Diaphragmatic Hernias, Types, symptoms and treatment options in Jordan

Hiatal Hernia

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What is a Hiatal Hernia?

A hiatal hernia is a condition in which part of the stomach moves (herniates) from the abdomen into the chest through an opening in the diaphragm. The diaphragm is the muscle that separates the chest cavity from the abdominal cavity.

This occurs due to weakness or widening of the diaphragmatic opening, allowing the stomach to move upward.

Hiatal hernia is a common condition and may be asymptomatic or may cause symptoms such as heartburn and gastroesophageal reflux.

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Types of Hiatal Hernia

1. Sliding Hiatal Hernia

This is the most common type. The upper part of the stomach, along with the lower esophagus, slides into the chest.

2. Paraesophageal Hernia

In this type, the junction between the esophagus and stomach remains in its normal position, while part of the stomach moves up alongside the esophagus into the chest.

⚠️ This type is less common but can be more dangerous due to the risk of compromised blood supply to the stomach.

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Other Types (Congenital Diaphragmatic Hernias)

In addition to the above, there are less common congenital types:

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Morgagni Hernia

A hernia occurring in the anterior part of the diaphragm behind the sternum.

Characteristics:

• Usually on the right side

• May be discovered incidentally in adults

Symptoms:

• Chest or abdominal pain

• Shortness of breath

• Digestive disturbances

Treatment:

• Surgical repair is recommended even if asymptomatic to prevent complications

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Bochdalek Hernia

A congenital hernia occurring in the posterolateral part of the diaphragm.

Characteristics:

• Usually on the left side

• Commonly presents in newborns, rarely in adults

Symptoms:

• In infants: severe respiratory distress

• In adults: may be asymptomatic or cause pain

Treatment:

• Surgery is the main treatment

Symptoms

Hiatal hernia may not cause symptoms, but when present, they may include:

• Heartburn (acid reflux)

• Chest pain

• Difficulty swallowing

• Feeling of fullness after meals

• Shortness of breath in large hernias

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Diagnosis of Hiatal Hernia

Diagnosis is made through:

• Clinical examination

• Upper gastrointestinal endoscopy

• Barium swallow study

• CT scan (when needed)

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Treatment of Hiatal Hernia

Treatment depends on the size of the hernia and the severity of symptoms.

Non-Surgical Treatment

In mild cases:

• Medications to reduce stomach acid

• Lifestyle modifications:

  • Avoid large meals

  • Do not lie down immediately after eating

  • Weight reduction

  • Avoid trigger foods

Surgical Treatment

Surgery is recommended in the following cases:

• Large hernia

• Severe symptoms

• Paraesophageal hernia

• Presence of complications

Laparoscopic Surgery

The procedure is performed using minimally invasive (laparoscopic) techniques and includes:

• Returning the stomach to its normal position

• Tightening the diaphragmatic opening

• Reinforcing the valve between the stomach and esophagus

Advantages:

• Less postoperative pain

• Faster recovery

• Excellent results

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Our Experience in Treating Hiatal Hernia

Dr. Mohammad Al-Tarshihi, Consultant Thoracic Surgeon in Jordan, provides advanced treatment for all types of hiatal hernias, including rare cases such as Morgagni and Bochdalek hernias, using the latest minimally invasive surgical techniques.

We have extensive experience in managing both simple and complex cases, achieving excellent outcomes and high success rates.

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When Should You See a Doctor?

You should seek medical evaluation if you experience:

• Persistent heartburn

• Chest pain

• Difficulty swallowing

• Vomiting or bleeding

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Book an Appointment

📞 Phone / WhatsApp: 00962779794141
📍 Amman – Jordan