Rolling and sliding hiatal hernia.pptx

Lecture notes for medical students

1. Tips on using my ppt. You can freely download, edit, modify and put your name etc. Don’t be concerned about number of slides. Half the slides are blanks except for the title. First show the blank slides (eg. Aetiology ) > Ask students what they already know about ethology of today's topic. > Then show next slide which enumerates aetiologies. At the end rerun the show – show blank> ask questions > show next slide. This will be an ACTIVE LEARNING SESSION x three revisions. Good for self study also. See notes for bibliography.

2. Hiatal Hernia

3. Hiatal Hernia What is hiatus ? What is Hernia.

4. Oesophageal Hiatus

5. Hernia Abnormal protrusion of a viscus or its part through a normal or abnormal opening in the walls of its containing cavity. Hiatal Hernia is abnormal protrusion of abdominal viscera into posterior mediastinum through oesophageal hiatus .

6. Types of Hiatal Hernia Type I –Sliding Type II- Rolling / Paraoesophageal

7. Types of Hiatal Hernia

8. Types of Hiatal Hernia Type III- mixture of type I and II hiatal hernia. In this type, in addition to the para-esophageal hiatal hernia, the GEJ is not fixed but displaced above the diaphragm Type IV hiatal hernia is the herniation of other abdominal organs (spleen, colon, pancreas, etc.) through the esophageal hiatus into the posterior mediastinum

9. Etiology

10. Etiology Idiopathic Congenital Traumatic Infections /Infestation Autoimmune Neoplastic (Benign/Malignant) Degenerative obesity, pregnancy, and ascites .

11. Pathophysiology

12. Pathophysiology Burkitt et al suggest that the Western, fiber -depleted diet leads to a state of chronic constipation and straining during bowel movement, which could explain the higher incidence of this condition in Western countries.

13. Clinical Features

14. Clinical Features Demography Symptoms Signs Prognosis Complications

15. Demography

16. Demography Hiatal hernias are more common in Western countries. The frequency of hiatus hernia increases with age, from 10% in patients younger than 40 years to 70% in patients older than 70 years. More common in Females -?pregnancy

17. Symptoms

18. Symptoms Asymptomatic Reflux and its complications intermittent dysphagia , Bloating chest pain, Regurgitation, Cough gastrointestinal bleeding heartburn. Incarceration of rolling hiatal hernia-abrupt with a sudden onset of vomiting and pain

19. Physical Examination

20. Physical Examination Normal Certain conditions predispose to the development of hiatus hernia. These include obesity, pregnancy, and ascites .

21. Investigations

22. Investigations Laboratory Studies Routine Special Imaging Studies Tissue diagnosis Cytology FNAC Histlogy

23. Diagnostic Studies

24. Diagnostic Studies Manometry

25. Contrast esophagogram

26. Minimally invasive Therapy

27. Minimally invasive Therapy Type I-Laparoscopic antireflux procedure – fundoplication . TypeII -IV: Laproscopic reduction of herniated viscera> Excision of Sac > Laparoscopic antireflux procedure – fundoplication Mesh hernioplasty .

28. Get this ppt in mobile Download Microsoft PowerPoint from play store. Open Google assistant Open Google lens. Scan qr code from next slide.

29. Get this ppt in mobile

30. Get my ppt collection https:// www.slideshare.net/drpradeeppande/edit_my_uploads https:// www.dropbox.com/sh/x600md3cvj85woy/AACVMHuQtvHvl_K8ehc3ltkEa?dl=0 https://www.facebook.com/doctorpradeeppande/?ref=pages_you_manage