Uncommon cause of Iron Deficiency Anemia

Hiatal Hernia

With the obesity epidemic present in the United States, the presence of hiatal hernia ranges between 13-59% in those who have no symptoms of GERD. Those with symptoms of GERD, hiatal hernias are present in up to 94% of patients with reflux esophagitis. There are four main types of hiatal hernia. Type 3 and 4 are considered large hernias.

Studies have shown that up to 45% of patients with large hiatal hernias have iron deficiency anemia. This is in large part due to the presence of Cameron’s ulcers which are linear gastric erosions that occur due to mechanical trauma at the level of the diaphragm whereby the gastric folds rub against each other during respiration.

Treatment of these ulcers initially involves medical therapy and eradication of H.Pylori if present. Ongoing issues with anemia may require surgery to repair the hiatal hernia.

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NWMIS makes it easy to get to us no matter where you are in the Portland or Vancouver metropolitan areas. We have three convenient locations where we practice. We love seeing patients, so please feel free to visit during regular business hours.

Providence Vancouver Mill Plain

315 SE Stone Mill Dr. Suite 220 Vancouver, WA 98684 Get Directions

Providence Tanasbourne

10690 NE Cornell Rd. Suite 212 Hillsboro, OR 97124 Get Directions

Legacy Good Samaritan Hospital

1040 NW 22nd Ave Suite 470 Portland, OR 97210 Get Directions
Give us a call today and we’ll let doctors Daniel Tseng, Jeffrey Watkins, Sabrina Drexel, or Paul Kaminsky know we have a patient ready for their gentle and expert service.