Log in sign up about these ads encyclopedia (browse by topic or system) add article patient cases (browse by topic or system) add case quiz mode (diagnose from case presentations) this site is targeted at medical and radiology professionals, contains user contributed content, and material that may be confusing to a lay audience. Use of this site implies acceptance of our terms of use. Edit article hiatus hernia dr yuranga weerakkody and dr abhijit datir et al. cheap viagra online View revision history a hiatus hernia occurs where there is herniation of stomach through the oesophageal hiatus of the diaphragm. It is sometimes wrongly considered synonymous with gastro-oesophageal reflux disease (gord) despite poor correlation between the two. Sub types there are two main types of hiatus hernia, although they mayâ co-exist: sliding hiatus hernia rolling (para-oesophageal) hiatus hernia sliding hiatus hernia this is the most common type of hiatus hernia (95%). The gastro-oesophageal junction (goj)â is usually displaced by more than 1cm above the hiatus. buying viagra online from canada The oesophageal hiatus is often abnormally widened to 3 - 4cm : the upper limitâ is 15mm. generic viagra without prescription The gastric fundus mayâ also be displaced above the diaphragm and present as a retrocardiac mass on a chest radiograph. viagra without a doctor prescription The presence of an air-fluid level in the mass suggests the diagnosis. cheap viagra Small, sliding hiatus hernias commonly reduce in the upright position. The mere presence of a sliding hiatus hernia is of limited clinical significance in most cases. how long after taking viagra can you drink alcohol The function of the lower oesophageal sphincter and the presence of pathologic gastro-oesophageal refluxâ are the crucial factors in producing symptoms and causing complications. Rolling (para-oesophageal) hiatus hernia theâ rolling (paraesophageal) hiatus hernia is much less common than the sliding type. The goj remains in its normal location while a portion of the stomach herniates above the diaphragm. viagra daily how long to take effect The mixed or compound hiatal hernia is the most commonest type of paraesophageal hernia. viagra prescription europe The goj is displaced into the thorax with a large portion of the stomach, which is usua. order viagra viagra generic