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  • Title: [Hiatal hernia].
    Author: Nishizawa T, Suzuki H.
    Journal: Nihon Rinsho; 2016 Aug; 74(8):1339-1342. PubMed ID: 30562439.
    Abstract:
    Hiatal hernia refers to conditions in which elements of the abdominal cavity, most com- monly the stomach, herniate through the esophageal hiatus into the mediastinum. Hiatal hernias (type I) are the most common type (85-95 %). Types II, III and IV are all varieties of paraesophageal hernias. In Makuuchi classification, sliding hiatal hernia is readily diag- nosed by endoscopy when greater than 3 cm in axial span. In western countries, it is diag- nosed when greater than 2cm. High-resolution manometry with pressure topography plotting allows for precise localization and quantification of the individual physiological elements of the esophagogastric junction. In recent study, anti-reflux mucosectomy(ARMS) could represent an effective anti-reflux procedure.
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