Hiatal hernia
}March 17, 2022
jDr.. Muhannad Al-Khatib

Hiatal hernia treatment

}March 17, 2022
jDr.. Muhannad Al-Khatib

Hiatal hernia treatment

Table of Contents

    Hiatal hernia may be associated with many digestive symptoms that affect the patient's life and cause him inconvenience. Fortunately, hiatal hernia can be treated in Turkey by the most skilled doctors.

    An overview of the diaphragm muscle

    The diaphragm muscle is located just below the rib cage and separates the chest cavity from the abdomen.
     It takes the shape of a large dome and contracts in a continuous rhythmic manner during the breathing process.
     
    The diaphragm plays a major role in the process of breathing. When inhaling, it descends, which contributes to an increase in the chest area and air entering the lungs. When exhaling, the air exits the lungs and the diaphragm returns to its normal position.
     
    The diaphragm contains three natural openings through which the esophagus, inferior vena cava, and descending aorta pass.

    What is a Hiatal Hernia?

     Hiatal hernia occurs when the upper part of the stomach ascends through the natural opening of the diaphragm designated for the passage of the esophagus, meaning that the stomach is pushed up out of its normal position in the abdomen into the chest cavity.
     
    Hiatal hernias are often accompanied by digestive symptoms similar to those seen in patients gastroesophageal reflux diseaseHiatal hernia may be asymptomatic in some cases.
     
    Hiatal hernias are seen in everyone of all ages and conditions, but they tend to be more common in adults over 50 years of age, as well as overweight and smokers.
    Hiatal hernia

    Hiatal hernia

    What are the causes of hiatal hernia?

    The most important reason for the occurrence of a hiatal hernia is the high pressure within the abdominal cavity, the high pressure in the abdominal area pushes the stomach out of its normal place and upward through the opening of the diaphragm.
     
    Hiatal hernias may result from other, less common causes, such as damage to the diaphragm area, either after a traumatic event or after a surgical operation.
     
    The most important causes that raise intra-abdominal pressure are:
    • Chronic cough and vomiting
    • Constant constipation
    • Lifting heavy weights
    • Severe pressure during defecation
    • pregnancy or pregnancy

    What are the types of hiatal hernia?

    There are two main types of hiatal hernias:
     

    sliding hernia

    A sliding hernia occurs when the stomach and part of the lower esophagus that connects to the stomach pushes out of its normal position through the diaphragm opening. The most common type is often asymptomatic or may be associated with GERD symptoms.
     

    Rolling hernia

    In the case of a rolling hernia, the esophagus and stomach remain in their normal position, but part of the stomach is compressed through the opening of the diaphragm to be located next to the esophagus.
     
    This type of hernia is less common than a sliding hernia but is considered more serious and of more concern than a sliding hernia.
    Hiatal hernia types

    Hiatal hernia types

    What are the symptoms of a hiatal hernia?

    Many patients with hiatal hernias do not have any symptoms. The appearance of symptoms depends on the severity and degree of the hernia. Some may experience digestive symptoms that are somewhat similar to the symptoms of hiatal hernia. gastroesophageal reflux diseaseHere are the main symptoms that patients may experience:
    • regurgitation or reversible gastric acid reflux
    • Food or liquids returning to the mouth, causing a bad taste
    • difficulty swallowing
    • Frequent bloating or belching
    • Discomfort or pain in the chest or abdomen area
    • Shortness of breath
    • heartburn
    • Feeling full early after eating
      Hiatal hernia symptoms

      Hiatal hernia symptoms

    How is a hiatal hernia diagnosed?

    Several tests are available that can detect the presence of a hiatal hernia. A hiatal hernia is often detected during the search for the cause of chest pain. A hiatal hernia can be detected by doing the following:
     

    X-ray imaging with a barium tip

    The patient is given a contrast barium solution, then x-rays are taken of the upper digestive tract, specifically the esophagus, which shows abnormal changes in the event of a hiatal hernia.
     

    upper gastrointestinal endoscopy

    The doctor inserts a thin, flexible tube equipped with a camera through the patient's mouth in order to examine and view the esophagus and stomach from the inside and assess the presence of infections or abnormal changes in the upper digestive system.

    upper gastrointestinal endoscopy

    upper gastrointestinal endoscopy

    esophageal motility study

    This test helps to measure the force of esophageal contractions during the eating process, in addition to measuring the pressure of the lower esophageal sphincter and its ability to relax during eating.
     

    Hiatal hernia treatment in Turkey

    There is no need to treat a hiatal hernia in asymptomatic patients, but if the hernia is accompanied by symptoms that affect the patient’s life, then the hiatal hernia can be managed in several ways, either by prescribing medications that reduce the digestive symptoms that the patient suffers from, or by performing an operation to correct the hernia and restore it. The stomach is normal, and we do not forget the important role in adjusting the lifestyle and avoiding the factors that trigger the symptoms.
     

    drug therapy

    Drug treatment is primarily aimed at relieving symptoms and improving quality of life. It does not resolve the underlying problem that is causing the symptoms.
    The doctor prescribes antacid drugs to relieve the patient of his symptoms, but attention should be paid to the risks of long-term use of antacids, which may be associated with many side effects.
     
    Antacids primarily manage gastric acid reflux symptoms.
     

    Surgical treatment in Turkey

    If drug therapy fails to manage the symptoms of a hiatal hernia, or if the hernia is large enough to cause serious complications, then surgery is required to treat the hiatal hernia.
     
    The operation aims to return the stomach to its natural position within the abdominal cavity, in addition to reducing the opening in the diaphragm muscle and rebuilding the lower esophageal sphincter by bending the bottom of the stomach around the esophageal sphincter, which raises the pressure of the sphincter and prevents food reflux in reverse.
     
    The operation of the fundus of the stomach is known as the Nissin operation. The Nissin operation can be performed laparoscopically, where the doctor makes small surgical incisions, and then an endoscope equipped with a camera is inserted in addition to surgical tools through which the doctor works to complete the operation and treat the hiatal hernia.
     
    Laparoscopic surgery is distinguished from open surgery in that it is minimally invasive, with fewer complications and a short recovery period.
    Fundoplication surgery is a definitive treatment for a hiatal hernia in most cases, as it leads to the complete disappearance of symptoms.
    Video about the laparoscopic Nissin operation Here.
    After fundoplication of the stomach used in the treatment of hiatal hernia

    After fundoplication of the stomach used in the treatment of hiatal hernia

    Lifestyle change therapy

    Making lifestyle modifications is an important step in relieving the symptoms of a hiatal hernia, if present. These modifications include the following:
    • Reducing the amount of food eaten at one meal (dividing the amount into several meals)
    • Lose weight through exercise
    • Avoid foods that increase heartburn (chocolate, fatty foods, caffeine, mint, garlic, onions)
    • give up smoking
    • Avoid lying down immediately after eating
    • It is preferable to raise the head of the bed 45 degrees while sleeping

    Why should I choose treatment in Turkey?

    Recently, Turkey has become one of the leading countries in the field of medical tourism in the world.
    The reason for this is due to the presence of advanced medical centers that provide appropriate treatment by the most skilled doctors and the latest medical devices at a low cost.
    and stay Bimaristan Center Medical is your first choice For treatment in Turkey.
    We guide you to the best expert specialists in all departments.
    We facilitate the language of communication between you and everyone through specialized Arab doctors who will help you communicate with your doctor.
    We help you provide appropriate treatment and high-end service in the most modern hospitals and medical centers in Turkey.
    We provide our services extensively and precisely.
    We accompany you step by step towards recovery.
    Free consultations around the clock.
    do not hesitate Contact usBimaristan, your family center in Turkey.

    Frequently asked questions about hiatal hernia treatment in Turkey

    Is a hiatal hernia dangerous?

    Most cases of hiatal hernia are asymptomatic, but if the hernia is large, it can be associated with many digestive symptoms, and if left untreated, it can cause serious complications such as a strangulated hernia.
    Fortunately, hiatal hernia in Turkey can be treated permanently.

    Is hiatal hernia surgery dangerous?
    It depends on the method by which the operation is performed. If the operation was performed by endoscopy, the incidence of complications is less compared to open surgery.
     Some of the possible complications that may occur after the operation are dysphagia, flatulence, nausea and diarrhea, and according to studies, the mortality rate due to laparoscopic surgery is very low and is estimated at less than 1%.
     
    How is hiatal hernia treated?
    In cases that are not accompanied by symptoms, there is no need for treatment, but in occasional cases, the treatment of hiatal hernia can be limited to making lifestyle modifications such as avoiding eating large amounts of food with one meal or losing weight and quitting smoking cigarettes. Antacid medications can also be taken that help To improve the patient’s condition and alleviate the discomfort, but in the case of a hernia accompanied by symptoms that do not respond to drug treatment, a surgery is performed aimed at repairing the hernia and relieving symptoms or eliminating them completely.
     
    What are the symptoms of hiatal hernia?
    The most important signs seen when a hiatal hernia occurs are:
    • dysphagia
    • Pain in the chest and upper abdomen
    • symptoms gastroesophageal reflux disease
    • Feeling bloated and difficulty swallowing
    • Stomach acid reflux into the mouth
    • burping
    What are the types of hiatal hernia?
    Hernias are classified into two main types, sliding hernias and rolling hernias. The most common type is a sliding hernia, which is often asymptomatic and less dangerous than a rolling hernia. Rolling hernias are more worrying and cause more symptoms and we may need surgery in order to treat a rolling hiatal hernia.
     

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