The disappearance of an abdominal segment of esophagus, his ascension in the thorax, is the most common cause of collapse of the pressure of ORC and therefore occurrence of GERD. The presence of a hiatal hernia (HH), climb a part of the stomach in the thorax, through the orifice Hiatal diaphragm, the materialization is the easiest to highlight the disappearance of the esophagus abdominal. In his absence, a gaping cardiale (permanent opening of the junction between esophagus and stomach) often reflects cardiovascular malposition tubérositaire, ie a bad positioning of the junction between esophagus and stomach. In fact these things are more complex than it may seem: many of hiatus hernia, the same frank and voluminous, are not notable because of GERD and, conversely, simple malposition without HH may be associated with (or because of ..) a major GERD.
The causes of these anatomical abnormalities are sometimes obvious defects, as in children, they result from an incomplete maturation of the region, also linked to overweight, increasing abdominal pressure in chronic GERD and thus Hiatal hernia . Often, the causes are unclear.
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