomparehealthcare.com/drs/new_york/gastroenterologists/Staten_Island.html for a directory of gastroenterologists in your area. This is only a website I've found - haven't tried it and I have no idea how good or reliable it is. Read more or ask a question about hiatal herniaTake care, How to thank TFD for its existence? Tell a friend about us, add a link to this page, add the site to iGoogle, or visit webmaster's page for free fun content. |
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Evaluation of the esophagogastric junction revealed a small sliding hiatal hernia and Los Angeles Classification grade A erosive esophagitis (figure, B). The Bulls are 12-19, Eddy Curry now plays for New York and center Tyson Chandler was recently diagnosed with exercise-induced asthma and is taking medicine for a hiatal hernia. DRG 182 Look for GI etiology of "anginal" chest pain such as esophagitis, hiatal hernia with reflux, dyspepsia and peptic ulcer disease. |
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