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| Treatment |
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If a doctor suspects a hiatus hernia, they usually ask for an endoscopy (a thin flexible tube put down the throat and into the oesophagus to see what is going on) or an X-ray with the patient drinking some contrast (which shows up on X-ray).
Treatments can be:
Conservative:
- Lose weight, wear loose belts and clothes
- Drugs, to prevent the contact of stomach acid on the oesophagus, or to reduce the stomach acid
Surgery (see diagram):
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Can be done open or by "keyhole" (laparoscopic) surgery methods
- The stomach is pulled down into the abdomen, the top is wrapped around the lower oesophagus and the hiatus is stitched smaller
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