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==Overview==
==Overview==

Revision as of 20:03, 5 February 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]

Overview

Hiatus hernias affect around 1 to 20% of the population. out of this 9 % are symptomatic, depending on the ability of the lower esophageal sphincter (LES). 95% of these categorize under "sliding" hiatus hernias, in which the lower esophageal sphincter protrudes above the diaphragm along with the stomach, and only 5% is the "rolling" type (paraesophageal), in which the LES remains stationary but the stomach protrudes above the diaphragm. A hiatus hernia is more common in older people.

Epidemiology and Demographics

Prevalence

  • The prevalence of  type I hiatus hernia in the adult population in North America is approximately  10 to 80 percent.[1]
  • It is estimated that greater than 95 percent of hiatus hernias are type I (sliding) hiatus hernia.
  • Approximately 5 percent of the haital hernias are  with type II, III, and IV (paraesophageal) hernias.

Mortality rate

  • The mortality rate of elective paraesophageal hernia repair is approximately 1.4 percent.[2][3]

Age

  • Hiatus hernias commonly affects individuals older than 50 years of age.

Race

  • There is no racial predilection to hiatus hernia.

Gender

  • women are more commonly affected by Hiatus hernias than men.

References

  1. Weston AP (1996). "Hiatal hernia with cameron ulcers and erosions". Gastrointest. Endosc. Clin. N. Am. 6 (4): 671–9. PMID 8899401.
  2. Hallissey MT, Ratliff DA, Temple JG (1992). "Paraoesophageal hiatus hernia: surgery for all ages". Ann R Coll Surg Engl. 74 (1): 23–5. PMC 2497483. PMID 1736789.
  3. Pitcher DE, Curet MJ, Martin DT, Vogt DM, Mason J, Zucker KA (1995). "Successful laparoscopic repair of paraesophageal hernia". Arch Surg. 130 (6): 590–6. PMID 7763166.