Question
The Common complication of the disease shown in the diagram is ?
A. Esophagitis
B. Aspiration pneumonitis
C. Volvulus
D. Esophageal stricture
Show Answer
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Correct Answer » A
Explanation
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There are 4 types of hiatal hernia
Type I : Sliding hernia (most common type — 70 – 80%)
Type II : Paraesophageal or rolling hernia
Type III : Mixed
Type IV : these hernias are distinguished by the presence of other abdominal viscera wihin the defect i.e. omentum, transverse colon.
Type I or Sliding hiatal hernia
- this is characterized by upward dislocation of the cardioesophageal junction into the posterior mediastinum.
Type II or Rolling Paraesophageal hernia
- the cardioesophageal junction is undisplaced the whole or part of stomach herniates into the thorax immediately adjacent and to the left of the undisplaced cardioesophageal junction.
- since the normally located gastroesophageal junction functions normally in most of these hernias, reflux is uncommon
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