Hiatus hernia natural history, complications and prognosis: Difference between revisions

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==Overvie==
==Overvie==
The symptoms of hiatus hernia usually develop in the first decade of life in children, and start with symptoms such as vomiting, heartburn, regurgitation and dysphagia. If left untreated, [#]% of patients with hiatus hernia may progress to develop strangulation, esophageal adenocarcinoma and gastric volvulus. Prognosis is generally excellent and recovery after surgery in large hernia is approximately 90%. The disease is well controlled with medical therapy but not cured.
The symptoms of a hiatus hernia usually develop in the first decade of life in children and start with symptoms such as vomiting, heartburn, regurgitation, and dysphagia. If left untreated, [#]% of patients with a hiatus hernia may progress to develop strangulation, esophageal adenocarcinoma, and gastric volvulus. Prognosis is generally excellent and recovery after surgery in a large hernia is approximately 90%. The disease is well controlled with medical therapy but not cured.


==Natural History, Complications, and Prognosis==
==Natural History, Complications, and Prognosis==


===Natural History===
===Natural History===
*The symptoms of hiatus hernia usually develop in the first decade of life in children, and start with symptoms such as vomiting, heartburn, regurgitation and dysphagia  
*The symptoms of a hiatus hernia usually develop in the first decade of life in children and start with symptoms such as vomiting, heartburn, regurgitation, and dysphagia  
*If left untreated, [#]% of patients with hiatus hernia may progress to develop strangulation, esophageal adenocarcinoma and gastric volvulus.
*If left untreated, [#]% of patients with a hiatus hernia may progress to develop strangulation, esophageal adenocarcinoma, and gastric volvulus.


===Complications===
===Complications===
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===Prognosis===
===Prognosis===
*Prognosis is generally excellent and recovery after surgery in large hernia is approximately 90%.
*Prognosis is generally excellent and recovery after surgery in a large hernia is approximately 90%.<ref>https://online.epocrates.com/diseases/73551/Hiatal-hernia/Prognosis</ref>
*The disease is well controlled with medical therapy but not cured.
*The disease is well controlled with medical therapy but not cured.


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{{Reflist|2}}
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]

Revision as of 20:16, 7 February 2018

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

Overvie

The symptoms of a hiatus hernia usually develop in the first decade of life in children and start with symptoms such as vomiting, heartburn, regurgitation, and dysphagia. If left untreated, [#]% of patients with a hiatus hernia may progress to develop strangulation, esophageal adenocarcinoma, and gastric volvulus. Prognosis is generally excellent and recovery after surgery in a large hernia is approximately 90%. The disease is well controlled with medical therapy but not cured.

Natural History, Complications, and Prognosis

Natural History

  • The symptoms of a hiatus hernia usually develop in the first decade of life in children and start with symptoms such as vomiting, heartburn, regurgitation, and dysphagia
  • If left untreated, [#]% of patients with a hiatus hernia may progress to develop strangulation, esophageal adenocarcinoma, and gastric volvulus.

Complications

  • Common complications of hiatus hernia include:
    • Esophageal adenocarcinoma[1]
    • Gastric volvulus and perforation in paraesopahgeal type[2]
    • Strangulation in paraesophageal hernia

Prognosis

  • Prognosis is generally excellent and recovery after surgery in a large hernia is approximately 90%.[3]
  • The disease is well controlled with medical therapy but not cured.

References

  1. Wu AH, Tseng CC, Bernstein L (2003). "Hiatal hernia, reflux symptoms, body size, and risk of esophageal and gastric adenocarcinoma". Cancer. 98 (5): 940–8. doi:10.1002/cncr.11568. PMID 12942560.
  2. Hennessey D, Convie L, Barry M, Aremu M (2012). "Paraoesophageal hernia: an overview". Br J Hosp Med (Lond). 73 (8): 437–40. PMID 22875520.
  3. https://online.epocrates.com/diseases/73551/Hiatal-hernia/Prognosis