Radiology

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Monday, 25 February 2008

Hiatus hernia

Posted on 16:12 by Unknown


















When a hiatus hernia occurs , a portion of the stomach is able to slide upwards through the opening in the diaphragm, beside the oesophagus, into the chest.



There are 2 main types of hiatus hernia.



Sliding hiatus hernia: this is the most common type of hiatus hernia. It occurs when the junction between the oesophagus and the stomach and the upper part of the stomach protrude up through the oesophageal opening in the diaphragm into the chest cavity. The herniated portion of the stomach can slide back and forth, into and out of the chest.



Rolling hiatus hernia: this is sometimes called a para-oesophageal hiatus hernia by doctors. In this case, part of the stomach bulges into the chest out of the weakest part of the diaphragm, which is the oesophageal opening. The junction of the oesophagus and stomach stays down within the abdomen, and the top part of the stomach (the fundus) bulges up into the chest cavity. This type of hernia normally remains in one place, sitting next to the oesophagus, and does not move in or out when you swallow.
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