ارتجاع المريء: أسبابه وعلاقته بفتق الحجاب الحاجز | Acid Reflux: Causes and the Link to Hiatal Hernia
يعني إيه ارتجاع؟ | What Is Reflux?
ارتجاع المريء (GERD) من أكتر الشكاوى في عيادات جراحة الجهاز الهضمي، وأهم أسبابه فتق الحجاب الحاجز (Hiatal Hernia). د. محمد حسام زيدان بيشرح إن الحجاب الحاجز هو العضلة اللي بتفصل الصدر عن البطن، ولو ضعف، أعضاء من البطن ممكن تطلع للصدر. وبيشير إن ده بيظهر أكتر بعد نزول الوزن السريع بعد جراحات السمنة أو مع أدوية زي Mounjaro وSaxenda، وبيعرض طرق العلاج زي Nissen fundoplication مع إصلاح الفتق أو تحويل المسار حسب وزن المريض، وبينصح أي حد عنده ارتجاع يكشف عند الجراح. | Gastroesophageal reflux disease (GERD) is one of the most common complaints in digestive surgery clinics, and a hiatal hernia is among its most important causes. Dr. Mohamed H. Zidan explains that the diaphragm is the muscle separating the chest from the abdomen; when it weakens, abdominal organs can slide up into the chest. He notes this is seen more often after rapid weight loss following bariatric surgery or with medications such as Mounjaro and Saxenda. He outlines treatment options, including Nissen fundoplication with hernia repair or gastric bypass depending on the patient's weight, and advises anyone with reflux to see a surgeon.
Key Takeaways
Full Transcript
Reflux, reflux, reflux. Reflux is the condition that most often brings patients to digestive surgery and gastroenterology clinics. Reflux can have many causes, the most important being a hiatal hernia. A hiatal hernia is caused by a weakness in the diaphragm, the structure that separates the lungs from the abdomen. This weakness allows organs from inside the abdomen to move into the chest. It is more common in patients who lost weight suddenly after bariatric surgery or who took medications such as Mounjaro, Saxenda or others. There are many ways to treat a hiatal hernia, including Nissen fundoplication, an operation that wraps part of the stomach and repairs the hernia in the diaphragm, or gastric bypass. The decision depends on the patient's weight and body size. So if you have reflux, always consider seeing your surgeon to find out whether you have a hiatal hernia.