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A 30-year-old member asked:

Are all diagnostic tests for hiatal hernia done locally? what are they?

4 doctor answers12 doctors weighed in
Dr. Barry Rosen
General Surgery 34 years experience
Define locally: Do you mean "the community you live in" or "under local anesthesia"? Hiatal hernia is often used to describe gastroesophageal reflux disease(gerd); while there is overlap, they are two distinct diseases. Tests for gerd include endoscopy (egd), pressure recordings of the esophagus, and a 24-ph study. A hiatal hernia is best seen on ct, although indirect info will be obtained by egd.
Dr. Lyall Gorenstein
Thoracic Surgery 38 years experience
Depends where you li: The tests that are used to evaluate hiatal hernia include; barium swallow, cat scan , and upper endoscopy. These tests are available at most hospitals, or radiology facilities. Some patients need more sophisticated tests to evaluate for gerd, such as a bravo or 24 hour ph, or esophageal manometry to evaluate esophageal function. These tests require additional expertise in esophageal diseases.
Dr. David Earle
General Surgery 31 years experience
Tests: Tests to diagnose a hiatal hernia include upper GI contrast study (barium swallow X-ray), and upper endoscopy (looking in the stomach with a camera). These are performed in the radiology sort and endoscopy suite, and are available in most hospitals. There is no anesthesia needed for the X-ray, and sedation used for the endoscopy. Hope this helps!
Dr. Gregg Nishi
Bariatrics 22 years experience
Hiatal hernia: Upper GI x-ray and an EGD. The EGD is done by a gastroenterologist. Very common tests.

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Last updated Jan 5, 2019

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