Changes

Intermittent hiatal hernias can be difficult to detect and therefore it is sometimes necessary to put pressure on the abdomen during the radiography procedure to induce displacement of the stomach.

Intermittent hiatal hernias can be difficult to detect and therefore it is sometimes necessary to put pressure on the abdomen during the radiography procedure to induce displacement of the stomach.

*'''Fluoroscopy'''

*'''Fluoroscopy''' can be used to assess for intermittent herniation if a hiatal hernia is suspected by the survey radiographs.

*'''Endoscopy'''  

*'''Endoscopy''' may demonstrate cranial displacement of the caudal oesophageal sphincter and a large oesophageal hiatus.

==Treatment==

==Treatment==

The suspected cause (ie.Oesphagitis)should be corrected first.

The suspected cause (ie.Oesphagitis)should be corrected first.

Oral feedings should be withdrawn in patients with severe stricture or oesophagitis. An oesophagostomy tube may be placed in these cases to provide nutritional support.

Oral feedings should be withdrawn in patients with severe stricture or oesophagitis. An oesophagostomy tube may be placed in these cases to provide nutritional support.