When an internal body part pushes into another area of the body, it is called a hernia. Common hiatal hernias – often called “sliding” hiatal hernias – occur when the upper stomach moves from the abdominal cavity through the diaphragm, over the lower part of the esophagus, and up into the chest cavity.
Hiatal hernias are more common in people 50 years and older. Signs and symptoms can include:
Your doctor may suspect a hernia based on your medical history and your signs and symptoms, and may refer you to a gastroenterologist. Tests and procedures used to diagnose a hiatal hernia include:
X-ray of your upper digestive system: You may be asked to drink a liquid that coats the inside of your digestive tract to allow your doctor to see a silhouette of your esophagus, stomach and upper intestine.
Upper endoscopy: A small tube with a camera is inserted through your mouth and throat to examine the inside of your esophagus and stomach to check for inflammation.
Hiatal hernias may be treated with medication, surgery or lifestyle changes.
Dietary and Lifestyle Changes
Your doctor will review your symptoms with you and may recommend you:
Medications
Surgery
When medications do not relieve heartburn and acid reflux, or if complications such as severe inflammation or narrowing of the esophagus arise, surgery may be required. Virginia Mason’s esophageal surgery team will carefully review which surgical approach is best for you, including the possibility of minimally invasive surgery. The aims of surgery may include pulling your stomach back down into your abdomen, decreasing the size of the opening in your diaphragm, reconstructing an esophageal sphincter or removing the hernia sac.
To schedule an appointment with Virginia Mason's Gastroenterology Department, call (206) 223-2319.