A 62-year-old man presented to the clinic complaining of regurgitation, dysphagia, and heartburn. The heartburn is nonresponsive to over-the-counter antiacid medications. He has no previous medical or surgical history. The patient has been smoking 1 pack of cigarettes for the last 20 years. BMI is 36 kg/m2. The patient has an unremarkable physical examination. A barium swallow shows that the proximal part of the stomach is herniated through the esophageal hiatus. Which of the following is the etiology of this patient's presentation?

Question

Quizplus · Accepted Answer

Eductional Objective: Hiatal hernia is the movement of the abdominal contents into the esophageal hiatus. It occurs due to the laxity in the phrenoesophageal membrane. Sliding hiatal hernia causes herniation of the gastroesophageal junction with the cardia. While the para-esophageal hernia results from the herniation of the gastric fundus.

A 62-Year-Old Man Presented to the Clinic Complaining of Regurgitation