HIATUS HERNIA : DEFINITION ,TYPES & COMMON SYMPTOMS

Definition :

Abnormal protrusion of abnormal viscus through the oesophageal hiatus into the chest


Types :

 1. Sliding hernia or oesophagogastric hernia : It is he commonest type of  hiatus hernia , accounting for about 80 % of cases .I may be associated with GORD.
 2. Rolling or para oesophageal hernia
 3. Mixed hernia
 4.Massive herniation
 Grade : type 1 -H0 - Normal
              type 2 -H1-Sliding
              type 3 -H2-Para oesophageal
              type 4-H3-Mixed
              type 5-H4-Massive herniation

Common symptoms :

1.Symptoms due to reflex : Regurgitation & heart burn are the two most common symptoms .
2. Symptoms due to complications : They are dysphagia , haematemesis  & melaena
3. Non oesophageal symptoms : they are asthma & chest pain.