International University

Professor’s Name: Mok Theavy

Topic: Hiatal Hernia
Group member
Chhoeun Monisathya
Nguon Bona
Khun Mealdey
Kroy Kimhak
Doung Vanni
Prom Phearot
 Content
• Definition
• Physiology and anatomy
• Type of hiatal hernia
• Cause
• Sign and symptoms
• Diagnosis
• Treatment
• Complication
• Related to disease
• Drug
• Surgery
• Prevention
What’s Hiatal hernia?

• A condition where part of the stomach move up into the chest cavity through a
weakened area of the diaphragm.
• Normally, distal esophagus នៅក្រោម phrenoesophageal membrane នៅពេលដែល​
phrenoesphageal membrane ធូរ​ធ្វើអោយ Stomach អាច Protrusion ចូលទៅក្នុងទ្រូងបាន។

Hiatal hernia
Physiology and Anatomy

• Normally, distal esophagus នៅក្រោម phrenoesophageal membrane

នៅពេលដែល​phrenoesphageal membrane ធូរ​ធ្វើអោយ Stomach អាច
Protrusion ចូលទៅក្នុងទ្រូងបាន។

Normal Anatomy Hiatal hernia

Type of hiatal hernia

Type I : Sliding hiatal hernia the distal esophagus

and gastric cardia to herniate through the esophageal
hiatus and placing the GE junction above the
diaphragm. This is the most common type and is
usually asymptomatic.
Type of hiatal hernia (cont)

Type II :Paraesophageal hiatal hernia, in which the stomach

herniates through the diaphragmatic esophageal hiatus
alongside the esophagus.
Type of hiatal hernia (cont)

Type III :Represents a combination of type I and II, in which the

gastroesophageal junction is herniated above the diaphragm and the
stomach is herniated alongside the esophagus.
Type of hiatal hernia (cont)
Type IV : a rare type of hiatal hernia characterized
by intrathoracic herniation of abdominal viscera
other than the stomach through the diaphragmatic
hiatus. Small bowel, transverse colon, or spleen
typically are involved