All Aboard: Parent's Crew Introduction
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In the condition known as hiatus (or hiatal) hernia, the
opening in the diaphragm through which the esophagus
passes becomes enlarged, and part of the upper
stomach tends to move up into the lower portion of the
thorax.
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weakened gastro-oesophageal diaphragmatic
anchors,
shortening of the oesophagus
increased intra-abdominal pressure
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sliding
hernia
Sliding, or type I, hiatal hernia occurs when the upper
stomach and the gastroesophageal junction are displaced
upward and slide in and out of the thorax
About 90% of patients with esophageal hiatal hernia have a
sliding hernia.
Esophagus
Gastroesophageal junction
Herniated portion
of stomach
Diaphragm
paraesophageal hernia
occurs when all or part of the stomach pushes through the
diaphragm beside the esophagus
A paraoesophageal hernia can become incarcerated
(constricted) and strangulate, impairing blood flow to the
herniated tissue. People with paraoesophageal hernia may
develop gastritis or chronic or acute gastrointestinal
bleeding.
Gastroesophageal
junction
Esophagus
Herniated portion
of stomach
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Reflux, heartburn
Feeling of fullness
Substernal chest pain
Dysphagia
Occult bleeding
Belching, indigestion
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Diagnosis is confirmed by
x-ray studies,
barium swallow,
And fluoroscopy
.
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frequent, small feedings
that can pass easily through the
esophagus.
The patient is advised not to recline for 1 hour after eating, to
prevent reflux or movement of the hernia,
and to elevate the head of the bed on 4- to 8-inch (10- to 20-cm)
blocks to prevent the hernia from sliding upward.
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This guide provides important information for parents of crew members, including schedules, logistics, group chats, and certifications needed. Stay informed about practices, regattas, and transportation details to support your athlete's crew journey effectively.
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Presentation Transcript
In the condition known as hiatus (or hiatal) hernia, the opening in the diaphragm through which the esophagus passes becomes enlarged, and part of the upper stomach tends to move up into the lower portion of the thorax.
RISK FACTOR weakened gastro-oesophageal diaphragmatic anchors, shortening of the oesophagus increased intra-abdominal pressure
TYPES OF HIATAL HERNIAS sliding hernia Sliding, or type I, hiatal hernia occurs when the upper stomach and the gastroesophageal junction are displaced upward and slide in and out of the thorax About 90% of patients with esophageal hiatal hernia have a sliding hernia.
Gastroesophageal junction Esophagus Herniated portion of stomach Diaphragm
paraesophageal hernia occurs when all or part of the stomach pushes through the diaphragm beside the esophagus A paraoesophageal hernia can become incarcerated (constricted) and strangulate, impairing blood flow to the herniated tissue. People with paraoesophageal hernia may develop gastritis or chronic or acute gastrointestinal bleeding.
Esophagus Herniated portion of stomach Gastroesophageal junction
MANIFESTATIONS HIATAL HERNIA Reflux, heartburn Feeling of fullness Substernal chest pain Dysphagia Occult bleeding Belching, indigestion
ASSESSMENT AND DIAGNOSTIC FINDINGS Diagnosis is confirmed by x-ray studies, barium swallow, And fluoroscopy.
MANAGEMENT Management for a hiatal hernia includes frequent, small feedings that can pass easily through the esophagus. The patient is advised not to recline for 1 hour after eating, to prevent reflux or movement of the hernia, and to elevate the head of the bed on 4- to 8-inch (10- to 20-cm) blocks to prevent the hernia from sliding upward.
If medical management is unsuccessful, surgical intervention may be necessary. Surgical management involves a Nissen fundoplication (wrapping of a portion of the gastric fundus around the sphincter area of the esophagus). A Nissen fundoplication can be performed by the open method or by laparoscopy
