Is what happens when a part of the stomach is located above the diaphragm in the chest cavity.
The normal place of the stomach is in the abdominal cavity below the diaphragm. This arrangement between the esophagus and the stomach separated by the diaphragm is important, as it acts as a physiological valve that prevents gastric acid reflux into the esophagus.
The diaphragm hernia is of two types:
- Sliding hernia is the most common where the upper part of the stomach rises above the diaphragm below the esophagus.
- Paraesophageal hernia, a rare but dangerous type, in this type, the upper part of the stomach rises above the diaphragm. However, the esophagus is a side cavity, and if untreated it may cause damage to the part of the stomach.
The condition is diagnosed by a barium swallow or upper endoscopy.
The hernia is usually not treated by the first type (glider) but treats its symptoms, which is the problem of esophageal reflux, by the use of anti-gastric remedies.
The surgical solution is used in some cases:
- Paraesophageal hernia
- Symptoms do not improve with treatment.
- Patient’s unwillingness to use life-long treatment.
- The presence of severe infections in the esophagus.
- Barrett’s Metaplasia is altered because it carries a high risk of cancer cells.
Diaphragm hernia repair is generally safe and has a high success rate of up to 90%.