Descripción hernia hiatal

1. HIATAL
HERNIA
Created by: Henchy
Anette Mendez García

2. DEFINITION
They are those in which part or all
of the stomach passes through the
esophageal hiatus

3. CLASSIFICATION
TYPE l: Direct or sliding esophagogastric
hernia. There is a displacement of the cardia
towards the posterior mediastinum
TYPE II: Paraesophageal or winding hernia.
It is characterized by a displacement of the
gastric fundus upwards with a cardia in a
normal position

4. CLASSIFICATION
TYPE III: Mixed hernia. In this there is a
displacement of both the cardia and the gastric
fundus.
TYPE IV: It is a hiatal hernia that contains a
visceral different from the stomach

6. SYMPTOMATOLOGY
❤Heartburn
❤Regurgitation of food or liquid to the mouth
❤Stomach acid reflux to the esophagus (acid reflux)
❤Difficulty swallowing
❤Abdominal or chest pain
❤Feeling full shortly after eating.
❤Shortness of breath

7. DIAGNOSIS
❤Chest X-ray
❤Barized transit X-ray
❤Sometimes, upper digestive endoscopy

8. TREATMENT
❤Measures to prevent or treat acid
reflux
❤Sometimes, a proton pump inhibitor
❤On certain occasions, surgical
intervention