Hiatus hernia.
نویسندگان
چکیده
The diaphragm is a sheet of muscle that separates the lungs from the abdomen. When a person takes a deep breath, the dome-shaped diaphragm contracts and flattens. In doing this, the diaphragm pulls air into the lungs. The left diaphragm contains a small hole through which passes the tube-shaped esophagus that carries food and liquid to the stomach. Normally this hole, called a hiatus, is small and fits snugly around the esophagus. The J-shaped stomach sits below the diaphragm.
منابع مشابه
The role of hiatus hernia in GERD.
Increased esophageal acid exposure in gastroesophageal reflux disease has several potential causes, some related primarily to physiological dysfunction of the LES and others related to anatomic distortion of the gastroesophageal junction as occurs with hiatus hernia. One attractive feature of implicating hiatal hernias in the pathogenesis of reflux disease is that, like reflux disease, axial he...
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The first description of a hiatus hernia was probably that of Bright (1836), who recorded the autopsy of a girl aged 19 years in whom a large portion of the stomach was in the chest and the cardia was at the level of the fourth dorsal vertebra. In the early part of the present century the condition was thought to be rare; Eppinger's (1911) series of 650 diaphragmatic herniae contained only 11 c...
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Diaphragmatic hernia, secondary to transhiatal esophagectomy, appears to be a relatively infrequent diagnosis. Patients may be asymptomatic or present with various symptoms. Diagnosis of this condition requires a high index of suspicion. The most common cause of diaphragmatic hernia is widened esophageal hiatus during surgery; therefore, narrowing the hiatus can prevent conduit herniation. Here...
متن کاملParaesophageal Hiatus Hernia
Paraesophageal (type II) hiatus hernia represents a dis-• tinct anatomic and clinic entity requiring a unique therapeutic strategy, and is differentiated from the more common type I (sliding) hiatus hernia. All symptomatic patients, in the absence of prohibitive • operative risk, should undergo elective repair to prevent life-threatening complications, such as obstruction, strangulation , perfo...
متن کاملThe use of a sternothyroid muscle flap to prevent the re-recurrence of a recurrent tracheoesophageal fistula found 10 years after the primary repair
Recurrent tracheoesophageal fistula (TEF) is still difficult to diagnose and repair. In almost all cases, recurrence appears relatively soon after the primary surgery. We herein describe a case of recurrent TEF that appeared 10 years after the primary repair. At 2 years of age, the patient suffered from mental retardation due to encephalitis and developed a hiatus hernia with gastro-esophageal ...
متن کاملMassive hiatus hernia impeding transoesophageal echocardiography in a patient with swallow-syncope syndrome.
A n 82-year-old lady, with a long history of syncopal spells that were occasionally associated with meals, was referred for transÔesophageal echocardiography (T√E) because of a large left atrial mass identified on transthoracic echocardiography (Figure 1A). T√E was able to visualise only a part of the left atrium and the ascending aorta (Figure 1B & C), and when the probe was further advanced, ...
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ورودعنوان ژورنال:
- Duodecim; laaketieteellinen aikakauskirja
دوره 69 9 شماره
صفحات -
تاریخ انتشار 1953