Diaphragmatic Hernia or Hiatal Hernia

Diaphragmatic Hernia (Hiatal Hernia): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and mucous membranes Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel movements? Visible vessels? Scars? Hernias (fractures)? Auscultation (listening) of the … Diaphragmatic Hernia (Hiatal Hernia): Examination

Diaphragmatic Hernia (Hiatal Hernia): Test and Diagnosis

The diagnosis of hiatal hernia is made on the basis of history, physical examination and medical device diagnostics. 2nd-order laboratory parameters-depending on the results of the history, physical examination, etc.-for differential diagnostic workup High-sensitivity cardiac troponin T (hs-cTnT) or troponin I (hs-cTnI); creatine kinase (CK, CK-MB), lactate dehydrogenase (LDH) – for suspected myocardial infarction.

Diaphragmatic Hernia (Hiatal Hernia): Drug Therapy

Therapy goals Improvement of the symptomatology Avoidance of complications of pyrosis (heartburn) as a sign of reflux esophagitis (esophagitis caused by frequent reflux of acidic gastric juice into the esophagus). Therapy recommendations Symptomatic therapy (for axial hiatal hernia): depending on the severity of symptoms: Antacids/drugs to block gastric acid (for occasional heartburn). Proton pump inhibitors … Diaphragmatic Hernia (Hiatal Hernia): Drug Therapy

Diaphragmatic Hernia (Hiatal Hernia): Diagnostic Tests

Obligatory medical device diagnostics. Gastroscopy (gastroscopy) – including assessment of the extent of gastroesophageal reflux disease (synonyms: GERD, gastroesophageal reflux disease; gastroesophageal reflux disease (GERD); gastroesophageal reflux disease (reflux disease); gastroesophageal reflux; reflux esophagitis; reflux disease; Reflux esophagitis; peptic esophagitis); inflammatory disease of the esophagus (esophagitis) caused by the pathological reflux (reflux) of acid gastric … Diaphragmatic Hernia (Hiatal Hernia): Diagnostic Tests

Diaphragmatic Hernia (Hiatal Hernia): Surgical Therapy

Surgical therapy for axial hiatal hernia (the cardia (entrance to the stomach) is raised through the diaphragm into the chest cavity) should be performed in case of complications. In the paraesophageal form (in this case, the esophagus and cardia are in a normal position in the chest or abdomen, but the gastric fundus pushes next … Diaphragmatic Hernia (Hiatal Hernia): Surgical Therapy

Diaphragmatic Hernia (Hiatal Hernia): Symptoms, Complaints, Signs

In most cases, the condition progresses without symptoms (circa 60% of cases). However, the following symptoms and complaints may indicate a hiatal hernia (diaphragmatic hernia): Axial hiatal hernia (displacement of cardia (gastric inlet) and fundus (“base of the stomach“) portions into the thorax/chest)). Mostly asymptomatic, i.e., no symptoms. Reflux symptoms (heartburn, regurgitation of gastric contents … Diaphragmatic Hernia (Hiatal Hernia): Symptoms, Complaints, Signs

Diaphragmatic Hernia (Hiatal Hernia): Causes

Pathogenesis (development of disease) In hiatal hernia, insufficiency of the diaphragm (weakness of the diaphragm) in the area of the esophageal hiatus (opening in the diaphragm through which the esophagus passes with the two vagus nerves) causes displacement of the stomach, which is usually partial but may be complete. The following forms can be distinguished: … Diaphragmatic Hernia (Hiatal Hernia): Causes

Diaphragmatic Hernia (Hiatal Hernia): Therapy

Often, a hiatal hernia (diaphragmatic hernia) is associated with pyrosis (heartburn) or gastroesophageal reflux disease (synonyms: GERD, gastroesophageal reflux disease; gastroesophageal reflux disease (GERD); gastroesophageal reflux disease (reflux disease); gastroesophageal reflux; reflux esophagitis; reflux disease; reflux esophagitis; peptic esophagitis). Therefore, the following recommendations take these symptoms into account. General measures Nicotine restriction (refraining from tobacco … Diaphragmatic Hernia (Hiatal Hernia): Therapy

Diaphragmatic Hernia (Hiatal Hernia): Complications

The following are the most important diseases or complications that can be caused by a hiatal hernia (diaphragmatic hernia) as well: Blood disorders – Immune system Anemia (anemia) [paraesophageal hernia.] Stomach – intestine – esophagus Gastritis (gastritis) [paraesophageal hernia] Upper gastrointestinal bleeding (OGIB; gastrointestinal bleeding) [paraesophageal hernia] Incarceration (entrapment of the hernia) [paraesophageal hernia] Gastric … Diaphragmatic Hernia (Hiatal Hernia): Complications

Diaphragmatic Hernia (Hiatal Hernia): Medical History

Medical history (history of illness) is an important component in the diagnosis of hiatal hernia (hiatal hernia). Family history Social anamnesis Current anamnesis/systemic anamnesis (somatic and psychological complaints). Do you suffer from heartburn? Have you noticed pain behind the breastbone? When do these symptoms occur? Do the symptoms improve on their own? Did you notice … Diaphragmatic Hernia (Hiatal Hernia): Medical History

Diaphragmatic Hernia (Hiatal Hernia): Or something else? Differential Diagnosis

Cardiovascular System (I00-I99). Coronary artery disease (CAD) – atherosclerosis (arteriosclerosis, hardening of the arteries) of the vessels supplying the heart. Myocardial infarction (heart attack) Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Esophageal diverticula – mucosal outpouchings of the esophagus. Neoplasms – tumor diseases (C00-D48). Cardiac carcinoma (gastric inlet carcinoma). Esophageal carcinoma (cancer of … Diaphragmatic Hernia (Hiatal Hernia): Or something else? Differential Diagnosis