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Doctor insights on: Hiatal Hernia After Gastric Bypass

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Can a hiatal hernia be caused by gastric bypass?

Can a hiatal hernia be caused by gastric bypass?

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 more

Dr. Gregg Nishi
473 doctors shared insights

Gastric Bypass Surgery (Definition)

Gastric bypass surgery is a restrictive and malabsorptive procedure to help lose weight. Restrictive is in the fact that the stomach is down sized to a 2 oz pouch and malabsorptive is in bypassing part of the stomach and 100 to 150 cm of the small ...Read more


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Hx of hiatal hernia. Gastric bypass 3 yrs ago. Can hernia get bigger afterwards?

Hx of hiatal hernia. Gastric bypass 3 yrs ago. Can hernia get bigger afterwards?

Hiatal hernia: Yes. Even if your hiatal hernia was repaired during your gastric bypass, it can occur again. An EGD or upper GI will show if you have one. ...Read more

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Are hernias & weight loss related? My boss had one after gastric bypass. I am doing ww to lose weight. I have a hiatal hernia too. Had lost a lot b4.

Anatomy: I do not get the question and am trying to understand it from your point of view.

Being obese or significantly over weight increases the likelihood of all kinds of hernias. But, a hiatal hernia is very different than an umbilical or abdominal wall hernia.

I see no connection between any kind of hernia and the ability to lose weight. ...Read more

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Have you ever heard of having something close to gastric bypass surgery for a hiatal hernia and acid reflex?

Have you ever heard of having something close to gastric bypass surgery for a hiatal hernia and acid reflex?

Yes: B"sd some recollection yes - case reports from the literature: Treatment of giant hiatal hernia by laparoscopic Roux-en-Y gastric bypass - 2015 2 case reports. A review from 2012 described combined gastric bypass and HH repair in 48 patients - http://www.sages.org/wp-content/uploads/posters/2012/39402.jpg
glad to discuss further ...Read more

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After having gastric bypass surgery in December of 2016, I now have a hiatal hernia. Could this be the cause of slow weight loss?

After having gastric bypass surgery in December of 2016, I now have a hiatal hernia. Could this be the cause of slow weight loss?

Possible reflux: Many gastric bypass patients experience alteration in GI emptying due to their new surgical connections. When ingested food then regurgitates or refluxes, burning or chest discomfort may result. Talk to your physicians about whether an acid blocker medicine should be tried or further investigation is warranted. Typically, uncomplicated hiatal hernias do not alter efforts at weight loss however. ...Read more

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I had small sliding hiatal hernia 4/12. 3/27/13 i was hit from behind in car accident with seatbelt on 4/2/13 had gastric bypass surgery; found large paraesophageal hernia.Can the accident cause this?

It is possible: It is possible, but difficult to know 100%. It would be helpful to know how large the hernia was at the time if you gastric bypass, something your surgeon would know. You should see your surgeon anyway to help guide you on what to do about the paraesophageal hernia. Hope this helps! ...Read more

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Gastric bypass with hiatal hernia repair done wed-off painkillers-vomiting (no nausea) a fecal like material-more coming out then going in-cause?

Gastric bypass with hiatal hernia repair done wed-off painkillers-vomiting (no nausea) a fecal like material-more coming out then going in-cause?

See your surgeon: The cause could be something normal during the post-op healing from a bypass, but it could also represent a problem. If you are not able to keep yourself hydrated, then you need IV fluids and medical attention. I definitely recommend contacting your bariatric surgeon for further evaluation. ...Read more

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Post gastric bypass and hiatial hernia surgery pain, tachacardic, and short of breath after eating along with pain in stomach and back diagnosis?

Post gastric bypass and hiatial hernia surgery pain, tachacardic, and short of breath after eating along with pain in stomach and back diagnosis?

GO TO ER: With such features, I would like to ask you to be checked out to rule out perforation or some other serious issue going on.
Hope you get well soon ...Read more

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I had my lap out april.17 th 2012 band erroted developed hernia had the repair done feb.4 how long I should wait for the gastric bypass?

I had my lap out april.17 th 2012 band erroted developed hernia had the repair done feb.4  how long I should wait for the gastric bypass?

Consult with surgeon: Depends on your status. Do you still have a bariatric issue? At minimum, waiting 3 to 6 months after your ventral hernia repair is recommended. Okay to talk to your surgery team and your regular doc about the bariatric issue. Stay on diet in the meantime. Good luck. ...Read more

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5yrs chronic diarrhea every bowel movement watery, sudden, urgency, unbearable smell. Gastric bypass 5yrs ago. Partial colon removed, hernia 3yrs ago?

5yrs chronic diarrhea every bowel movement watery, sudden, urgency, unbearable smell. Gastric bypass 5yrs ago. Partial colon removed, hernia  3yrs ago?

Need a G.I. consultation: This is a problem that is best solved with a consultation with a gastroenterologist. If you have already seen a gastroenterologist and you're not getting any better than you need to see a new one. ...Read more

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Could someone with a gastric band and a recurred hiatal hernia have a hernia repair and a gastric sleeve?

Could someone with a gastric band and a recurred hiatal hernia have a hernia repair and a gastric sleeve?

Yes: It isn't a recurrent hernia - although it could be. May be a slip or dilation. Recurrence of hernia or a slip indicates you ate too fast or wanted your band too tight or ate things that became stuck. Find out why it failed or you failed it first. Fix you before another procedure. ...Read more

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Can the gastric sleeve be performed during the laproscopic surgery for the hiatal hernia?

Can the gastric sleeve be performed during the laproscopic surgery for the hiatal hernia?

Yes: In fact if a patient has a hiatal hernia they should be done simultaneously. There is no reason to have two operations in this case. ...Read more

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I am 3 months post op from the rny bypass. I have noticed my xiphoid process is swollen and painful to the touch. Is it a hiatal hernia?

I am 3 months post op from the rny bypass. I have noticed my xiphoid process is swollen and painful to the touch. Is it a hiatal hernia?

No, but...: This is not a symptom of a hiatal hernia, but may well be an incisional hernia. You need to present this to the surgeon who performed your bariatric procedure, preferably asap! ...Read more

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Am 295lbs. Considering gastric sleeve so I can still take NSAIDs. I have GERD and hiatal hernia. Anything I should consider re: this procedure?

Am 295lbs. Considering gastric sleeve so I can still take NSAIDs. I have GERD and hiatal hernia. Anything I should consider re: this procedure?

GERD and Sleeve: GERD can worsen after a sleeve , hiatal hernia must be repaired to decrease those chances, bypass is a considered better operation in patients with GERD issues however one can not routinely use NSAIDS after that and definitely no smoking . Obviously this decision needs lot of thinking and consideration of long term complications as well. Plz talk to your surgeon for further details. ...Read more

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3 years ago an Endoscopy results showed that I have a Hiatal Hernia, Gastric Mucosal Erythema, Diverticulosis, a few Gastric Polyps should I be worrie?

3 years ago an Endoscopy results showed that I have a Hiatal Hernia, Gastric Mucosal Erythema, Diverticulosis, a few Gastric Polyps should I be worrie?

H/H gastric polyps: H/h diverticulosis are very common and just give signs of reflux. The gastric polyps should be followed up by a gastroenterologist periodically. Large polyps should be removed .Small polyps may resolve wiht treatment with meds like prevecid. ...Read more

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Substernal pain extending to rt ribs and insomnia 2 nights b/c of hiccups. Related to hiatal hernia?

Could be: Generally, only large hiatal hernias, also known as paraesophageal hernias, cause these types of symtoms. An upper GI contrast study can help determine size, and can be ordered by your primary care provider. ...Read more

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Does exercise help with a hiatal hernia?

Does exercise help with a hiatal hernia?

Indirectly, at best.: A hiatal hernia, by definition, is an enlarged opening in the diaphragm muscle that separates the chest from abdominal cavity. It is often used interchangeably with gerd; while often both present, they are distinctly separate diseases. Exercise may indirectly help gerd by leading to weight loss but it will not improve the anatomical abnormality of a hiatal hernia. ...Read more

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Can a sliding hiatal hernia ever get well by itself?

Not really: These types of hernias won't fix themselves, but really are not dangerous or need treatment. They are fixed during operations performed for reflux disease, But otherwise just left alone. They can get larger over the years, but there's no specific activities or diet to avoid to prevent this. Hope this helps! ...Read more

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I been havin a lot of problems with my hiatal hernia?

I been havin a lot of problems with my hiatal hernia?

Symptoms?: Work closely with your treating doctor to see if your symptoms warrant aggressive intervention. Must be sure there isn't anything else going on. ...Read more

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How to know if I had a hiatal hernia attack last night?

How to know if I had a hiatal hernia attack last night?

Not sure: Whole I'm not sure what you mean by a hiatal hernia attack, large hiatal hernias (called paraesophageal hernias) can cause chest pain and pressure similar to a heart condition. Make sure your heart is ok before attributing these symptoms to a hiatal hernia. Hope this helps! ...Read more

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How to know if I have a hiatal hernia attack last night?

Did you have reflux?: Hiatal hernias can be silent about half the time and have reflux symptoms the other half. Those symptoms include heartburn, pressure or pain below your breastbone, regurgitation of stomach contents into your mouth and nausea. It happens more often at night since you are reclining and gravity is working against keeping gastric contents in your stomach. ...Read more

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Please explain what does a hiatal hernia do to your body?

Most asymptomatc: Most hiatal hernias are asymptomatic. When symptoms occur, they are usually reflux, burning and regurgitation. Large hhs can cause pain after eating, fullness, vomiting. Rarely hiatal hernias require emergent repair if they volvulize (twist). A volvulus could cause the the stomach to lose its blood supply and necrose (die). A surgeon can help evaluate a hh and determine if it needs repair. ...Read more

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Is it ok to lift weights with a small sliding hiatal hernia?

Is it ok to lift weights with a small sliding hiatal hernia?

Yes: yes just breathe well and try not to hold your breath while straining ...Read more

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What is a hiatal hernia, and where is the hiatus in your body?

What is a hiatal hernia, and where is the hiatus in your body?

Diaphragm: A hiatal hernia occurs at the spot where the esophagus goes through the diaphragm, a thin muscle that separates the abdomen and chest cavities. When this aperture loosens it allows the top part of the stomach to slide up a little into the chest. It can then result in reflux and heartburn. ...Read more

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I am a man over the age of 55, how susceptible am I to hiatal hernia?

I am a man over the age of 55, how susceptible am I to hiatal hernia?

60%: Incidence of hiatal hernia increases with age. Approximately 60% of adults 50 or older have a hiatal hernia. But most are not symptomatic. ...Read more

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


Dr. David Earle
1,450 doctors shared insights

Hernia (Definition)

The ascendence of the gastroesophageal junction into the chest above the diaphragm through the ...Read more