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Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Most para-oesophageal herniae are asymptomatic (1).

  • usually, symptoms develop in adult life and when the hernia is large
  • heartburn and regurgitation are absent since the hernia is intra-abdominal.

Clinical features may include:

  • intermittent dysphagia - chiefly a slowness in food passing through the distal oesophagus where it is compressed by the adjacent gastric pouch
  • gaseous eructations - belching of wind from the stomach through the mouth
  • hiccough - due to irritation of the phrenic nerve
  • gurgling or splashing noises in the chest
  • early satiety and postprandial vomiting
  • acute epigastric or chest pain due to volvulus, incarceration or gangrene

Rarely, a rolling hernia may cause:

  • cardiac symptoms due to pressure on the heart, e.g. palpitations

Reference:

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