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Gastroenterology Treatments

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Hiatus Hernia

Our hernia specialist in Chennai Dr. Deepak, ensures the best medical assistance at Chennai Gastro Care. Years of experience in consultation of hernia has helped him gain insights. Extensive hernia operation in Chennai has given him the flair to tackle hernia cases rapidly.
Hiatus hernia is the condition that occurs when a part of the stomach pushes up to the diaphragm muscle. It might be difficult to assess as there are no common symptoms shown. There might heartburn and abdominal discomfort. This condition could be treated through medication. Surgery is called for in extreme cases.

Prolapse of the stomach through the diaphragmatic oesophagal hiatus due to an increase in the sphincter pressure causes a hiatus hernia. The lower oesophageal sphincter is a smooth muscle that is about 2 to 4.5 cm in length. The upper portion of the sphincter is in the diaphragmatic hiatus and the lower portion is located intra-abdominally. Sudden intra-abdominal pressure causes an increase in the pressure of the sphincter. Even as the gastroesophageal junction creates a barrier for prevention of reflux of the contents (which is inclusive of the LES baseline pressure) the reflux barrier is compromised and acid clearance is not accomplished due to malfunction of the LES.

Hiatus Hernia Treatment

There are several predisposing factors that contribute to the formation of a hiatus hernia:

  • Obesity – can cause increased intra-abdominal pressure leading to the formation of a hiatus hernia
  • Chronic constipation due to a fibreless diet
  • Abdominal ascites – fluid accumulation
  • Gender – it is a common occurrence in women due to pressures exerted during pregnancy
  • Chronic esophagitis leads to reflux-indicated shortening of the oesophagus
  • Age is a contributing factor to a hiatal hernia due to the weakening of muscles and decreased tissue elasticity
  • Acquired hiatal hernias are divided into:
    • Non-traumatic: non-traumatic type includes sliding hernia and paraesophageal hernia
    • Traumatic: forceful external injury to the area can lead to a hiatus hernia

Signs and symptoms
A patient having hiatus hernia presents with:

  • Burning sensation in the chest along with pain
  • Retching
  • Nausea and vomiting
  • Rapid rush of saliva into the mouth otherwise known as waterbrash indicating reflux


  • Barium upper gastrointestinal series – a barium study provides an accurate diagnosis of the condition. The barium is out pouched at the lower tip of the oesophagus. It also distinguishes between a paraesophageal hernia and a sliding hernia.
  • Chest radiographs – clearly indicate the presence of a hiatus hernia
  • Endoscopy – complications of erosive oesophagitis, ulcers in a hernia, tumour or Barrett’s oeosphagus is detected with endoscopy. Biopsy of the suspicious area is taken with the endoscopy.
  • Oesophageal manometry can also be done.

Treatment and medication
Symptoms of GERD are treated by modifying lifestyle, neutralizing acid production and increasing gastric motility. PPI therapy is done for patients with iron deficiency anaemia caused due to large hiatal hernias. Surgical care is inevitable in hernias.
We conduct surgical procedures to correct gastroesophageal reflux and simultaneously repair a hernia. Get your problem resolved by the hiatal hernia surgeon in Chennai.

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