Hernias of the esophagus is a chronic disease with relapses, which is related to the origin of the displacement of the esophagus in the diaphragm, the cardia and the intestinal loops. The disease is considered quite common. It is noted in five percent of adults, and half of them have no manifestation of the disease, therefore, it is not established on time.
Hernia of the esophagus( GVHD), like reflux esophagitis, arises with the enlargement of the hernial gates, which is formed with certain factors:
- Raising abdominal pressure with reflux esophagitis;
- The frustrated motility of the digestive channel in the area of the corresponding part;
- Weakening of the tracheal ligament.
All of the above prerequisites are formed during the aging of the body with the origin of degenerative changes in the ligaments of the stomach and esophagus.
GVPD in childhood is most often formed due to congenital damage to the diaphragm or digestive tract.
Classification of GAPD with reflux esophagitis
Specialists distinguish three main types of the disease:
- Axial( sliding) hernia - noted in most patients with reflux esophagitis. In this situation, the cardia is located above the opening of the diaphragm for the trachea, so there is a sharp violation of the function of its closure.
- The parasophageal hernia of the esophagus is distinguished by the absence of a change in the position of the cardia, the outlet of the bottom and the large curvature of the stomach in the case of reflux esophagitis.
- A short trachea is most often seen as an adjunct to a sliding hernia and is the result of a spasm and an inflammatory process on the wall of the trachea.
Symptomatic of GPOD with esophagitis
It is often enough when a hernia of the diaphragm is marked persistent heartburn, manifested after eating and fasting. Also for this pathology and with reflux esophagitis, the following symptoms are typical:
- Belching with a bitter taste and a burning sensation of pain in the epigastric region. In this case, the appearance of pain is noted behind the breastbone and gives to the area of the shoulder and scapula;
- The formation of a sensation of a coma in the throat and pain in attempts to swallow is another sign of a hernia and reflux esophagitis;
- Sudden drop in pressure in the arteries;
- Increases the separation of saliva and cough at night.
Diagnosis of hiatal hernia and reflux esophagitis
Hernia and reflux esophagitis require diagnosis by a specialist in the field of gastroenterology. For this, the radiography of the lungs and stomach is used. Confirm the diagnosis of "reflux-esophagitis" is possible only after examination of the mucosa of the gastrointestinal tract and biopsies of suspicious areas.
In addition, a stool test for occult blood and a general blood plasma analysis are mandatory. To assess the performance of the sphincter of the trachea and stomach, esophageal manometry is performed.
Treatment of hernia with surgical methods
Treatment of the disease with the help of surgery becomes necessary in the case when the drug therapy did not bring results, and the symptoms become more pronounced.
Operation of the GPPO involves eliminating the narrowing by one procedure and getting rid of the problem for life. In our time, laparoscopy with reflux-esophagitis, hernia is the most popular technique because it makes it possible to eliminate defects through skin punctures and strengthen the peritoneal wall with a mesh.
After the operation, the patient remains in the hospital for another ten days. During the rehabilitation period, you can not exercise physical activity, and a promiscuous lifestyle is contraindicated.