Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- bowel sounds in chest
Другие диагностические факторы
- heartburn
- regurgitation
- obesity
- chest pain
- dysphagia
- odynophagia
- hematemesis
- shortness of breath
- cough
- oropharyngitis
- wheezing
- nonbilious vomiting
- fever and chills
- confusion
Факторы риска
- obesity
- increased age
- previous gastroesophageal procedure
- elevated intra-abdominal pressure
- male sex
- incisional, umbilical, or inguinal hernia
Диагностические исследования
Исследования, которые показаны в первую очередь
- chest x-ray
- upper gastrointestinal fluoroscopy with oral contrast
Исследования, проведение которых нужно рассмотреть
- esophago-gastro-duodenoscopy
- CT scan or MRI scan
- high-resolution esophageal manometry and pH monitoring
Алгоритм лечения
upper gastrointestinal hemorrhage and/or obstruction and/or volvulus
irreversible organ ischemia and/or necrosis
symptomatic gastroesophageal reflux disease (GERD)
type I refractory to medical therapy or patient prefers surgery
types II, III, and IV
Составители
Авторы
Constantine T. Frantzides, MD, PhD, FACS

Director
Chicago Institute of Minimally Invasive Surgery
St. Francis Hospital
Clinical Professor of Surgery
University of Illinois Chicago
Chicago
IL
Раскрытие информации
CTF declares that he has no competing interests.
Выражение благодарностей
Dr Constantine T. Frantzides would like to gratefully acknowledge Dr Mark A. Carlson, Dr Amy J. Hargrove and Dr Minh B. Luu, previous contributors to this topic.
Раскрытие информации
MAC, AJH and MBL declare they have no competing interests.
Рецензенты
Frank A. Granderath, MD
Associate Professor
Department of General, Visceral and Transplant Surgery
University Hospital Tuebingen
Germany
Раскрытие информации
FAG declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
Society of American Gastrointestinal and Endoscopic Surgeons. Guidelines for the management of hiatal hernia. Apr 2013 [internet publication].Полный текст
Roman S, Kahrilas PJ. The diagnosis and management of hiatus hernia. BMJ. 2014 Oct 23;349:g6154. Аннотация
Sfara A, Dumitrascu DL. The management of hiatal hernia: an update on diagnosis and treatment. Med Pharm Rep. 2019 Oct;92(4):321-25.Полный текст Аннотация
Antoniou SA, Müller-Stich BP, Antoniou GA, et al. Laparoscopic augmentation of the diaphragmatic hiatus with biologic mesh versus suture repair: a systematic review and meta-analysis. Langenbecks Arch Surg. 2015 Jul;400(5):577-83. Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Angina pectoris
- Gastroesophageal reflux disease (GERD)
- Pneumonia
Больше ОтличияРекомендации
- Guidelines for the surgical treatment of hiatal hernias
- ACR appropriateness criteria: epigastric pain
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