The Evolving Clinical Trajectory From a Sliding Hiatus Hernia to Mixed Sliding and Para-Oesophageal Subtype: A Case Report.
| Autor: | Hughes A; Gastroenterology, Hammersmith Hospital - Imperial College Healthcare NHS Trust, London, GBR., Shahzad MI; Gastroenterology, Hammersmith Hospital - Imperial College Healthcare NHS Trust, London, GBR., Zafar M; Gastroenterology, Hammersmith Hospital - Imperial College Healthcare NHS Trust, London, GBR., El Gendy K; Radiology, Hammersmith Hospital - Imperial College Healthcare NHS Trust, London, GBR., Walters JRF; Gastroenterology, Hammersmith Hospital - Imperial College Healthcare NHS Trust, London, GBR. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Mar 16; Vol. 16 (3), pp. e56287. Date of Electronic Publication: 2024 Mar 16 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.56287 |
| Abstrakt: | We present a compelling case of a patient initially diagnosed with a simple sliding hiatus hernia (HH), which was managed conservatively through optimised medical therapy. Over the span of a few years, she developed new symptoms which included epigastric discomfort and pain, prompting further clinical review and imaging investigation. These revealed the progression of her HH from a simple form to a more complex rolling or para-oesophageal type. This outcome highlights the importance of recognising a potential for progression during the clinical assessment of patients with a history of reflux symptoms and the onset of new epigastric discomfort or pain. Understanding this continuum of HHs is essential for physicians as management plans may need to switch from a conservative to a more invasive approach. Competing Interests: We have purchased a schematic presentation of the types of oesophageal hiatus hernias from https://www.shutterstock.com/g/nmfotograf and this has been cited as an online link [7]. We have included Hill classification as a proposed standard of care during gastroscopy and this has been referenced with online references [10,15] (Copyright © 2024, Hughes et al.) |
| Databáze: | MEDLINE |
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