29.有關於hiatal hernia之描述，下列何者正確？
(A)sliding hiatal hernia（type I）常伴隨胃酸逆流之症狀
(B)paraesophageal hiatal hernia指的是腹部的大腸、小腸等herniation to the chest
(C)paraesophageal hiatal hernia與sliding hiatal hernia是不同的兩種情形，不會同時出現
(D)絕大部分的sliding hiatal hernia須接受手術治療

Sliding hiatus hernia — Surgical repair of an isolated, asymptomatic type I hiatal hernia is not indicated. Management of patients with a symptomatic sliding hiatus hernia consists of management of gastroesophageal reflux disease (GERD). Medical management of GERD and the role of surgery in the management of GERD are discussed separately.

Paraesophageal hernia — The optimal management of asymptomatic patients with paraesophageal hernias is controversial. While a few experts recommend prophylactic surgical treatment even in the absence of symptoms, most experts advocate against it as the annual risk of developing acute symptoms requiring emergent surgery is less than 2 percent, the risk decreases exponentially after 65 years, and the mortality rate from elective paraesophageal hernia repair is approximately 1.4 percent. Surgical repair is indicated in patients with a symptomatic paraesophageal hernia. Emergent repair is required in patients with a gastric volvulus, uncontrolled bleeding, obstruction, strangulation, perforation, and respiratory compromise secondary to a paraesophageal hernia

橫膈裂孔疝氣（hiatus hernia

橫膈裂孔疝氣（hiatus hernia 

29.有關於hiatal hernia之描述，下列何者正確？
(A)sliding hiatal hernia（type I）常伴隨胃酸逆流之症狀
(B)paraesophageal hiatal hernia指的是腹部的大腸、小腸等herniation to the chest
(C)paraesophageal hiatal hernia與sliding hiatal hernia是不同的兩種情形，不會同時出現
(D)絕大部分的sliding hiatal hernia須接受手術治療

醫學五：80題 ( 包括外科,骨科,泌尿科等科目及其相關臨床實例與醫學倫理 )- 102 年 - 102年第二次專門職業及技術人員高等醫師中醫師分試、中醫師、營養師、心理師、護理師、社會工作師、聽力師、牙體技術人員、102年專門職業及技術人員高等法醫師、語言治療師、聽力師、牙體技術師考高考_醫師(二)#36677 

28 下列何種橫膈膜裂孔疝氣（hiatal hernia）所占比例最多？
(A)Type I（sliding hiatal hernia）(95%)
(B)Type II（paraesophageal hiatal hernia）
(C)Type III（mixed hiatal hernia）
(D)Type IV（herniation of organs other than stomach into the chest）