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Academic Hospital Sachsenhausen Frankfurt am Main

10/10 from 23 Votes

The Academic Hospital Sachsenhausen at the Goethe University Frankfurt was founded in 1985 by the world-famous professor Dr. Carl von Noorden and Dr. Edouard Lampe. At that time it was Germany's first medical institution specializing in the treatment of diabetes.

Hiatal hernia diagnosis
1509
Nissen fundoplication for hiatal hernia
8733
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Hiatal hernia diagnosis
2128
location_onCountry: Germany
location_searchingCity: Munich
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PAN Clinic Cologne

9/10 from 14 Votes

The PAN Clinic has gained universal recognition due to highly professional doctors and their responsive and careful approach to the treatment.  A team of experienced doctors specialized in 25 medical focuses takes care of the patients' health.

Nissen fundoplication for hiatal hernia
9866
location_onCountry: Germany
location_searchingCity: Cologne

University Hospital Frankfurt am Main

10/10 from 97 Votes

The University Hospital Frankfurt is part of the Johann Wolfgang Goethe University Frankfurt am Main. The hospital was founded in 1914 and today it is a famous German medical institution with rich traditions. The hospital treats about 49,000 inpatients and 220,000 outpatients every year.

Hiatal hernia diagnosis
1667
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes

The Neuperlach Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Hiatal hernia diagnosis
1569
location_onCountry: Germany
location_searchingCity: Munich
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HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently.

Hiatal hernia diagnosis
1585
Nissen fundoplication for hiatal hernia
9774
location_onCountry: Germany
location_searchingCity: Krefeld

University Hospital Cologne

9.8/10 from 82 Votes

The University Hospital Cologne is included in the Focus magazine rating of top German hospitals 2017 and offers patients first-class medical care meeting the latest medical advancements.

Hiatal hernia diagnosis
1501
location_onCountry: Germany
location_searchingCity: Cologne
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Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

As an Academic Hospital of the University of Hamburg, the Asklepios Barmbek Hospital offers a wide range of medical services in the field of conservative and surgical treatment. The hospital was opened in 2005 and today it is one of the best and modern medical centers in Europe.

Hiatal hernia diagnosis
1664
Nissen fundoplication for hiatal hernia
9949
location_onCountry: Germany
location_searchingCity: Hamburg

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

With more than 36,000 patients annually and 1,000 beds, the Academic Hospital Bogenhausen is one of the largest clinics in Munich.

Hiatal hernia diagnosis
1658
location_onCountry: Germany
location_searchingCity: Munich

University Hospital Muenster

9.8/10 from 78 Votes

The University Hospital Muenster is one of the most respected multi-field medical centers in Germany. It consists of more than 30 departments and numerous research institutes and centers. Every year over 58,000 inpatients are treated here and nearly 475,000 patients receive medical care on the outpatient basis.

Hiatal hernia diagnosis
1653
location_onCountry: Germany
location_searchingCity: Muenster
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Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

An academic clinic of the university medical complex Charité, the Vivantes Humboldt Hospital is one of the largest specialized medical institutions in Berlin.

Hiatal hernia diagnosis
2136
location_onCountry: Germany
location_searchingCity: Berlin

University Hospital Würzburg

9.2/10 from 38 Votes

The University Hospital Würzburg has been an institution of public law since 2006. It supports the Faculty of Medicine in its research and teaching. As the center of maximum medical care, the University Hospital provides its services to the region with 1,5 million people.

Hiatal hernia diagnosis
1581
Nissen fundoplication for hiatal hernia
9732
location_onCountry: Germany
location_searchingCity: Würzburg
certificatecertificatecertificatecertificatecertificatecertificate certificate

Hannover Medical School

9.8/10 from 43 Votes

The Hannover Medical School (MHH) is one of the most efficient medical universities in Germany, treating more than 63,000 inpatients and 460,000 outpatients annually.

Hiatal hernia diagnosis
1669
Nissen fundoplication for hiatal hernia
9642
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Hospital St. Elisabeth Grevenbroich

10/10 from 23 Votes

The Hospital St. Elisabeth Grevenbroich offers a wide range of medical services. Special focuses include gastroenterology, oncology, general, abdominal and vascular surgery.

Nissen fundoplication for hiatal hernia
9921
location_onCountry: Germany
location_searchingCity: Grevenbroich
certificate

Preventicum Diagnostic Сlinic Essen

10/10 from 1 Votes

The Preventicum Diagnostic Clinic has been intensively working over the years to become one of the leading medical excellence centres in Germany.

Hiatal hernia diagnosis
2045
location_onCountry: Germany
location_searchingCity: Essen

ATOS Fleetinsel Clinic Hamburg

10/10 from 23 Votes

The Fleetinsel Clinic Hamburg is one of the leading German clinics specializing in orthopedics and orthopedic surgery. Located on the historical Fleetinsel in Hamburg, the clinic is renowned for many years of experience and expertise. Spinal, joint and foot surgeries are the main orthopedic focuses for the clinic.

Nissen fundoplication for hiatal hernia
9728
location_onCountry: Germany
location_searchingCity: Hamburg

About the disease

Hiatal hernia is a condition when hiatus, a small opening of the diaphragm, protrudes forward. During hiatal hernia stomach pushes forward through this small opening and causes the food and acid go back into esophagus. If hiatal hernia is small in size, it may never manifest itself and not result in any complications. If it is big in size, hernia can cause heartburn because of the acids which are pushed back into esophagus. Hiatal hernia can develop if diaphragm or stomach muscles are weakened. It can happen because of the age or constant pressure on the stomach, which can develop because of heavy lifting or constant coughing. Some people are born with an abnormally large hiatus, thus developing hernia later on in life. Obesity can also contribute to the development of hiatal hernia. It usually occurs after 55 years of age.    

The normal hiatus size is 2 cm. Patients with hiatal hernia can reach in size 4-5 cm. According to American site MedScape, this condition is most common in developed Western countries. 10% of patients, who are diagnosed with this disease, are younger than 40 and 70% are older than 70 years of age, which supports the notion that this disease is always age-related.  

Symptoms

  • Heartburn
  • Pain in the abdomen
  • Feeling of fullness in the stomach at all times
  • Difficulty swallowing
  • Nausea
  • Vomiting with blood
  • Black stool

Diagnosis

  • Blood test is the first diagnostic test for hiatal hernia, as the patients with this condition most often complain of heartburn and abdominal pain.
  • Endoscopy is used to check esophagus and diaphragm for the signs of inflammation. During this procedure doctor inserts small tube, equipped with the light, down the patient`s throat.
  • Barium swallow is the procedure, during which patient drinks special liquid with barium which creates the image of the stomach and diaphragm.     

Treatment

  • Nissen fundoplication is a laparoscopic surgery, during which the upper part of the stomach is wrapped around the lower part of the esophagus and stitched in this place to reinforce the closing function of esophagus. This way stomach stops protruding into the diaphragm and the nutrition process is stabilized.
  • Removal of the hernia sac is another surgical option, during which the hernia is resected and thus the acid does not go back to esophagus. Surgeon can also make the hiatus opening smaller to prevent the formation of new hernia in the future.

Overall, mortality rates for these surgeries are extremely low with the indicators less than 1%, which proves them to be safe and efficient.




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