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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
465 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

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I have esophagitis and hiatal hernia. I have a irritating burping problem that happens after I eat. Usually a short burp. How do I cure it? Thank you

I have esophagitis and hiatal hernia. I have a irritating burping problem that happens after I eat. Usually a short burp. How do I cure it? Thank you

Medication: if you have known esophagitis and a hiatal hernia then likely you are already are on a medication like Protonix or Nexium (esomeprazole). If not, this kind of medication, known as a proton pump inhibitor, can be helpful. Eating more slowly and smaller, more frequent meals may help the burping after eating. If symptoms can be controlled with medication many times surgery for the hiatal hernia is not necessary ...Read more

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I had hiatal hernia and my problem is 24x7 uncomfortable with stomach especially after food enters inside. I am disgusted and stopped all medicines an?

I had hiatal hernia and my problem is 24x7 uncomfortable with stomach especially after food enters inside. I am disgusted and stopped all medicines an?

Disgusted: That won't help you. Please discuss this with family and/or friends and together you can decide the doctor the family and friends recommend. A tough time but important. Please keep me posted. ...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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Can a small hiatal hernia cause heart problem of any kind?

Can a small hiatal hernia cause heart problem of any kind?

No: What is of importance is that symptoms that may suggest a hiatal hernia may be cardiac in origin. That is why it is important to receive a thorough history and physical examination by your primary care physician and decipher between the symptoms and the primary source. This may require some specific testing and trial of some medical therapy. ...Read more

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I am stil having problems with gastritis, hiatal hernia went from 4 to 5, does that me it is growing?Been taking Nexium (esomeprazole) since sept 2013 and no change,

Variable: Hiatal hernias are not malignant and spread- or "grow" in that sense. They do enlarge or expand as tissue stretch. Scarring and strictures can occur so gastroenterology evaluation and egd can help clarify. Reflux treatment is important as well as elevation of head and head of bed when lying down, small meals nothing late or right before bedtime, and medication. ...Read more

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Have a belching problem doctor wants me on a non wheat and no foods with milk help its a delma don't know what product I can eat migh be hiatal hernia?

Good point: There are many causes for belching. A no wheat no milk diet can be an unnecessary inconvenience unless you are intolerant of gluten and lactose. Have tests been done to rule out other causes? If you have reflux esophagitis, sometimes called a hiatal hernia, there are more effective eats to solve your problem. Discuss this with your doctor, please, and good luck! ...Read more

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I've been diagnosed with hiatal hernia and GERD and lately my breathing problems got a lot worse. What are my options and best course of action?

I've been diagnosed with hiatal hernia and GERD and lately my breathing problems got a lot worse. What are my options and best course of action?

GERD-related asthma?: About a third of chronic gerd suffers have an asthma-like presentation, and about a third of asthmatics have gerd. As such, many asthmatics show significant benefit from acid reducers when used over time. Shortness of breath however can result from many causes that have nothing to do with gerd, so get checked asap, especially if your breathing problem is progressive. ...Read more

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I have a medium hiatal hernia. The only problem it seems to cause me is globus. Ideas/tips for easing globus or for trying to correct/improve hernia?

Hiatal hernia: The hiatal hernia can be safely observed. If it ever becomes large (paraesophageal hernia), it will likely take 20 years or more, and is unlikely to happen. The globus sensation (something sticking in throat) is poorly understood, and not treatable, but also not dangerous. Try keeping a log of what makes it worse, and avoid those food items. Hope this helps! ...Read more

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Hiatal hernia repair without fundoplication possible? I don't have acid reflux problems. But constant shoulder tightness, SOB, andchestpain when relax

You may not need it: If you do not have reflux you may noted surgery , most of the hiatus hernias are sliding type no fear of strangulation except paraoesophagheal type where surgery is indicated . Speak to your doctor. ...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
1,365 doctors shared insights

Hernia (Definition)

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