With paraesophageal hernias, the gastro-esophageal junction remains where it belongs, but part of the stomach is squeezed up into the chest beside the esophagus. These hernias remain in the chest at all times. With this type of hernia, complications can occur.
Complications of a Paraesophageal Hiatal Hernia
- Incarceration
This is when the hernia is stuck and being squeezed. - Strangulation
This results from the lack of blood supply, leading to death of the tissues involved.
The Symptoms of a Paraesophageal Hiatal Hernia
Paraesophageal hernias often do not display any symptoms, but when symptoms are present, they are as follows:- Sudden severe chest pain
- Radiating chest pain that isn't relieved by taking an antacid
- Difficulty swallowing
- Stomach pain
- Indigestion
- Nausea
- Vomiting
- Retching
When Surgery is Needed for a Paraesophageal Hiatal Hernia
- If the above symptoms are caused by a paraesophageal hiatal hernia that has become constricted or strangulated, then immediate surgical intervention is required.
- If the hiatal hernia is in danger of becoming constricted or strangulated, surgery is often performed to reduce the hernia, putting it back where it belongs.
