Hiatal hernias can be divided ...
Gastroesophageal reflux (heartburn, regurgitation, dysphagia)
Iron-deficiency anemia if Cameron lesions present
Paraesophageal (types II-IV)
For reflux symptoms:
Avoidance of trigger foods
Elevate head of bed elevation >30 degrees at night, avoid eating within 2 hours of bedtime
Ensure follow up with surgery for elective repair of symptomatic paraesophageal hernias (assuming no acute complication) if patient is a suitable candidate.
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...
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