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A hiatus hernia occurs when the lower part of the esophagus, the stomach, or other organs move up into the chest. The hiatus is an opening in the diaphragm (a muscle separating the chest from the abdomen) through which organs pass from the chest into the abdomen. The lower part of the esophagus and the stomach normally reside in the abdomen, just under the diaphragm. The gastroesophageal (GE) junction is the area where the esophagus connects with the stomach and is usually located 1 to 2 inches below the diaphragm. A hiatal or paraesophageal hernia occurs when the GE junction, the stomach, or other abdominal organs such as the small intestine, colon, or spleen move up into the chest where they do not belong. Common Symptoms of Hiatus Hernia Hiatal hernias and paraesophageal hernias may cause symptoms such as reflux and heartburn; nausea, burping, and vomiting; regurgitation of food; unexplained upper abdominal or chest pain; a sense of fullness after eating; bloating; shortness of breath or coughing; or a sense of food getting stuck in the chest. Severe symptoms occur when the bowel or stomach twists or loses its blood supply. These include heart racing, palpitations, shortness of breath, chest pain, severe vomiting, lack of bowel movements, and severe abdominal pain. These symptoms require immediate medical attention. Diagnosis A paraesophageal hernia may be incidentally identified during imaging such as chest x-ray, computed tomography (CT), or magnetic resonance imaging. An upper endoscopy (esophagogastroduodenoscopy) is a procedure in which the doctor visualizes the anatomy of the esophagus and stomach by inserting a thin camera to look at the upper gastrointestinal tract. CT scan may be used for surgical planning. Treatment Treatment of hiatus hernias depends on the type of hernia and severity of symptoms. Type II and III hernias may require surgery if they become symptomatic. In type IV hernias, when organs such as the small bowel, colon, or pancreas are trapped in the chest, surgery is often necessary. Depending on the type and severity of the hernia, the surgical approach may be from the abdomen or from the chest. The operation is often minimally invasive (with small incisions) Laparoscopic or Robotic hiatus hernia repair with fundoplication For advice, contact Dr Ashish Sachan, MCh GI surgery - Consultant at Fortis hospital, Shalimar Bagh, New Delhi @DrAshishSachan For booking appointments, call@ 7428617074 Whatsapp link: https://wa.me/917428617074 For more information, visit https://drashishsachan.com/ Clinic location - Flat no.12-a, R pocket, opposite aiyappa temple, Dilshad Garden, Delhi, 110095 Directions : https://maps.app.goo.gl/GYD2zk46GQmZi... #7428617074 #hiatushernia #fundoplication #belching #acidreflux #gerd #hiatus nissen fundoplication laparoscopic fundoplication hiatal hernia hiatal hernia treatment hiatal hernia symptoms hiatal hernia surgery hiatal hernia exercises hiatal hernia pain repair a hiatal hernia treat a hiatal hernia hiatal hernia stretches laparoscopic fundoplication surgery Fundoplication surgery gerd treatment what causes hiatal hernia best hiatal hernia exercises Hiatus hernia hiatus hernia symptoms