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Diagnostics and treatment of hernia of the esophagus
Diagnostics and treatment of hernia of the esophagus
Hernia of the esophageal opening of the diaphragm - the exit of part of the stomach from the abdominal cavity into the chest cavity through the esophageal opening of the diaphragm. The cause of entry may be a functional factor - reverse peristalsis, which is a manifestation of gastroesophageal reflux disease (GERD). Processes leading to an increase in abdominal pressure - trauma, constipation, prolonged cough, pregnancy, obesity, etc. - can also be producing factors.
Basically, these hernias are divided into sliding and paraesophageal. Also, a hernia can be fixed and even restrained.
Symptoms
- heartburn,
- belching,
- a feeling of bitterness or acidity in the mouth,
- regurgitation of food,
- a feeling of "stuck food in the lower part of the sternum,
- chest pain during eating and at night,
- unmotivated nocturnal cough.
Treatment
Treatment of a sliding hernia in the initial stages can be conservative (adherence to diet, diet, medication). In the case of a strangulated and fixed hernia, there is no alternative to surgical treatment. With painful functional problems, which the patient regards as unacceptable, and with the ineffectiveness of conservative treatment, as well as with the appearance of precancerous changes in the esophagus (Barrett's esophagus, severe forms of metaplasia), surgical treatment is necessary.
A reliable method of surgery with proven efficiency is Nissen esophagofundoplication with posterior cruroraffia (elimination of the hernia and creation of conditions for the normal functioning of the esophageal-gastrointestinal junction).
You can safely start treatment, which we carry out as quickly and efficiently as possible in Tashkent. The Gatling Med clinic will make you feel confident in yourself and your health!
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