Paraesophageal hernias are a type of hiatal hernia where the stomach protrudes through the diaphragm next to the esophagus. The spelling of this medical term is quite complex and requires knowledge of phonetic transcription using the International Phonetic Alphabet (IPA). The word is pronounced /pærəɪˈsɒfədʒiəl hɜrniə/. The stress is on the second syllable "sof" and the "a" in "para" is pronounced as in "amazing". It is a technical term primarily used by medical professionals, and may be challenging to understand for individuals who are not familiar with medical jargon.
Paraesophageal hernias, also known as rolling hernias or type II hiatal hernias, are a particular type of hernia that occurs in the upper part of the abdomen. Specifically, these hernias involve the upper portion of the stomach protruding through the diaphragm and into the chest, alongside the esophagus.
In a normal anatomy, the diaphragm muscle helps to separate the chest cavity from the abdomen. However, in cases of paraesophageal hernias, there is an abnormal opening in the diaphragm that allows the stomach to push through and reside next to the esophagus. This displacement of the stomach can result in various complications and symptoms.
The main characteristic of paraesophageal hernias is that the gastroesophageal junction, where the esophagus meets the stomach, remains in its correct position while the stomach itself shifts upwards. Symptoms that may arise from paraesophageal hernias include chest pain, difficulty swallowing, heartburn, regurgitation, bloating, and even shortness of breath in severe cases. Additionally, there is a risk of complications such as gastric volvulus, where the herniated stomach twists on itself, leading to reduced blood flow to the stomach.
Diagnosis of paraesophageal hernias is typically made through medical imaging tests such as X-rays, barium swallow studies, or upper endoscopy. Treatment often involves surgical intervention, as the hernia tends to progressively worsen over time and typically cannot be resolved with medication or lifestyle changes alone. The objective of surgery is to reposition the stomach back into its normal location and repair the diaphragmatic opening to prevent further herniation.
The word "paraesophageal hernias" can be broken down into two parts:
1. "Para-" is a prefix derived from the Greek word "pará" meaning "beside" or "alongside".
2. "Esophageal" is an adjective that refers to the esophagus, which is the muscular tube that connects the throat to the stomach.
3. "Hernia" originates from the Latin word "hernia" meaning "rupture" or "protrusion".
Therefore, a "paraesophageal hernia" refers to a type of hernia that occurs beside or alongside the esophagus, where a portion of the stomach protrudes through the diaphragm into the chest cavity.