Hiatal Hernia​

Hiatal Hernia

A hiatal hernia, also known as hiatus hernia, occurs when the upper part of your stomach bulges through a gap in the diaphragm which is a thin flat muscular membrane that separates the stomach from the chest and helps us breathe. As the natural valve becomes impaired, food and gastric acidic contents reflux through the oesophagus causing repeated heartburn, generally called acidity or hyperacidity. 

The diaphragm has a small opening (hiatus) through which the food tube (oesophagus) passes before connecting to the stomach. The long-time repeated acid reflux can lead to cancerous growth in the lower end of oesophagus.

Types Of Hiatal Hernia

Sliding hiatus hernia

It is the most commonly occurring type of hiatal hernia when the gastro-oesophageal junction and the upper part of the stomach protrude up from the oesophageal opening in the diaphragm into the chest cavity. This protruded portion of the stomach can slide back and forth, into and out of the chest.

Rolling hiatus hernia

Also known as ‘Para-oesophageal hiatus hernia’, here, the fundus part of the stomach bulges up into the chest through a weak spot in the oesophageal opening in the diaphragm. The diaphragm itself stays down while the fundus moves up in the chest cavity. This hernial growth remains static next to the oesophagus and does not move in or out.

Hiatal Hernia Repair

Hiatal Hernia Laparoscopy (Fundoplication)

  • The fundoplication surgery for the hiatus hernia is known to relieve the symptoms and further risk of oesophageal cancer In future. 
  • In a Nissen fundoplication, the fundus of the stomach is wrapped around the lower portion of the oesophagus and sewn in place. It prevents any acidic refluxes and strengthens the diaphragm.

Hiatal Hernia Open Surgery

 In this modern era of Laparoscopic surgery the open Hiatus surgery is nearly all replaced by laparoscopic repair.

  • Open surgery can also be performed to remove the hernial sacs.
  • A hiatal hernia can also be resolved by pulling back the stomach fundus into the abdomen part and narrowing down the oesophageal opening.

Symptoms of Hiatal Hernia

  • The most common symptom is severe repetitive heartburn caused due to the gastro-oesophageal reflux of the acid contents of the stomach occurs. 
  • A painful burning sensation in the chest, which can sometimes also be felt in the throat. 
  • Sudden regurgitation of acid fluid into the mouth when you lie down or bend forward.
  • Excess burping (belching) of air
  • pain on swallowing hot fluids
  • A feeling of food sticking in the oesophagus while eating.
Symptoms of Hiatal Hernia​
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