A member asked:

Large hiatal hernia with moderate to severe gastroesophageal reflex disease with erythema and ulceration in the lower and mid third of the esophagus?

4 doctors weighed in across 2 answers
Dr. David Earle answered

Specializes in General Surgery

Paraesophageal: This sounds like a paraesophageal hernia, a type of hiatal hernia that can cause the stomach to twist, making swallowing difficult, or more rarely turn in to gangrene or cause bleeding. I would see a general or thoracic surgeon with extensive experience with laparoscopic repair of these types of hernias. Will fix the gerd as well.

Answered 9/28/2016


Dr. Scott Grover answered

Specializes in Surgery

Take Precautions: With that kind of esophageal damage, your dr should have you on reflux medications. You should also have planned follow ups to be sure the treatment is working and the ulcerations are resolving. You should also discuss long term treatment options ( medication, surgery).

Answered 5/14/2014



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