Hiatus hernia
Investigation :
Barium meal ( IOC ) , in trendelenburg position
Treatment :
Conservative - PPI for GERD
Surgery -
1. Fundoplication
- Nissen's - 360 degree
- Belsey - < 270 degree
- Toupet - 180 degree
2. Hill's repair : Make angle of "His" acute by stitching lower oesophagus to median arcuate ligament.
3. Collis gastroplasty - Surgery for short oesophagus ( because of fibrosis )
MedicoNotebook - Founder : DrShiviMudgal , Co-Founder : DrAyushGoel
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