0 Hiatus hernia

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 Hiatus hernia 



Investigation :
Barium meal ( IOC ) , in trendelenburg position

Treatment : 

Conservative - PPI for GERD

Surgery -

1. Fundoplication

  • Nissen's - 360 degree
  • Belsey - < 270 degree
  • Toupet - 180 degree

2. Hill's repair : Make angle of "His" acute by stitching lower oesophagus to median arcuate ligament.

3. Collis gastroplasty - Surgery for short oesophagus ( because of fibrosis )






MedicoNotebook - Founder : DrShiviMudgal , Co-Founder : DrAyushGoel

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