Hiatal hernia is a disease of abdominal organs (mainly stomach) entering the thoracic cavity through the hiatus of the diaphragm. It is often seen in patients with obesity and long-term elevated abdominal pressure. It is easy to be misdiagnosed as heart, lung and chest diseases. In recent years, due to the improvement of living standards, more and more obese patients are suffering from obesity, and the pressure of work and life is increasing. With the improvement of diagnosis and treatment technology such as endoscopy and angiography, the incidence of obesity is gradually increasing in recent years. Because the surgical treatment is still in the initial stage and there are many postoperative complications, it is necessary to study the non-surgical treatment of esophageal hiatal hernia. After data investigation, this paper discusses the western medicine treatment of esophageal hiatal hernia and traditional Chinese medicine treatment of esophageal hiatal hernia, and summarizes and discusses various non-surgical treatment methods on the basis of the original data. The results showed that the non-surgical treatment of hiatal hernia in China is still in its infancy, but there are many research results, especially the method of combining traditional Chinese and Western medicine in the treatment of hiatal hernia is worthy of promotion.

Shiyu Peng, Zhimin Hu, Feng Gao. Advances in Non-Operative Treatment of Hiatal Hernia. International Journal of Frontiers in Medicine (2021), Vol. 3, Issue 1: 25-30. https://doi.org/10.25236/IJFM.2021.030105.

[1] Chen S, Zhou T , Ma N . Repair of hiatal hernia deserves union of anatomy and function of esophagus[J]. Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery, 2018, 21(7):734-739.

[2] Banki, Farzaneh. Short esophagus is a disease of the past and the prevention of recurrent hiatal hernia is the challenge of the future[J]. Journal of Thoracic & Cardiovascular Surgery, 2018, 155(3):1345-1347.

[3] Chen Y H , Yu H C , Lin K H , et al. Prevalence and risk factors for Barrett's esophagus in Taiwan[J]. World Journal of Gastroenterology, 2019, 25(25):3231-3241.

[4] Mungo B , Gleisner A , Rincon-Cruz L , et al. PS01.242: HIATAL HERNIA AFTER MINIMALLY INVASIVE ESOPHAGECTOMY[J]. Diseases of the Esophagus, 2018, 31(13):118-118.

[5] Balaji N , Bradbury C , Evans S , et al. PS01.073: HIATAL HERNIA—DIAGNOSIS AND RELEVANCE—THE CONUNDRUM CONTINUES…[J]. Diseases of the Esophagus, 2018, 31(13):69-70.

[6] Csendes A , Orellana O , Gustavo Martínez, et al. Clinical, Endoscopic, and Histologic Findings at the Distal Esophagus and Stomach Before and Late (10.5Years) After Laparoscopic Sleeve Gastrectomy: Results of a Prospective Study with 93% Follow-Up[J]. Obesity Surgery, 2019, 29(12):3809-3817.

[7] Smith M S , Odze R . Wide Area Transepithelial Sampling (WATS) Augments Detection of Barretts Esophagus and Associated Dysplasia in Patients With a Hiatal Hernia: 448[J]. The American Journal of Gastroenterology, 2019, 114(Supplement):S261-S262.

[8] Iwaya Y , Shimamura Y , Mosko J D , et al. Clinical characteristics may distinguish patients with esophageal adenocarcinoma arising from long- versus short-segment Barrett's esophagus[J]. Digestive and Liver Disease, 2019, 51(10):1470-1474.

[9] Rath E , Alkrinawi N , Levy O , et al. Minimally displaced fractures of the greater tuberosity: outcome of non-operative treatment.[J]. Journal of Shoulder and Elbow Surgery, 2013, 22(10):e8-e11.

[10] Weinstein J N , Lurie J D , Tosteson T D , et al. Surgical vs Nonoperative Treatment for Lumbar Disk Herniation: The Spine Patient Outcomes Research Trial (SPORT): A Randomized Trial[J]. Jama, 2006, 296(20):2451-2459.

[11] Wang J , Zhu X N , Zhang Y R , et al. [Current status and prospects of integrated traditional Chinese and Western medicine for treatment of portal hypertension].[J]. Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology, 2018, 26(4):249-253.

[12] Li, Yifan, Li, et al. Efficacy and safety of Yiqi Huoxue Jiedu decoction for the treatment of advanced epithelial ovarian cancer patients: a double-blind randomized controlled clinical trial[J]. Journal of Traditional Chinese Medicine, 2020, v.40(01):106-114.

[13] YANG, Ming, LIU, et al. Comments on "Traditional Chinese Medicine Use in the Treatment of Acute Heart Failure in Western Medicine Hospitals in China: Analysis from the China PEACE Retrospective Heart Failure Study"[J]. Chinese Journal of Integrative Medicine, 2020, v.26(03):5-6.

[14] Craft M , Ismail I A , Krishnamurti D , et al. Lithium in the treatment of aggression in mentally handicapped patients. A double-blind trial.[J]. Br J Psychiatry, 2018, 150(5):685-689.

[15] BURNS, T. International differences in home treatment for mental health problems. Results of a systematic review.[J]. British Journal of Psychiatry, 2018, 181(5):375-382.

[16] Niklas A , Piekarska A M , Zdrojewski T , et al. Trends in hypertension prevalence, awareness, treatment and control among Polish adults 75 years and older during 2007-2014[J]. Cardiology journal, 2018, 25(3):334-344.

[17] Liu, Jian, Wang, et al. Efficacy and safety of Xinfeng capsule in the treatment of osteoarthritis:a multicenter, randomized, double-blinded, controlled trial[J]. Journal of Traditional Chinese Medicine, 2020, v.40(02):122-133.

[18] Sun, Yan, Chen, et al. Effect of the medication injection site on treatment efficacy in pediatric cerebral palsy: conventional sites vs acupoints[J]. Journal of Traditional Chinese Medicine, 2019, v.39(05):121-126.

[19] Bee, Yean, Ong, et al. Efficacy of Cordyceps sinensis as an adjunctive treatment in hemodialysis patients: a systematic review and Meta-analysis[J]. Journal of Traditional Chinese Medicine, 2019, v.39(01):5-18.

[20] Feick, Derpich, Valuenzuela, et al. Re: Effectiveness of non-benzodiazepine hypnotics in treatment of adult insomnia: meta-analysis of data submitted to the Food and Drug Administration[J]. BMJ, 2020, 10(2):581-591.