What is a paraesophageal hiatal hernia?
paraesophageal hiatal hernia is a condition where part of the stomach protrudes with hiatus. Paraesophageal hernia, which is considered to be a complication of hiatal hernia, is an asymptomatic condition, which means it does not represent any symptoms. Individuals generally show symptoms associated with secondary condition, such as gastroesophageal reflux disease (GERD). Medical care should be required when symptoms increase frequency and severity. There are potentially life -threatening risks associated with paraesophageal hernia and to prevent further damage and complications is required by corrective surgery.
Hiatal hernias generally result from weakness in the oesophageal muscles, which are located just above the opening of the membrane at the intersection where the esophagus and stomach meet. Individuals who are obese, had abdominal surgery, or suffered from a condition that brings further stress on the abdominal muscles, is generally exposed to the greater risk of the Hiatal hernia development. Individuals of advanced age or women who are pregnanté, they also have an increased risk of developing this condition.
When paraesophageal hiatus, the stomach and esophagus remain motionless, but the highest part of the stomach protrudes through the opening that leads from the membrane to the esophagus known as the hiatus. The stomach protruding will place it next to the esophagus, where it remains, which can lead to imprisonment or strangulation of herniated stomach tissue. The imprisonment occurs when the herniated tissue is captured within the opening and narrowed. The strangulation of herniated tissue is the result of lack of blood flow, which can lead to the death of captured tissue known as necrosis.
As the hiatal hernia grows, the individual can experience symptoms that include heartburn, chest pain and nausea. Gerd is a common contet, which occurs in conjunction with hiatus hernia hernia. The symptoms associated with GERD include regurgitation and difficult swallowing, which can contribute to the diagnosis of hernia. Medical care should be soughtand, if symptoms become persistent or increase in severity.
The diagnosis of paraesophageal hiatal hernia is confirmed by the administration of an X -ray or endoscopic test of the digestive tract. The X -ray usually uses the use of Barya, a contrasting agent administered orally to provide a clearer profile of esophagus, small intestine and stomach. The endoscopic test uses a pliable thin tube called endoscope, to control the inflammation of the esophagus and stomach. Generally, hernic stomach tissue is prominently visible in the diagnostic displaying of the digestive tract.
If the symptoms are caused by a parasor's hiatus, which has strangled or imprisoned, surgery is required. Generally performed as an aliaparoscopic procedure, corrective surgery is minimally invasive and includes the use of a slim, pliable tube called a laparoscope, equipped with a small camera. In the abdomen, small cuts are carried out and the laparoscope is placed inside the abdomen to provide the nursing surgeon's view of the postan area. Surgical tools, even if they are cuts, are used to return the stomach to their normal anatomical position. The muscles surrounding hiatus are repaired and in some cases the opening is reduced to prevent the recurrence of paraesophageal hiava hernia.
As with any surgical procedure, there are risks associated with laparoscopic surgery of hial hernia. Risks include infection, damage to tissues and organs surrounding the hernified area and excessive bleeding. Although rare, post -operative complications may include recurrence of hernia's hernias and swallowing problems. The daily activities of the patient, such as driving and life, are usually limited until the first subsequent visit.