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Hiatal Hernia Research Paper

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Hiatal Hernia Research Paper
Initially we were presented with a 26 year old business executive presenting with many of the symptoms of a hiatal hernia. These include heartburn, especially after meals, a dull pain behind the sternum, Pain in the back, jaws, shoulder and inner arms can also be noticed and physical activity or lying flat can agitate his pain. Additionally his postprandial (or pain after meals) was accompanied by belching (homer simpson slide)

Hiatal hernias occur when a segment of the stomach protrudes through a hole in the diaphragm and into the chest cavity. And There are 3 different presentations of hiatal hernias;

A type 1 hernia is characterised by a weakening of the phrenoesophageal membrane which allows for the oesophageal junction to migrate into the chest cavity. Note that 50% of these Type 1 hernia's occur in individuals with age 50 years or older
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Instead, they are observed in patients who also suffer from type 1 hiatal hernias.(change slide to show diagram) This combination of the two is known as a type 3 hiatal hernia.

In general terms, the risk of developing a hiatal hernia increases with age and weight gain. With smoking being a further contributor. According to a study by Stuciu and Bennett in, 1972, the effects of smoking significantly increased the onset of heartburn and reflux
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A positive result would reveal that the lower oesophageal sphincter is open, allowing the acidic gastric juices reflux into the lower

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