Hiatal Hernia

A hiatal hernia occurs when part of the stomach pushes up into the chest cavity through the diaphragm’s opening (hiatus). At Emirates Hospitals, patients receive expert care for hiatal hernias through a multidisciplinary approach involving skilled gastroenterologists and general surgeons. The hospital is equipped with cutting-edge technology and advanced treatment methods to provide optimal outcomes.

Understanding Hiatal Hernia

Hiatal hernias are classified into two main types:

• Sliding Hiatal Hernia: The stomach and lower esophagus slide up into the chest. This is the most common type.
• Paraesophageal Hernia: The stomach pushes alongside the esophagus, which can lead to severe complications if untreated.

Causes and Symptoms

Causes:

• Increased pressure in the abdomen due to obesity, pregnancy, or heavy lifting.
• Aging, which weakens the diaphragm muscles.
• Trauma or injury to the diaphragm.

Symptoms:

• Persistent heartburn or acid reflux.
• Difficulty swallowing (dysphagia).
• Chest pain or discomfort.
• Regurgitation of food or stomach acid.
• Shortness of breath in severe cases.

Diagnosis and Evaluation

At Emirates Hospitals, the following diagnostic methods are employed:

• Endoscopy: Direct visualization of the esophagus and stomach.
• Barium Swallow Test: X-ray imaging to detect hernias and structural abnormalities.
• Esophageal Manometry: Measures the function of the esophagus and its sphincters.

Treatment Options

The hospital offers a range of treatment options depending on the severity of the condition:

• Non-Surgical Approaches:
  • Lifestyle changes, including weight management and dietary adjustments.
  • Medications such as proton pump inhibitors (PPIs) and antacids to reduce symptoms.
• Surgical Solutions:
  • Laparoscopic Fundoplication: Minimally invasive surgery to tighten the diaphragm opening and prevent reflux.
  • Hernia Repair: For paraesophageal hernias, repositioning the stomach and securing it with sutures or mesh.