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3 Cards in this Set
- Front
- Back
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Risk of volvulus |
There is an element of volvulus in the hernia always. In symptomatic patients risk is high. In the asymptomatic it is around 1% / year |
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Diagnosis and Rx |
CXR( gastric bubble behind the cardiac shadow). Barium swallow. OGD not reliable. Rx NGT |
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Surgery |
Reduce the hernia, resection of sac, approximate the crus and some kind of gastric fixation. |
