Diagnosing Hiatus Hernia: Tests You Should Know About!
Published: Oct 26, 2023
Diagnosing hiatus hernia is crucial for effective treatment. Discover the tests that can reveal this hidden condition.
Contents
Endoscopy Explained
Endoscopy involves using a camera to view the esophagus and stomach, providing a clear picture of any hernia. It's a common test that helps visualize the extent of the hernia and any associated damage, like inflammation or ulcers. This test is often used when symptoms suggest a hernia but require confirmation.
Barium Swallow Test
The barium swallow test involves drinking a chalky liquid that coats the digestive tract, making it visible on X-rays. This test is particularly useful for identifying sliding hiatus hernias and understanding their size and position. Barium swallow is considered the most sensitive test for diagnosing paraesophageal hernias.

High-Resolution Manometry
High-resolution manometry measures the pressure and movement in the esophagus, providing detailed information about how well it's functioning. This test can detect even small hernias by showing the separation between the diaphragm and the lower esophageal sphincter. It's often used when other tests are inconclusive.
Frequently Asked Questions
A camera test to view the esophagus and stomach.
It highlights hernias on X-rays.
Pressure and movement in the esophagus.
Yes, especially for paraesophageal hernias.
Wrapping Up
Timely and accurate testing leads to better management of hiatus hernia.
References
- Tolone S, Savarino E, Zaninotto G, et al. High-resolution manometry is superior to endoscopy and radiology in assessing and grading sliding hiatal hernia: A comparison with surgical in vivo evaluation. United European Gastroenterol J 2018; 6:981.
- Kahrilas P. High-resolution manometry findings with hiatus hernia. Annals of Laparoscopic and Endoscopic Surgery 2021; 6.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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