Hernia hiatus: Perbedaan antara revisi

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{{Infobox medical condition|name=Hiatal hernia|synonym=Hiatus hernia|image=Hiatalhernia.gif|caption=A drawing of a hiatal hernia|specialty=[[Gastroenterology]], [[general surgery]]|symptoms=Taste of acid in the back of the mouth, [[heartburn]], trouble swallowing<ref name=BMJ2014>{{cite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live}}</ref>|onset=|duration=|causes=|risks=[[Obesity]], older age, [[major trauma]]<ref name=BMJ2014>{{cite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live}}</ref>|diagnosis=[[Endoscopy]], [[medical imaging]], [[Pressure measurement|manometry]]<ref name=BMJ2014>{{cite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live}}</ref>|differential=|prevention=|treatment=Raising the head of the bed, weight loss, medications, surgery<ref name=BMJ2014>{{cite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live}}</ref>|medication=[[H2 receptor antagonist|H2 blockers]], [[proton pump inhibitor]]s<ref name=BMJ2014>{{cite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live}}</ref>|prognosis=|frequency=10–80% (US)<ref name=BMJ2014>{{cite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live}}</ref>|deaths=}}'''Hernia hiatus''' atau Hiatal hernia adalah jenis [[hernia]] yang diman [[Organ (anatomi)|organ]] [[abdomen]] (biasanya [[Lambung|perut]] ), masuk melalui saluran [[Diafragma (anatomi)|diafragma]] ke [[mediastinum]] (kompartemen tengah dada) . <ref name="BMJ2014">{{Citecite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live|last=Roman|first=S}}</ref> <ref name="Pub2017">{{Cite web|title=Hiatal Hernia|url=https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0028103/|website=PubMed Health|archive-url=https://web.archive.org/web/20170428062241/https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0028103/|archive-date=28 April 2017|access-date=6 May 2017|url-status=live}}</ref> Kondisi ini bisa membentuk [[penyakit refluks gastroesofagus]] (GERD) atau [[Penyakit refluks laringofaring|refluks laringofaring]] (LPR) dengan ditandai gejala seperti rasa asam di bagian belakang mulut atau mulas . <ref name="BMJ2014">{{cite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live}}</ref> <ref name="Pub2017">{{cite web|title=Hiatal Hernia|url=https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0028103/|website=PubMed Health|accessdate=6 May 2017|url-status=live|archiveurl=https://web.archive.org/web/20170428062241/https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0028103/|archivedate=28 April 2017|df=dmy-all}}</ref> Gejala-gejal lain yang muncul yakni [[Disfagia|kesulitan menelan]] dan [[nyeri dada]] . <ref name="BMJ2014">{{cite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live}}</ref> Komplikasi mungkin termasuk [[anemia defisiensi besi]], [[volvulus]], atau [[Sumbatan usus|obstruksi usus]] . <ref name="BMJ2014">{{cite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live}}</ref>
 
Hernia hiatus sendiri memiliki faktor risiko yang paling umum pada individu [[Kegemukan|obesitas]] dan [[Penuaan|lansia]] . <ref name=BMJ2014 /> Faktor risiko lainnya yang bisa menyebabkan Hernia hiatus yakni [[trauma besar]], [[skoliosis]], dan disebabkan oleh tindakan operasi tertentu. <ref name=BMJ2014 /> Kondisi ini dibagi dalam dua jenis utama yang pertama hernia geser, yang di mana posisi badan lambung bergerak ke bagian atas; dan hernia paraesophageal, yang di mana organ perut bergerak menuju ke samping [[Esofagus|kerongkongan]] . <ref name=BMJ2014 /> Mendiagnosis penyakit ini bisa dilakukan dengan cara metode [[endoskopi]] atau [[pencitraan medis]] . <ref name=BMJ2014 /> Tindakan endoskopi sendiri biasanya hanya perlu dilakukan jika ada tanda gejala yang mengkhawatirkan, seperti gejala resisten terhadap pengobatan, atau orang yang sudah berusia di atas 50 tahun. <ref name=BMJ2014 />
Hernia hiatus sendiri memiliki faktor risiko yang paling umum pada individu [[Kegemukan|obesitas]] dan [[Penuaan|lansia]] . <ref name="BMJ2014">{{Cite journal|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live|last=Roman|first=S}}<cite class="citation journal cs1" data-ve-ignore="true" id="CITEREFRomanKahrilas2014">Roman, S; Kahrilas, PJ (23 October 2014). <span class="cs1-lock-subscription" title="Paid subscription required">[https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17 "The diagnosis and management of hiatus hernia"]</span>. ''British Medical Journal (Clinical Research Ed.)''. <b>349</b>: g6154. [[doi (identifier)|doi]]:[https://doi.org/10.1136%2Fbmj.g6154 10.1136/bmj.g6154]. [[PMID (identifier)|PMID]]&nbsp;[https://pubmed.ncbi.nlm.nih.gov/25341679 25341679]. [https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17 Archived] from the original on 28 August 2021<span class="reference-accessdate">. Retrieved <span class="nowrap">16 December</span> 2019</span>. <q>However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America</q></cite></ref> Faktor risiko lainnya yang bisa menyebabkan Hernia hiatus yakni [[trauma besar]], [[skoliosis]], dan disebabkan oleh tindakan operasi tertentu. <ref name="BMJ2014">{{cite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live}}</ref> Kondisi ini dibagi dalam dua jenis utama yang pertama hernia geser, yang di mana posisi badan lambung bergerak ke bagian atas; dan hernia paraesophageal, yang di mana organ perut bergerak menuju ke samping [[Esofagus|kerongkongan]] . <ref name="BMJ2014">{{cite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live}}</ref> Mendiagnosis penyakit ini bisa dilakukan dengan cara metode [[endoskopi]] atau [[pencitraan medis]] . <ref name="BMJ2014">{{cite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live}}</ref> Tindakan endoskopi sendiri biasanya hanya perlu dilakukan jika ada tanda gejala yang mengkhawatirkan, seperti gejala resisten terhadap pengobatan, atau orang yang sudah berusia di atas 50 tahun. <ref name="BMJ2014">{{cite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live}}</ref>
 
Tanda gejala hernia hiatus bisa dibenahi dengan melakukan perubahan posisi tidur seperti meninggikan kepala tempat tidur, kemudian menurunkan berat badan, dan perubahan kebiasaan makan. <ref name=BMJ2014 /> Penggunaan obat-obatan yang menurunkan [[asam lambung]] seperti golongan obat [[Antagonis H2|penghambat H2]] atau golongan obat [[penghambat pompa proton]] juga bisa membantu mengatasi tanda-tanda tersebut. <ref name=BMJ2014 /> Jika kondisinya tidak juga membaik dengan pengobatan, metode [[Bedah|pembedahan]] dapat menjadi pilihan yang dimana tindakan tersebut bernama fundoplikasi laparoskopi . <ref name=BMJ2014 />
Tanda gejala hernia hiatus bisa dibenahi dengan melakukan perubahan posisi tidur seperti meninggikan kepala tempat tidur, kemudian menurunkan berat badan, dan perubahan kebiasaan makan. <ref name="BMJ2014">{{Cite journal|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live|last=Roman|first=S}}<cite class="citation journal cs1" data-ve-ignore="true" id="CITEREFRomanKahrilas2014">Roman, S; Kahrilas, PJ (23 October 2014). <span class="cs1-lock-subscription" title="Paid subscription required">[https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17 "The diagnosis and management of hiatus hernia"]</span>. ''British Medical Journal (Clinical Research Ed.)''. <b>349</b>: g6154. [[doi (identifier)|doi]]:[https://doi.org/10.1136%2Fbmj.g6154 10.1136/bmj.g6154]. [[PMID (identifier)|PMID]]&nbsp;[https://pubmed.ncbi.nlm.nih.gov/25341679 25341679]. [https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17 Archived] from the original on 28 August 2021<span class="reference-accessdate">. Retrieved <span class="nowrap">16 December</span> 2019</span>. <q>However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America</q></cite></ref> Penggunaan obat-obatan yang menurunkan [[asam lambung]] seperti golongan obat [[Antagonis H2|penghambat H2]] atau golongan obat [[penghambat pompa proton]] juga bisa membantu mengatasi tanda-tanda tersebut. <ref name="BMJ2014">{{cite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live}}</ref> Jika kondisinya tidak juga membaik dengan pengobatan, metode [[Bedah|pembedahan]] dapat menjadi pilihan yang dimana tindakan tersebut bernama fundoplikasi laparoskopi . <ref name="BMJ2014">{{cite journal|last1=Roman|first1=S|last2=Kahrilas|first2=PJ|title=The diagnosis and management of hiatus hernia.|journal=British Medical Journal (Clinical Research Ed.)|date=23 October 2014|volume=349|pages=g6154|pmid=25341679|doi=10.1136/bmj.g6154|quote=However, the exact prevalence of hiatus hernia is difficult to determine because of the inherent subjectivity in diagnostic criteria. Consequently, estimates vary widely—for example, from 10% to 80% of the adult population in North America|url=https://semanticscholar.org/paper/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-access=subscription|access-date=16 December 2019|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828105155/https://www.semanticscholar.org/paper/The-diagnosis-and-management-of-hiatus-hernia-Roman-Kahrilas/f2688db3482675a16fa6021fa1cb46386cbe8a17|url-status=live}}</ref>
 
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