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With type II hernias the gastroesophageal junction remains stationery and the gastric fundus herniates through the esophageal hiatus alongside the esophagus.
 
With type II hernias the gastroesophageal junction remains stationery and the gastric fundus herniates through the esophageal hiatus alongside the esophagus.
|l1=
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|l1=Hiatal Hernia
 
|q2=What is the surgical treatment for this problem?
 
|q2=What is the surgical treatment for this problem?
 
|a2=
 
|a2=
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The gastrostomy tube provides the additional advantages of allowing nutritional support, bypass of the esophagus and surgery site, and facilitates decompression of the stomach in the early postoperative period. Gas distension, presumably from an inability to belch, can cause discomfort after surgery.
 
The gastrostomy tube provides the additional advantages of allowing nutritional support, bypass of the esophagus and surgery site, and facilitates decompression of the stomach in the early postoperative period. Gas distension, presumably from an inability to belch, can cause discomfort after surgery.
|l2=
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|l2=Hiatal Hernia#Treatment
 
|q3=What is the prognosis?
 
|q3=What is the prognosis?
 
|a3=
 
|a3=
 
The prognosis for complete relief of clinical signs is guarded. Review of reported cases shows approximately 25% success, and a mortality rate of 64%.
 
The prognosis for complete relief of clinical signs is guarded. Review of reported cases shows approximately 25% success, and a mortality rate of 64%.
|l3=
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|l3=Hiatal Hernia#Prognosis
 
</FlashCard>
 
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