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The group of these organs consists of the abdominal portion of the esophageal tube, the cardiac valve, and the entire stomach (its body, fundus, and structures of the antrum). Plain chest x-ray. X-ray contrast diagnostic examination of the stomach and esophagus. Esophagoscopy - an endoscopic examination of the esophageal tube, performed using an optical device - an esophagoscope. Esophagogastroscopy is a diagnostic technique that allows you to buy arimidex online the condition of the mucous membranes of the stomach and esophagus. All manipulations are performed using a flexible optical tube - a fibroesophagogastroscope. Photo of a hernia of the esophageal opening of the diaphragm on the x-ray.

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The radiological signs of HH are referred to. The results of endoscopic studies, as a rule, indicate. To exclude the presence of esophageal tumors, an endoscopic biopsy of its mucous membranes is performed, exposing the tissues of the biopsy taken to a morphological study. To detect hidden bleeding from the digestive tract, the patient's feces are examined for occult blood. Of great importance in the diagnosis of HH is esophageal manometry - a diagnostic technique that examines the contractile activity of the esophageal tube and the coordination of its motility with the work of the sphincters (pharyngeal and cardiac). When assessing the motor functions of the esophagus, the amplitude, duration and nature (it can be peristaltic or spastic) of its contractions are taken into account.

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The results of esophageal manometry allow us to conclude that wehow successful is conservative treatment. To obtain data on the nature of the environment in the gastrointestinal tract, diagnostic techniques are used. Intraesophageal and intragastric pH-metry. In the course of these studies, designed to evaluate the secretory activity of the gastrointestinal tract, the acidity of gastric juice is measured in different parts of the digestive system, and the dynamics of the acid-base balance is studied when exposed to certain drugs. Impedancemetry is a study of the functions of the stomach and esophagus, based on measurements of the impedance (resistance) that occurs between the electrodes of a special probe inserted into the upper parts of the gastrointestinal tract through the oral cavity.

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Gastrocardiomonitoring is a combined electrophysiological study that combines electrocardiography (a technique for recording electric fields that occur during the work of the heart muscle) and measurements of the acidity of the digestive juice. Endoscopic signs of HH indicate the presence. At the first stage, methods of conservative treatment are used. To eliminate the clinical manifestations of all concomitant diseases of the digestive system (gastritis, gastroesophageal reflux, ulcers, dyskinesia and erosion), an individual program of complex drug therapy is developed for each patient, which involves the use.

Urology

Antacids (represented by Almagel, Maalox and Gastal). Proton pump inhibitors (esomeprazole, omeprazole, pantoprazole). H2 antihistamines (most often ranitidine). Prokineticsimproving the condition of the mucous membranes of the esophagus (ganaton, motilium, trimebutine, motilak). B vitamins that can accelerate the recovery of stomach structures. To relieve pain, patients may be prescribed non-steroidal anti-inflammatory drugs (represented by paracetamol, ibuprofen, nurofen). In some cases, taking these drugs can provoke an increase in the clinical manifestations characteristic of gastroenterological diseases.

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To enhance the effectiveness of drug treatment, patients are recommended. The indication for the need for surgical intervention is the presence of arimidex pills. There are a fairly large number of options for the surgical treatment of diaphragmatic hernias. For convenience, they are usually divided into groups, which include operations directed. For suturing the hernial opening (called the hernial ring) and strengthening the esophageal-phrenic ligament. This group of surgical interventions includes cruroraphy (suturing the legs of the diaphragm) and diaphragmatic hernia repair.

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To restore an acute angle between the abdominal esophageal tube and the fundus of the stomach. Such problems are solved by the operation of fundoplication. During its execution, the fundus of the stomach wraps around the esophageal tube. The result is a cuff that prevents reflux of stomach contents into the esophagus. For fixation of the stomach. During gastropexy - this is the name of this type of surgical intervention - the stomach is sutured to the back or anterior abdominal wall. To buy generic anastrozole over the counter a significant part of the esophagus (within healthy tissues) during its resection.

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During the first day after the operation, the patient is allowed to drink water (no more than 300 ml). On the second day, a small portion of low-calorie soup is offered. Gradually, soft food is introduced into the patient's diet, which can easily move through the esophageal tube. The temperature of the foods and drinks consumed is of great importance. it should be as close to body temperature as possible. Compliance with this requirement will help food to pass through the cardiac valve swollen after surgery without problems. At higher or lower temperatures, it can shrink and prevent food from entering the stomach.

A strict postoperative diet is recommended for eight weeks. After that, they switch to a softer diet, which should be followed for six months. Further, the need for diet and medication, as a rule, disappears. However, the question of the possibility of returning to the previous way of eating can only be decided by the attending physician.

In my mother, a hernia of the esophageal part of the diaphragm was discovered when the third part of the stomach had already migrated from the subdiaphragmatic space. At the family council, a decision was made to perform a laparoscopic operation. After two hours (that's how long the operation lasted) of excitement, the doctor came out to us and said that the operation was successful. Mom felt good and was discharged on the third day. There were four small incisions on her body. Only two weeks have passed since the operation, but the mother's condition is improving every day. We are following a special diet and hope for a full recovery.

I want to order anastrozole my joy about getting rid of a hiatal hernia. For the past month, I have felt like a different person. My heartburn and retrosternal pain disappeared, food stopped being thrown into the esophagus and aboutpressure rise after each meal, I already forgot. I still have to follow the postoperative diet, but, realizing how necessary it is, I am optimistic about the future. The cost of surgical treatment of diaphragmatic hernia in Moscow clinics depends on the clinical level of the medical institution, the qualifications of the specialists working in it, and the availability of modern high-tech equipment.