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  • Noäi Soi Medic: Hiatal Hernia

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    Ganesa
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    The document discusses hiatal hernia, including: 1. Incidence is highest in those over age 70 and females age 50-60 in Western countries. Risk increases with age. 2. Causes include muscle weakening from age or illness and increased abdominal pressure from obesity, pregnancy, ascites, or prior surgery. 3. Types of hiatal hernia are described based on location of the GE junction. Complications range from reflux to obstruction or perforation depending on type.

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    Hiatal hernia

    Original Title

    noisoi05

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    The document discusses hiatal hernia, including: 1. Incidence is highest in those over age 70 and females age 50-60 in Western countries. Risk increases with age. 2. Causes include muscle weakening from age or illness and increased abdominal pressure from obesity, pregnancy, ascites, or prior surgery. 3. Types of hiatal hernia are described based on location of the GE junction. Complications range from reflux to obstruction or perforation depending on type.

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    © All Rights Reserved
    Download as PPS, PDF, TXT or read online from Scribd
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    Download as pps, pdf, or txt
    5 views11 pages

    Noäi Soi Medic: Hiatal Hernia

    Uploaded by

    Ganesa
    The document discusses hiatal hernia, including: 1. Incidence is highest in those over age 70 and females age 50-60 in Western countries. Risk increases with age. 2. Causes include muscle weakening from age or illness and increased abdominal pressure from obesity, pregnancy, ascites, or prior surgery. 3. Types of hiatal hernia are described based on location of the GE junction. Complications range from reflux to obstruction or perforation depending on type.

    Copyright:

    © All Rights Reserved
    Download as PPS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 11

    TRUNG TAM Y KHOA MED

    PHONG
    KHAM
    X QUANG
    CT SCAN
    MRI
    DSA
    SIEU AM
    NOI SOI
    XET
    NGHIEM

    CME

    NOI SOI
    MEDIC
    HIATAL HERNIA

    NGUYEN TH THANH THAO


    Trng Khoa Noi Soi Tieu Hoa

    MEDIC 254 Hoa Hao Q. 10 TP. Ho Ch Minh


    T: 8357284 8355 136 fax: 8488352543 email: medic@hcm. vnn. vn

    EXIT

    TRUNG TAM Y KHOA ME


    A- Incidence
    PHONG
    KHAM
    X QUANG
    CT SCAN
    MRI
    DSA
    SIEU AM
    NOI SOI
    XET
    NGHIEM

    CME

    Western countries USA:

    NOI SOI
    MEDIC
    10% population.
    Female, 50 - 60 y. o.

    with age:

    < 40 y. o.: 9%.


    > 70 y. o.: 69%.

    MEDIC 254 Hoa Hao Q. 10 TP.

    EXIT

    TRUNG TAM Y KHOA ME


    B- Etiology
    PHONG
    KHAM
    X QUANG
    CT SCAN
    MRI
    DSA
    SIEU AM
    NOI SOI
    XET
    NGHIEM

    1/

    Muscle
    weakening:
    such
    phrenoesophageal membrane (PEM).

    NOI SOI
    MEDIC

    as

    Old age.
    After long illness.

    2/ - abdominal pressure:

    Obesity.
    Pregnancy: temporary ( 8th M 17%).
    Ascites.
    Trauma.
    After operations:
    Heller procedure.
    Partial gastrectomy.

    CME

    MEDIC 254 Hoa Hao Q. 10 TP.

    EXIT

    TRUNG TAM Y KHOA ME


    C- Type: GE junction.
    PHONG
    KHAM
    X QUANG
    CT SCAN
    MRI
    DSA
    SIEU AM
    NOI SOI
    XET
    NGHIEM

    CME

    1/ - Type I (Sliding hiatal hernia ): + + +

    NOI SOI
    MEDIC

    Weakening phrenoesophageal membrene (PEM).


    Asymptomatic.

    2/ - Type II (Pareasophageal hiatal hernia ):


    Focal defect of PEM ant.
    lat.
    GE junction: Greater curvature intrathoracic.

    MEDIC 254 Hoa Hao Q. 10 TP.

    EXIT

    TRUNG TAM Y KHOA ME


    PHONG
    KHAM
    X QUANG
    CT SCAN
    MRI
    DSA
    SIEU AM
    NOI SOI
    XET
    NGHIEM

    CME

    3/ - Type III:

    NOI SOI
    MEDIC
    GE junction ()
    Greater cuvature intrathoracic ().

    4/ - Type IV:

    -Stomach ()
    Other abdominal organ ()

    MEDIC 254 Hoa Hao Q. 10 TP.

    EXIT

    TRUNG TAM Y KHOA ME


    D- Symptoms and complications
    PHONG
    KHAM
    X QUANG
    CT SCAN
    MRI
    DSA
    SIEU AM
    NOI SOI
    XET
    NGHIEM

    CME

    1/ - Type I GE reflux.
    2/ - Type II, III, IV:

    NOI SOI
    MEDIC

    Digestive ( S): + Pain.


    + Bloating.
    Compression: dysphagia.
    Volvulus, obstruction.
    Ulcers, bleeding, gangrene, perforation.

    MEDIC 254 Hoa Hao Q. 10 TP.

    EXIT

    TRUNG TAM Y KHOA ME


    E. Diagnosis:
    PHONG
    KHAM
    X QUANG
    CT SCAN
    MRI
    DSA
    SIEU AM
    NOI SOI
    XET
    NGHIEM

    CME

    1/- Lateral chest Xray:

    NOI SOI
    MEDIC
    Air -fluid level in the post mediastinum.
    (A): + Mediastinal cyst, abscess.
    + Achalasia.

    2/ - Bayum swallow + + +.
    3/ - Endoscopy:

    Reflux esophagitis.
    Stricture.
    Barrett's esophagus
    GE junction > 2 cm sliding hernia

    MEDIC 254 Hoa Hao Q. 10 TP.

    EXIT

    TRUNG TAM Y KHOA ME


    F. Treatment:
    PHONG
    KHAM
    X QUANG
    CT SCAN
    MRI
    DSA
    SIEU AM
    NOI SOI
    XET
    NGHIEM

    CME

    Asymptomatic sliding hiatal hernia: no 0.


    Sliding hiatal hernia ________
    Reflux (mild esophagitis)______ medical 0.

    NOI SOI
    MEDIC

    Severe esophagitis ____


    Failure of medical 0 antireflux procedure
    repair hiatal hernia
    ( ) of hernia hiatal hernia repair.
    Paraesophageal hernia: 60% with reflux
    antireflux procedure repair hiatal hernia.

    MEDIC 254 Hoa Hao Q. 10 TP.

    EXIT

    TRUNG TAM Y KHOA ME


    PHONG
    KHAM
    X QUANG
    CT SCAN
    MRI
    DSA
    SIEU AM
    NOI SOI
    XET
    NGHIEM

    NOI SOI
    MEDIC
    Figure 1 + 2: The normal anatomy and sliding
    hiatal hernia (type I).

    CME

    MEDIC 254 Hoa Hao Q. 10 TP.

    EXIT

    TRUNG TAM Y KHOA ME


    THOAT V HOANH
    PHONG
    KHAM
    X QUANG
    CT SCAN
    MRI
    DSA
    SIEU AM
    NOI SOI
    XET
    NGHIEM

    CME

    NOI SOI
    MEDIC
    MEDIC 254 Hoa Hao Q. 10 TP.

    EXIT

    TRUNG TAM Y KHOA ME


    THOAT V HOANH + VIEM THC QUAN TRAO
    NGC

    PHONG
    KHAM
    X QUANG
    CT SCAN
    MRI
    DSA
    SIEU AM
    NOI SOI
    XET
    NGHIEM

    CME

    NOI SOI
    MEDIC
    MEDIC 254 Hoa Hao Q. 10 TP.

    EXIT

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