Optimal workup for a hiatal hernia

: Hiatal hernias are common and generally correlated with obesity increasing age. However, many individuals have no symptoms never diagnosed, thus it’s hard to establish the real prevalence of hiatal hernias. To pursue a diagnosis hernia is not necessary in asymptomatic patients, but symptomatic ones need evaluation should be considered for surgical repair. The clinical workup based on patient's symptomatology presentation. For elective HH repair we advocate use few standard pre-operative tests as first line. More specific functional morphological studies scan used case by depending size, patients’ setting.