Join Mr Sanjoy Basu, Consultant General Surgeon at One Ashford Hospital for this evening session on Hiatus Hernia.
Hiatus hernia (HH) is the commonest condition that affects the upper gastrointestinal tract affecting 40-60% of the population.
Definition: Protrusion of the stomach into the chest.
Cause: Multi-factorial in origin.
Types: Four different types (Type I to Type IV). Type I is conventionally known as the sliding hiatus hernia and type II as the rolling hiatus hernia.
Presentation: Most patients are asymptomatic and presentation can be very different for the different types of HH.
Type I is the commonest identified in 80-90% patients with typical presentation of reflux, regurgitation and dysphagia. Atypical presentations can include respiratory and laryngeal symptoms. Gastro-oesophageal reflux affects 10-40% of the population of the western world.
Type II is identified in 5% patients with presentations of dysphagia, retro-sternal discomfort, early satiety, vomiting etc. It risks strangulation.
Type III/IV affects 5-10% of the population.
Management
The majority of Type I patients can be managed conservatively. However, medical option treats the effect and not the cause that can only be achieved surgically. There is a risk of progression and deterioration of the condition. Thus, surgery should be offered to patients showing signs of complication of reflux disease, poorly/inadequately controlled by medical management and progression/deterioration of the condition. Surgery has a success between 85-90%.
Type II patients should be offered surgery from the very outset due to the risk of complications.
Type III and IV symptomatic medically fit patients should be offered surgery for a permanent solution. Risk of complication in type III/IV HH is between 7-9% with a mortality of 30-50%. Once again, success of surgery is between 85-90%.
We encourage you to engage in debate with Mr Basu and your peers, and you are invited to bring your own case studies for discussion.
The event will be held virtually, from 7:00pm – 8:00pm on Tuesday 12th January, and you will be sent a link to join via Zoom before the event. Please be aware that bookings will close at 1pm on the 11th January.
Please register your interest by clicking on ‘Book a Place’ below.
ACCREDITATION: 1 CPD POINT
*The event is open to all healthcare professionals with an interest in the diagnosis and management of hiatus hernias*
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One Ashford
One Hatfield