A member asked:

Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

16 doctors weighed in across 4 answers

Relatively common: The most common anti-reflux procedure is called a fundoplication, which involves closure of the hernia and re-creating a new valve by wrapping a portion of the stomach around the esophagus. While very effective, this procedure is reserved for the rare patient who cannot manage their symptoms with lifestyle and dietary modifications supplemented by anti-acid medication.

Answered 2/15/2020

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Dr. Rafael Lugo answered

Specializes in General Surgery

Yes. Many: Yes. It works very well as long as it is done well andvforcthe right reason. www.drlugo.com.

Answered 11/21/2018

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Dr. Kenneth Foreman answered

Specializes in Bariatrics

Yes: Laparoscopic anti-reflux surgery such as a nissen fundoplication involves reducing the stomach from the hiatal hernia, repairing the hernia, and wrapping the stomach around the gastro-esophageal junction to help prevent reflux. It works well in normal-weight patients, but is more likely to fail in obese patients.

Answered 2/20/2019

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Dr. Peter Denk answered

Specializes in General Surgery

Yes, many: Gerd is very often associated with a hiatal hernia because this distorts the shape of the anti-reflux valve at the top of the stomach and actually causes reflux, or gerd. The repair is done laparoscopically, usually as an overnight procedure, and patients take pain medicine for several days only. Lap hiatal hernia repair and nissen fundoplication are up to 95% effective at curing gerd.

Answered 7/30/2019

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