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North Eastern Laparoscopic Surgeons

hiatus HERNIA TOPICS

• An hiatus hernia is a weakness in the diaphragm where the oesophagus comes through into the abdomen to join the stomach from the chest
• The stomach is able to ride up into the chest which is an abnormal location for it
• There may be no symptoms, or there may be acid reflux, heartburn, difficulty swallowing food, pain or discomfort
• Occasionally a very severe rolling hiatus hernia may become incarcerated in the chest necessitating urgent life-saving surgery

Types of Hiatus Hernia

• Type I: "Sliding"
• Type II: "Rolling" or "Para-Oesophageal"
• Type III: "Mixed"
• Type IV: Contains other organs as well as stomach up in the chest