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Serious symptoms of gastric hernia occur depending on the degree of hernia. The angle of sensation occurs at the junction of the esophagus and the stomach. The muscle structure formed by the angle of his prevents the stomach contents from escaping into the esophagus. However, another factor that prevents stomach contents from escaping into the esophagus is the pressure that occurs in the part of the esophagus between the thoracic and abdominal cavity.<\/p>\n
Due to the muscle structure created by this pressure and feeling angle, the stomach contents do not pass into the esophagus when we lie down. Due to the shortness of the esophagus or the expansion of the space in the diaphragm, the pressure zone in the esophagus and the angle of sensation disappear. In the event that the angle of his and the pressure zone in the esophagus disappear, bile and pancreatic secretions together with the acid in the stomach pass into the esophagus.<\/p>\n
Bile and pancreatic secretion, which passes into the esophagus with stomach acid, causes:<\/p>\n
It injures the esophagus.
\nIt causes injury to the esophagus.
\nIt leads to the formation of ulcer.
\nIt may cause reflux.<\/p>\n
The most common age range of gastric hernia is 50 and over<\/strong>. However, it is a type of disease that can also be seen in young individuals. Gastric hernia is not a life-threatening or life-threatening disease. But it is a disease that causes moderate reflux. Gastric hernia is not found in all reflux patients. However, gastric hernia is seen in about 40-45% of patients with reflux disease.<\/p>\n The following recommendations can be offered to patients with gastric hernia:<\/p>\n Smoking should definitely be stopped. If we talk about the harms of gastric hernia, it harms the body by causing discomfort such as reflux, stomach cancer, gastric volvulus, bleeding in the fundus part of the stomach.<\/p>\n In gastric hernia, it is decided whether surgical intervention is necessary as a result of the tests performed according to the size of the hernia and the degree of reflux. Gastric hernia consists of two types as sliding hernia<\/strong> and paraesophageal.<\/strong>[\/vc_column_text]<\/div> Sliding hernia<\/strong> occurs as a result of the stomach slipping into the chest cavity with the esophagus. If Sliding Hernia is not treated, it progresses to a paraesophageal hernia. The first symptoms are the same as the normal gastric hernia, and the most common hernia is various.[\/vc_column_text]<\/div> It is a type of gastric hernia that occurs as a result of not treating the gastric hernia on time. Gastric hernia\u00a0slides into the chest cavity together with the esophagus, causing hernia. It is a rare type of gastric hernia. If it reaches advanced degrees, it causes life-threatening risks. When paraesophageal gastric hernia reaches advanced degrees, it definitely requires surgical intervention.[\/vc_column_text]<\/div> Although gastric hernia does not cause any symptoms in general, symptoms may vary depending on the progression of the disease. While the symptoms of small size gastric hernia are not obvious, the symptoms of medium or high grade hernia are evident.<\/p>\n If the stomach hernia has caused reflux, symptoms such as burning<\/strong> and souring<\/strong> may be accompanied by complaints such as the food they eat come up.<\/strong> In hiatal hernias, symptoms such as burning, boiling, heartburn, chest tightness, palpitations in the heart or chest pain such as having a heart attack, cough for no apparent reason, and sore throat may accompany.<\/p>\n Since gastric hernia does not always cause reflux, some patients may have symptoms such as atypical belching and chest tightness after eating.<\/p>\n In the type of gastric hernia, which we call paraesophageal, which occurs especially in the elderly, where a part of the stomach leaks into the diaphragm, various findings such as stomach bleeding, different pain sensations in the stomach, pressure sensations, and continuous vomiting after meals may occur.<\/p>\n Reflux is more common in patients with gastric hernia. The most important findings of this are burning and heartburn behind the breastbone or coming back to the mouth of bitter-sour watery foods. When the hernia slips into the thoracic cavity, symptoms of indigestion occur as the volume in the abdominal cavity will decrease. Patients with gastric hernia are more easily satisfied than before. Although such patients eat as much as before, they may feel more bloating and indigestion.<\/p>\n Since the disease is advanced in paraocetagal hernias, symptoms such as vomiting blood<\/strong> and stomach bleeding can be observed. In such advanced cases, surgical intervention is absolutely necessary. In addition to these, other<\/strong> symptoms<\/strong> are as follows:<\/p>\n [\/vc_column_text]<\/div> Gastric hernia occurs due to various reasons. The occurrence of gastric hernia varies from person to person. The most important factors in the formation of gastric hernia are the pressure in the abdominal region and the shortness of the esophagus.<\/strong><\/p>\n Causes such as unceasing cough, stress, being overweight, pregnancy, lifting heavy loads, vomiting cause pressure in the abdominal region. The pressure in the abdomen caused by these factors causes gastric hernia.<\/p>\n The fat that occurs in the inner part of the abdomen, together with the excess weight seen in people, pushes the stomach and causes the formation of a gastric hernia. Another reason is that the effect of straining during childbirth<\/strong> causes herniation. In case of frequent constipation in people, it is possible for a stomach hernia to occur.[\/vc_column_text]<\/div> Today, the diagnosis of gastric hernia is made by endoscopy.<\/strong> The diagnosis of gastric hernia can be made almost visually through an orally inserted endoscope. If the person does not have reflux disease accompanying the hernia, the hernia is confirmed by tests such as pH meter and manometer. In addition, with the method we call tomography, diaphragmatic hernia and gastric hernia can be diagnosed indirectly.<\/p>\n Lung X-ray:<\/strong>\u00a0The occurrence of the air-fluid level behind the heart in the lung film and the formation of the soft tissue density, which is the air-liquid level, in the chest shows a characteristic appearance of paraesophageal gastric hernia.<\/p>\n Contrast Films:<\/strong>\u00a0Contrast films show whether the contents of the hernia sac return to the abdomen. They are films that limit the location of the gastroesophageal junction.<\/p>\n Computed tomography (CT):\u00a0<\/strong>With computerized tomography, an organ that has entered the hernia along with the hernia area and organs in the chest cavity can be seen clearly in most patients. The fundus, which is a part of the stomach, slides upward through the narrow exit hole, and the image can be seen clearly with the computerized tomography method reinforced with oral contrast.<\/p>\n Endoscopy:<\/strong>\u00a0Endoscopy procedure gives information about structures such as stomach, esophagus, mucosal structure of duodenum. Determines the type and dimensions of gastric hernia.<\/p>\n Esophageal manometer:<\/strong>\u00a0With the manometer, we can determine the localization of the lower esophageal sphincter. In addition, we can determine the level of diaphragm dryness. We can learn the size of the gastric hernia with the help of a manometer.<\/p>\n pH test:<\/strong> The pH test determines acid exposure together with the duration of the esophagus, especially in sliding hiatal hernia type gastric hernias.<\/p>\n Barium esophagography together with endoscopy before surgical intervention gives important information about hernia.<\/p>\n In cases of gastric hernia, during emergencies, the stomach should be decompressed (removing the compressive force) with a nasogastric tube, and endoscopy should be performed after the decompression procedure.[\/vc_column_text]<\/div> There are two basic ways in the treatment of gastric hernia. If the patient’s body structure is in a structure that responds to drugs, the medical treatment<\/strong> method is applied. If the patient’s body structure does not respond positively to the drugs or if the complaints recur immediately when the drug use is reduced, treatment is performed in two separate plans as surgery. In the medicated treatment<\/strong> of gastric hernia, positive results can be obtained if there is reflux disease together with hernia, but the success rate varies depending on the degree of gastric hernia and the destruction in the esophagus.<\/p>\n If the patient’s body structure responds very well to acid reducers and if the hernia does not cause any bleeding or ulcers, medical treatment may be sufficient. But if these complications occur, if the complaints persist despite a drug treatment, surgical intervention<\/strong> is required. In addition, in cases where the lid stays in place and herniates only the upper part of the stomach, surgical intervention is definitely indicated.<\/p>\n The operative approach methods<\/strong> in surgical intervention are as follows.<\/p>\n Large gastric hernias can be visualized with a sound receiver placed on the abdomen with the transabdominal approach method<\/strong>, or they can be treated by cutting the thorax. Gastric hernia surgery is generally performed on the left chest wall.<\/p>\n The current type of approach is the laparoscopic approach method.<\/strong> In the laparoscopic approach, the aim is to take the stomach part that has escaped back into the chest cavity back to the abdomen. In emergencies, an approach from the abdominal region may yield better results because interventions can be made in the abdominal region that will give more positive results to the contamination in the peritoneum.<\/p>\n In the laparoscopic approach, the pain occurring in the postoperative period is less compared to other approach methods. The risk of infection in the operated part and the risk of incisional hernia are reduced. Incisional hernias are incision sites resulting from abdominal surgery. We can say that lung problems decrease after surgical intervention.[\/vc_column_text]<\/div> Foods such as grapes, pineapple, cabbage, pepper, potatoes, lemon juice, millet are good for stomach hernia.<\/p>\n In addition to these, the following will be good for<\/strong> gastric hernia:<\/p>\n [\/vc_column_text]<\/div><\/div> [vc_row][vc_column][vc_column_text el_class=”aligncenter” css=”.vc_custom_1659032370346{margin-bottom: 20px !important;}”] Stomach Hernia [\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":10030,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/opdrserdar.com\/en\/wp-json\/wp\/v2\/pages\/10183"}],"collection":[{"href":"https:\/\/opdrserdar.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/opdrserdar.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/opdrserdar.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/opdrserdar.com\/en\/wp-json\/wp\/v2\/comments?post=10183"}],"version-history":[{"count":4,"href":"https:\/\/opdrserdar.com\/en\/wp-json\/wp\/v2\/pages\/10183\/revisions"}],"predecessor-version":[{"id":10346,"href":"https:\/\/opdrserdar.com\/en\/wp-json\/wp\/v2\/pages\/10183\/revisions\/10346"}],"up":[{"embeddable":true,"href":"https:\/\/opdrserdar.com\/en\/wp-json\/wp\/v2\/pages\/10030"}],"wp:attachment":[{"href":"https:\/\/opdrserdar.com\/en\/wp-json\/wp\/v2\/media?parent=10183"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nAvoid heavy lifting
\nStop eating about 3 hours before going to sleep
\nEating meals should be frequent, but bites should be small.<\/p>\nSliding Hernia (Sliding type gastric hernia)<\/strong><\/h2>\n
Paraesophageal Stomach Hernia<\/h2>\n
What are the Symptoms of a Stomach Hernia?<\/h2>\n
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What are the Causes of Gastric Hernia?<\/h2>\n
Diagnosis of Gastric Hernia<\/h2>\n
Gastric Hernia Treatment<\/h2>\n
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What Is Good For Stomach Hernia?<\/h2>\n
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