Doctor insights on:
Hiatal Hernia After Gastric Bypass
Foregut operation: A hiatal hernia is when the natural opening in the diaphragm enlarges to allow the stomach to migrate into the chest. If a large part of the stomach is involved, it is a para esophageal hernia. Repairing this involves closing the hole to the right size & wrapping the lower esophagus with the top of the stomach (nissen). A tube is placed in the stomach (gastrostomy) rarely in adults. ...Read more
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. ...Read moreSee 3 more doctor answers
After a nissen fundoplication takedown, should the normal esophagal motility priorto.Surgery return?
Different principles: Bariatric procedures can be divided into 3 principle effects, causing malabsorption of nutrients, by restricting stomach size or a combination of both. Gastric band and balloon are restrictive, while gastric bypass is considered to be a combination of restrictive (small stomach pouch) and malabsorptive (bypassing portions of the digestive tract that absorb calories and nutrients). ...Read more
How long can I lift weight again after a hiatal hernia repair with linx a linx device? No nissen fundoplication.
Great question but: ...the answer is best targeted to your circumstance. Please call you surgeon for the response most appropriate to you: for instance, whether the LINX device resulted in any swallowing trouble or other post-operative concerns. Ref: http://www.surgery.usc.edu/uppergi-general/gastroesophagealrefluxdisease-linx-beforeduringafter.html ...Read more
Bypass works: Gastric bypass "works" in 95-97%. Works in three ways: 1. Small pouch makes you feel full. 2. Decreased ghrelin (hunger hormone). 3. Diverts food from lower stomach and duodenum (helps with diabetes). Must eat appropriately. Solid food, no sipping with food, no sweets, no bad snacks. Most lose 80% of excess weight at one year. Then some bounce back with total loss at 5-7 years of 70% excess wt. ...Read moreSee 2 more doctor answers
Risk with new device: Surgery, inherently has risk. The risk/benefit analysis where you compare your risk without surgery to the risk of your procedure/surgeon combination is how you decide if you want to proceed with surgery. The linx device has an excellent profile. Stay in contact with your surgeon and report any new symptoms. Be well. ...Read more
Alcohol ; bypass: You can have alcohol after a bypass but in moderation. Keep in mind that sweet drinks can cause dumping syndrome. Also, your tolerance will be much less than before so be careful. Lastly, alcoholic drinks (like beer and wine) can contain a lot of calories and you can gain weight from drinking too much. ...Read moreSee 1 more doctor answer
As tolerated : It's unclear why you would have a tif procedure and a hiatal hernia repair instead of the standard fundoplication and hernia repair, but either way, your diet should be as tolerated. If the food or beverage are difficult to swallow, or make gerd symtoms worse, avoid that in the future. ...Read moreSee 2 more doctor answers
3 months post op. Nissen/laprascopic, robotic, hiatal hernia repair. Recently experiencing painful, debilitating gas& diarrhea. Is this normal?
Not from the surgery: It is very unlikely that these current symptoms are related to your surgery. By far the most common cause of diarrhea is viral infection (enteritis, or gastroenteritis if it involves nausea/vomiting). With any diarrhea, weight loss, dehydration (feeling like you're going to pass out when standing), or fever lasting > 1 day would be cause for concern. Otherwise these things tend to resolve. ...Read more
Weight loss: The band is placed around the upper part of the stomach to restrict the amount of food you can consume. It is adjustable depending on the amount of food you can eat and weight loss. The bypass permanently changes the anatomy by re-routing the intestines. The sleeve gastrectomy permanently changes the size of the stomach. All work well for the right people. ...Read more
Yes!: This is the most common anti-reflux procedure, involving closure of the hiatal 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. An incisionless option, tiff, is available 2. ...Read moreSee 3 more doctor answers
Varies: Don't be afraid to ask your surgeon. Most surgeons track their outcomes for at least a few years. If you go to a surgeon with good results and you do your part (eating right and keeping your weight in check) - you can expect durable relief with surgery. ...Read moreSee 2 more doctor answers
Typically not. : Typically, having gastric bypass surgery would not cause a hiatal hernia, however, obesity could. The hiatus is a natural opening in the body. Being overweight naturally stretches at this opening, causing the opening to enlarge and eventually becoming a hernia.Like taking a styrofoam cup and sticking a pencil thru it and start turning the pencil. The hole gets bigger and bigger. ...Read moreSee 3 more doctor answers
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