What are the three types of hiatal hernias?

The vast majority of hiatal hernias are called type I, or sliding hiatal hernias. In this type, the stomach intermittently slides up into the chest through a small opening in the diaphragm. Type II, III and IV hiatal hernias are called paraesophageal hernias.

What is a Grade 3 hiatal hernia?

Type III hiatal hernias are combined hernias in which the gastroesophageal junction is herniated above the diaphragm and the stomach is herniated alongside the esophagus. The majority of paraesophageal hernias are type III.

How do I know what type of hiatal hernia I have?

To diagnose a hiatal hernia, your doctor may do tests including:

Barium swallow. You drink a liquid that shows up on an X-ray so your doctor can get a better look at your esophagus and stomach.
Endoscopy.
Esophageal manometry (pressure study).
pH test.

What is the most common type of hiatal hernia?

Sliding hiatal hernia This is the more common type of hiatal hernia. It occurs when your stomach and esophagus slide into and out of your chest through the hiatus. Sliding hernias tend to be small.

What are the two types of hiatal hernia?

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.

What is a Grade 2 hiatal hernia?

Type II hiatal hernias occur when the fundus of the stomach herniates through the esophageal hiatus. The GEJ remains normally positioned below the diaphragm.

What does Hill Grade II mean?

Hill Grade I: a prominent fold of tissue along the lesser curvature next to the endoscope. Open in a separate window. Fig. 2. Hill Grade II: the fold is less prominent and there are periods of opening and rapid closing around the endoscope.

What is the difference between a hernia and a hiatal hernia?

A hernia occurs when an organ pushes through the muscle or tissue that holds it in place. Learn about hiatal hernia, treatment, diagnosis, pregnancy… A hiatal hernia occurs when the upper part of your stomach pushes up through your diaphragm. Learn more here.

What does Hill Grade 1 mean?

What are the different types of hiatal hernia?

Nissen fundoplication. A Nissen fundoplication is the most commonly performed surgery for a hiatal hernia.

Open surgery. Open surgery involves making a larger incision in the abdomen so that the surgeon can fix the hernia.

Endoluminal fundoplication.

How bad is a medium size hiatal hernia?

Typically, a medium-sized hernia will not cause pain. In fact, hiatal hernia problems typically only present in hernias larger than 6 cm or 2.5 inches. So long as your hernia is smaller than 6 cm or 2.5 inches, it should be manageable with self-care and medication. In cadavers, the average size of the esophageal hiatus, the measured hiatal surface area (HSA), is 5.84 cm 2 [2] .

What exactly is a hiatal hernia?

Inguinal hernia: In men,the inguinal canal is a passageway for the spermatic cord and blood vessels leading to the testicles.

Femoral hernia: Fatty tissue or part of the intestine protrudes into the groin at the top of the inner thigh.

Umbilical hernia: Fatty tissue or part of the intestine pushes through the abdomen near the navel (belly button).

What is the prognosis for a hiatal hernia?

Being born with an unusually large hiatus

Injury or trauma to the area such as force from a seatbelt during an accident

Obesity

Persistent and intense pressure on the surrounding muscles caused by: Chronic coughing Lifting heavy objects Repetitive vomiting Straining during a bowel movement