Most useful investigation in sliding hernia in female -: (A) Fluoroscopy, (B) Barium-meal, (C) Palpation method, (D) Ultrasound
Answer is B. • The hernia may be visible on a plain radiograph of the chest as a gas bubble, often with a fluid level behind the heart.
• A barium meal is the best method of diagnosis.
• The endoscopic appearances may be confusing, especially in large hernias when it is easy to become disorientated.