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The doctor had, nothing seriously, corrected the diet, and heartburn began to buy tadalis online. They put HHH GERD. Laparoscopy was recommended, having previously replaced the previous medications with Rabeprazole-SZ. The drug helps much better and longer than previously taken. Then they had an operation, but the drug was left for a while. Thanks to such complex therapy, the result of treatment was good. Hernia of the esophageal opening of the diaphragm (HH) - symptoms and treatment.

For the first time, HH was described by the French surgeon P. Ambroise in 1579 and the Italian anatomist G. Morgagni in 1769, but, unfortunately, this disease is still not so often detected in the early stages, remaining unrecognized and undiagnosed, and therefore not undergo targeted treatment. Currently, in Europe and the USA, the number of patients with severe forms of HH has increased by 2-3 times. In this regard, gastroenterologists have such an expression. The 20th century is the century of peptic ulcer disease, and the 21st century is the century of reflux esophagitis and HH.

In USA, the frequency of detection of HH ranges from 3% to 33%, and in the elderly - up to 50% among pathologies of the gastrointestinal tract (GIT). Hiatus hernia (HH) is a disease in which the lower part of the esophagus or stomach is displaced relative to the diaphragm from the abdominal cavity to the chest. Very rarely, intestinal loops can exit through the esophageal opening.

Several factors can be identified among the causes of HHP. The mechanical factor is the expansion of the esophageal opening of a non-compressive nature due to order tadalis pills of the internal legs of the diaphragm. As a result of this, the opening increases, and the cardial part of the stomach is gradually pulled into the mediastinum. The expansion of the legs of the diaphragm provokes an intense load on the muscles and an increase in intra-abdominal pressure.⠀⠀⠀

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In addition, the formation of HH is affected by a violation of the esophago-fundus angle (angle of His) and the Gubarev valve (mucosal folds at the junction of the esophagus to the stomach). However, these factors are not the leading causes of hernia formation, as they arise as a result of the destructive processes mentioned above. Symptoms of hiatal hernia.

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One of the leading diagnostic methods is the collection of patient complaints, which makes it possible to identify clinical signs of pain syndrome, gastroesophageal reflux. When interviewing patients, it is worth paying attention to the following leading clinical symptoms.

Considering the etiopathogenesis of HH, it is difficult to assume its significant difference from the pathogenesis of hernias of other localization, besides, diaphragmatic hernia is often found in the elderly and patients with diseases such as hernia of the anterior abdominal wall, varicose veins of the lower extremities, diverticulum of the digestive tract, organoptosis, hemorrhoids , flat feet and other disorders. This fact also indicates that in patients older than 60 years, diaphragmatic hernias are very often combined with inguinal, femoral, umbilical hernias or a hernia of the white line of the abdomen.

  • The pathogenesis of hernia of the esophageal opening of the diaphragm.
  • Thus, the predisposing factors of hernia formation are.
  • Violation of the ligamentous apparatus of the esophagus in patients with HH is also associated with impaired lipid metabolism and deficiency of ascorbic acid in the body.
  • The mechanism of HH formation is the following.
  • Classification and stages of development of generic tadalis of the esophageal opening of the diaphragm.

The classification of HH is based on anatomical features. According to the volume of penetration of the stomach into the chest cavity, there are four degrees of severity of HH. Complications of a hernia of the esophageal opening of the diaphragm. The main complication of HH is reflux esophagitis. Against the background of regular reflux of gastric contents (hydrochloric acid and digestive enzymes) into the lumen of the esophagus, inflammatory changes in the esophageal wall occur, which can be expressed to varying degrees. Long-term existence of reflux esophagitis leads to cancerous degeneration of the esophageal wall.

Diseases such as chronic gastritis and peptic ulcer of the hernial part of cheap tadalis can also develop. These complications are often manifested by epigastric pain, loss of appetite, etc. Their symptoms are usually hidden behind the clinical manifestations of the hernia itself.

The long existence of HH can cause the formation of cicatricial stenosis (narrowing) of the esophagus. This threatens with the impossibility of passing from the esophagus to the stomach at first solid food, and in advanced cases, liquid food does not pass either.

With HH, gastrointestinal bleeding may develop due to the development of peptic ulcers, erosions of the esophagus and stomach due to the constant reflux of gastric juice into the esophagus and damage (erosion) of blood vessels. Also, a common complication of HH is a decrease in red blood cells (anemia). In the case of acute massive gastric bleeding and unresolved blood loss, hypovolemic shock and iron deficiency anemia occur, and due to atrophy of the fundus of the stomach and impaired production of gastromucoprotein, a protein that protects the gastric mucosa, B12-deficiency (pernicious) anemia may occur.