| Discussion in 'All Categories' started by Robert Morgan - Feb 18th, 2013 11:52 pm. | |
Robert Morgan
|
The entire stomach is noted in the thoracic cavity in thepoeterior mediastinum and displacing the heart anteriorly. The jiatus opening is about 4cm in diamater. There is alos suggestion of organo-axial volvulus of the stomach |
|
re: Hiatus Hermia
by Dr J S Chowhan -
Feb 22nd, 2013
11:24 am
#1
|
|
|
Dr J S Chowhan
|
Dear Morgan Paraesophageal hernias represent advanced degrees of sliding hiatus hernia with intrathoracic displacement in the intraesophageal junction. Gastroesophageal reflux disease occurs in many instances, resulting in acquired short esophagus, which will influence the type of repair selected. Sign of incarceration with the herniated stomach, that has been frequently complicated by organoaxial volvulus. Common presentations of large incarcerated hernias are postprandial fullness or pain, dysphagia, iron-deficiency anemia related to chronic hemorrhage in the incarcerated gastric pouch, and regurgitation with aspiration. Essentially the most compelling evidence for the proper diagnosis of sliding paraesophageal hernia will be the endoscopic location with the esophagogastric junction at the level across the diaphragmatic hiatus. Using the flexible gastroscope, it is possible for your experienced operator to simply locate how much the esophagogastric junction and the degree of the diaphragmatic hiatus. Most paraesophageal hernias represent advanced degrees of sliding hiatus hernia with intrathoracic displacement of the esophagogastric junction. GERD happens in 83% of those cases and frequently leads to acquired short esophagus. Ahead of the operation, the evaluation of acquired short esophagus is better determined from measurements of esophageal length during endoscopy and manometry. The position of the esophagogastric junction is difficult to get inside a traditional contrast esophagogram. The existence of acquired short esophagus should influence the repair selected. Acquired short esophagus could be confirmed at operation and is also most easily evaluated throughout the operation through a transthoracic approach. So in our opinion you should contact us or any good hospital where surgery can be performed and your hernia can be repaired. With regards J S Chowhan |
If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum
Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.
The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.
World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.
