Hiatal hernia. (Esophagoscopy Clinic).A 42-year-old woman came to us with a chief complaint of a globus sensation. Direct laryngoscopy revealed the presence of pseudosulcus vocalis, partial ventricular obliteration, and posterior commissure hypertrophy hypertrophy (hīpûr`trəfē), enlargement of a tissue or organ of the body resulting from an increase in the size of its cells. Such growth accompanies an increase in the functioning of the tissue. , findings that are consistent with a diagnosis of laryngopharyngeal reflux. Transnasal esophagoscopy detected a large hiatal hernia. Measurement of 24-hour ambulatory pH levels yielded a DeMeester composite score of 35 (normal: <16) and identified acid exposure in the pharynx pharynx (fâr`ĭngks), area of the gastrointestinal and respiratory tracts which lies between the mouth and the esophagus. In humans, the pharynx is a cone-shaped tube about 4 1-2 in. (11.43 cm) long. (pH level: <4). The patient's symptoms resolved with twice-daily proton-pump inhibitor therapy. She eventually underwent laparoscopic Laparoscopic A minimally-invasive surgical or diagnostic procedure that uses a flexible endoscope (laparoscope) to view and operate on structures in the abdomen. Mentioned in: Obstetrical Emergencies Nissen fundoplication with reduction of the hiatal hernia. A hiatal hernia exists when a portion of the stomach prolapses through the diaphragmatic hiatus into the thorax thorax, body division found in certain animals. In humans and other mammals it lies between the neck and abdomen and is also called the chest. The skeletal frame of the thorax is formed by the sternum (breastbone) and ribs in front and the dorsal vertebrae in back. . Although most patients with hiatal hernia are asymptomatic, a strong association between hiatal hernia and gastroesophageal reflux has been established. In patients with hiatal hernia and reflux, the larger the hernia is, the more severe the esophagitis esophagitis /esoph·a·gi·tis/ (e-sof?ah-ji´tis) inflammation of the esophagus. chronic peptic esophagitis reflux e. is. |
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