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H:
Adult man, 49-years-old,
obesity and a history of retrosternal pain
INFO/WWW-LINKS:
General information:
There are two main typs of hiatus
hernia: Sliding hiatus
hernia (more than 80%): The gastroesophageal region slides superior into
the chest through the esophageal hiatus when the patient lies down or bends
over. Paraesophageal hiatus
hernia: The gastroesophageal region remains in its normal position, but
parts of the stomach and peritoneum slip through the esophageal hiatus. Some
hernias present features of both types and are referred to as mixed hiatus
hernias.
D:
Paraesophageal hiatus
hernia (The gastroesophageal region remains in its normal position, but parts
of the stomach slip through the esophageal hiatus) with regurgitation and gastric
reflux
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