Hiatal hernia: etiology, diagnostics, management

Rytis Tumasonis1,  Arūnas Petkevičius1, Andrius Čitavičius1

1Department of Surgery, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania



Hiatal hernia – anatomical condition in which abdominal organs, usually gastroesophageal junction and the stomach, exit through the esophageal hiatus into the mediastinum. Clinical significance is closely related to gastroesophageal disease (GERD). The diagnosis is made through endoscopic, radiographic and manometric assessment. Management of hiatal hernia is complex, including lifestyle changes, medications and surgery.

Aim: to provide up to date information about hiatal hernia’s etiology, diagnostics and management.

Methods: A systematic review of literature was performed in “PubMed” information base using keywords ‘hiatal hernia’.

Conclusion: GERD affects quality of life for many patients. Antireflux surgery plays an important to provide complex treatment. Surgery is safe and effective method for treating patients with hiatal hernia complicated GERD. Nissen gastrofundoplication remains the golden standard operation.


Keywords hiatal hernia, etiology, diagnostics, management, gastroesophageal disease, gerd, surgery.