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For the diagnosis of HH, in addition to a detailed questioning of the patient, almost all research methods used in gastroenterology are used. Mandatory diagnostic methods include. Thanks to the X-ray diagnostic method, fundamental studies of HH have been carried out, classifications have been developed, various forms of this pathology have been studied, a number of indications and contraindications for various types of treatment of hiatal hernias have been developed.
Diagnosis of a hernia of the esophageal opening of the diaphragm. This x-ray examination makes it possible to reliably diagnose various forms of HH, including “small” esophageal hernias, to detect cardia insufficiency, gastroesophageal reflux, reflux esophagitis, to exclude cardia insufficiency associated with a violation of the passage of food in the underlying sections of the gastrointestinal tract. Endoscopic esophagogastroduodenoscopy.
In the middle of the 20th century, the latest technologies in endoscopy were developed and widely introduced into clinical practice. They have significantly expanded the possibilities of diagnosing gastroenterological diseases. The peculiarity of endoscopic esophagogastroduodenoscopy is c. All this makes it possible to buy avanafil online this diagnostic method not only to patients, but also to the population as a whole for medical examination and early detection of the disease.
Of course, endoscopic diagnosis of HH is not an easy procedure, but FEGDS doctors consider it as a screening method shown to all patients, including people with minimal symptoms of gastroesophageal reflux, dyspepsia or dysphagia (digestion or swallowing disorders), as well as anyone who suffers from digestive diseases. The main direct and indirect symptoms of HH, usually manifested during the implementation of FEGDS, include. Most of the listed endoscopic symptoms of HH can be detected by video monitoring during FEGDS, which helps to establish an unmistakable diagnosis. Treatment of hiatal hernia.
At the first manifestations of HH, treatment begins with conservative measures. Most often, in the HH clinic, the symptoms of reflux esophagitis come to the fore. For this reason, conservative treatment is indicated, aimed primarily at eliminating these clinical manifestations. First of all, it is a rational diet and a diet supplemented with drug therapy. However, the only radical and most effective treatment that eliminates the causes and manifestations of HH is surgical treatment.
The operation is also indicated in the absence of results or in the case of low efficiency from conservative drug therapy for more than a year.
Surgical treatment of HH is the lowering of the stomach into the abdominal cavity, the elimination of the hernia gate and the performance of antireflux surgery.
To date, more than 50 methods of surgical treatment of this disease have been developed, and in each case, the surgeon individually chooses the optimal method for the patient.
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Paraesophageal hernia can be congenital or acquired. Hiatus hernia in children is usually associated with an embryonic defect - shortening of the esophagus and requires surgical intervention at an early age.
Those at risk are those who have the following diseases. Varicose veins Flat feet Hemorrhoids Obesity. Also to the development of a hernia of the esophaguso openings of the diaphragm predispose dysmotility of the digestive tract with hypermotor dyskinesia of the esophagus, concomitant peptic ulcer of the duodenum and stomach, chronic gastroduodenitis, chronic pancreatitis, calculous cholecystitis. Symptoms of hiatal hernia.
HH is a chronic disease that affects the digestive system, which is in 3rd place among other diseases such as gastric and duodenal ulcers, chronic cholecystitis. A hiatal hernia is a condition in which the stomach slides up into the esophagus. The causes of pain in diaphragmatic hernia are compression of the nerves and vessels of the stomach when its cardial part enters the chest cavity, the effect of the acidic contents of the intestine and stomach on the esophageal mucosa and stretching of its walls.
An axial hiatal hernia is a protrusion of organs below the diaphragm through a natural opening. In the vast majority of cases (approximately 90%), diaphragmatic hernias are axial or sliding. With a sliding (axial, axial) hernia, there is free penetration of avanafil pills of the esophagus, cardia and fundus of the stomach through the esophageal opening of the diaphragm into the chest cavity and an independent return (when changing body position) back to the abdominal cavity.
Axial hiatal hernia begins to develop with reduced elasticity of avana connective tissues, weakening of their ligaments. Depending on the displaced area, they can be cardiac, cardiofundal, subtotal or total gastric. For axial hernia under the esophagus is characterized by a different etiology. Allocate the following etiological factors.