It occurs when a portion of the stomach pushes through an opening in the diaphragm (the muscular layer that separates the chest from the abdomen and is used in breathing) and inside the chest cavity. The diaphragm becomes weakened by several factors: aging, chronic cough, constipation, obesity, heavy object lifting, stress, or smoking.
There are two types of hiatal hernias: The most common is the sliding hernia, where the gastroesophageal junction moves above the diaphragm together with a portion of the stomach; and the paraesophageal hernia, in which part of the stomach becomes herniated through the diaphragmatic hiatus without any movement of the gastroesophageal junction.
When symptoms caused by a hiatal hernia are so severe that are associated with chronic abdomen acid reflux, a surgical procedure known as Nissen Fundoplication is often recommended. It has very low rates of complications and recovery is quick. The procedure consists of a Laparoscopy where the upper or bottom part of the stomach is wrapped around the lower esophagus, thus preventing subsequent herniation and gastroesophageal reflux.
THIS TREATMENT STARTS AT US$ 4,165