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Q. Show types of hiatus hernia?
Depending on the extent of herniation and placement of stomach, it could be of two types:
1, Para Oesophageal Hernia (oesophagus is in normal portion)
2. Oesophageal Hiatus Hernia (elevated oesophagus)
Food may be easily captured in the herniated area of the stomach and mixed with acid and pepsin. Then it is regurgitated back up to the lower portion of the oesophagus. Gastritis can occur in the herniated portion of the stomach and may cause occult bleeding (blood loss small to be detected under microscope) and anaemia. The problem is found in stocky built overweight middle-aged persons, pregnant women and sometimes in persons having chronic constipation that weakens the hiatus.
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