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Hiatal Hernia with Complications - page 14 / 41

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Hiatal Hernias: Type I

  • Sliding Hiatal Hernia (95%)

    • GEJ 2 cm or more above the diaphragmatic hiatus

    • Clinically silent or presents with GERD

    • Places the LES in the thorax, thus eliminating the bolstering affect of the crura and exposing the LES to negative intrathoracic pressure

    • Dynamic action of swallowing adds to difficulty of diagnosis

Abbara S. et Al. Intrathoracic Stomach Revisited. AJR 2003 181:403-414

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