Hiatal Hernia

Hiatal hernias can be divided ...

All types

• Often asymptomatic

• Gastroesophageal reflux (heartburn, regurgitation, dysphagia)

• Iron-deficiency anemia if Cameron lesions present

Paraesophageal (types II-IV) ...

Weight loss

For reflux symptoms:

• Avoidance of trigger foods

• Elevate head of bed elevation >30 degrees at night, avoid eating within 2 hours of bedtime

• Smaller mea...

Ensure follow up with surgery for elective repair of symptomatic paraesophageal hernias (assuming no acute complication) if patient is a suitable candidate.

Repair...

K44.1 Diaphragmatic hernia with gangrene

K44 Diaphragmatic hernia

Q40.1 Congenital hiatus hernia

K44.0 Diaphragmatic hernia with obstruction, without gangrene

K44.9 Diaphragmatic hernia without...

Asymptomatic hiatal hernias may not require any specific treatment.

Hiatal hernias are often incidentally noted on imaging.

Confirm intact esophageal motility by manometry before conside...