Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Hiatus hernia natural history, complications and prognosis
Introduction
Overvie
Overvie
The symptoms of a hiatus hernia usually develop in the first decade of life in children and start with symptoms such as vomiting, heartburn, regurgitation, and dysphagia. If left untreated, patients with a hiatus hernia may progress to develop strangulation, esophageal adenocarcinoma, and gastric volvulus. Prognosis is generally excellent and recovery after surgery in a large hernia is approximately 90%. The disease is well controlled with medical therapy but not cured.
Natural History, Complications, and Prognosis
Natural History, Complications, and Prognosis
Natural History
- The symptoms of a hiatus hernia usually develop in the first decade of life in children and start with symptoms such as vomiting, heartburn, regurgitation, and dysphagia.[1]
- If left untreated, patients with a hiatus hernia may progress to develop strangulation, esophageal adenocarcinoma, and gastric volvulus.[2]
Complications
- Common complications of hiatus hernia include:
- Anemia from bleeding from erosions caused by reflux esophagitis[3]
- Esophageal adenocarcinoma[2]
- Gastric volvulus and perforation in paraesopahgeal type[4]
- Strangulation in paraesophageal hernia
Prognosis
- Prognosis is generally excellent and recovery after surgery in a large hernia is approximately 90%.[5]
- The disease is well controlled with medical therapy but not cured.
References
References
- ↑ Hyun JJ, Bak YT (2011). “Clinical significance of hiatal hernia”. Gut Liver. 5 (3): 267–77. doi:10.5009/gnl.2011.5.3.267. PMC 3166665. PMID 21927653.
- ↑ 2.0 2.1 Wu AH, Tseng CC, Bernstein L (2003). “Hiatal hernia, reflux symptoms, body size, and risk of esophageal and gastric adenocarcinoma”. Cancer. 98 (5): 940–8. doi:10.1002/cncr.11568. PMID 12942560.
- ↑ Neumann, L.; Poulton, B.; Ridley, S. (1999). “Life-threatening complications of hiatus hernia”. Anaesthesia. 54 (1): 93–94. doi:10.1046/j.1365-2044.1999.0759o.x. ISSN 0003-2409.
- ↑ Hennessey D, Convie L, Barry M, Aremu M (2012). “Paraoesophageal hernia: an overview”. Br J Hosp Med (Lond). 73 (8): 437–40. PMID 22875520.
- ↑ https://online.epocrates.com/diseases/73551/Hiatal-hernia/Prognosis
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]