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The article explains how paraesophageal hernia compares to the more common type, sliding hernia. It also discusses possible symptoms, causes, diagnosis, and treatment of paraesophageal hernia.
A paraesophageal or hiatal hernia occurs when part of the stomach moves up into the chest through a hole in the muscular wall called the diaphragm. The most common type is called a sliding hiatal hernia, in which the stomach and part of the esophagus “slide” up into the chest.
A hiatal or paraesophageal hernia occurs when the GE junction, the stomach, or other abdominal organs such as the small intestine, colon, or spleen move up into the chest where they do not belong. There are several types of paraesophageal hernias.
Type 2: Types 2-4 are called paraesophageal hiatal hernias. “Paraesophageal” means “beside the esophagus.” In type 2, the upper part of your stomach pushes up through the hiatus alongside your esophagus, forming a bulge next to it. This is also called a rolling hiatal hernia. Type 3: Type 3 is a mix of the first two types.
There are two main types of hiatal hernias: sliding and paraesophageal (next to the esophagus). In a sliding hiatal hernia, the stomach and the section of the esophagus that joins the stomach slide up into the chest through the hiatus. This is the more common type of hernia.
Surgical management of a paraesophageal hernia will be reviewed here. The anatomy, physiology, types, symptoms, and diagnosis of a hiatal hernia are discussed elsewhere. (See "Hiatus hernia".)
Paraesophageal hernias (POH) , or rolling hiatus hernias , are an uncommon type of hiatus hernia representing ~10% of all hiatus hernias. Clinical presentation. Can vary and can include: asymptomatic. gastro-esophageal reflux disease. substernal, post-prandial chest pain. epigastric pain. dysphagia. nausea/vomiting. obstruction.
A paraesophageal hernia refers to larger portions of the stomach or even other parts of the bowel that are pushed up into the chest. Typically, your stomach sits below your diaphragm, but in hiatal and paraesophageal hernias, it can be found above the diaphragm. What are the symptoms?
A paraesophageal hernia occurs when a part of the stomach slips through a hole in the diaphragm and into the esophagus. We provide relief and treat paraesophageal hernias with minimally invasive surgical approaches.
Symptoms and Diagnosis of Paraesophageal Hernia. Signs of paraesophageal hernia include: gastroesophageal reflux (heart burn, bloating, burping) chest and/or abdominal pain. shortness of breath. nausea and vomiting. Many of the symptoms of paraesophageal hernia mimic those of other GI problems.