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Doctor insights on: Hiatal Hernia Problems 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

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Dr. Gregg Nishi
468 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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Can hiatal hernia cause problems with my lower extremities spine?

Can hiatal hernia cause problems with my lower extremities spine?

No. Typically pain: Referred to the back will just cause back pain without radiation into the legs. There can be multiple reasons for that referred pain from the abdominal or pelvic region but pain in the back with radiation into the legs is most likely related to a primary spine issue like a disc problem. If symptoms warrant it, see your doctor or a physiatrist, neurologist, neurosurgeon or an orthopedic surgeon. ...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
1,427 doctors shared insights

Hernia (Definition)

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