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Doctor insights on: Small Hiatal Hernia Treatment

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Is a hiatal hernia repair effective?

Is a hiatal hernia repair effective?

Yes : Of course there area many factors to consider, but most importantly is what the goals of the repair are - resolution of symptoms or prevention from getting worse or both. In general, hiatal hernia repair should have a 90-95% success rate. ...Read more

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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


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Hiatal hernia repair with linx device, how likely will the hernia reoccur?

Hiatal hernia repair with linx device, how likely  will the hernia reoccur?

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

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Could hiatal hernia get smaller?

Could hiatal hernia get smaller?

No: Hiatal hernias don't resolve. Fortunately, most do not cause symptoms or problems. They often enlarge with time, but not always. ...Read more

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How is a hiatal hernia repaired?

How is a hiatal hernia repaired?

Laparoscopic Surgery: A hiatal hernia is an enlargement of the normal hole in the diaphragm muscle thru which the esophagus passes to enter into the abdomen. A hiatal hernia may lead to gerd by virtue of the stomach yo-yo-ing up thru the hiatus into the chest. Surgical repair involves three key steps: return the stomach to the abdominal cavity, tighten the hole in the diaphragm, and create a new valve to rx reflux. ...Read more

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Results of CT abd/pelvis, 2 fatty inguinal hernias, fatty umbilical hernia and hiatal hernia. What are these & what is treatment and risks of treatmen?

Results of CT abd/pelvis, 2 fatty inguinal hernias, fatty umbilical hernia and hiatal hernia. What are these & what is treatment and risks of treatmen?

Surgery if pain: If the inguinal (groin) hernias and umbilical hernia are causing you discomfort, they should be fixed. A hernia is a bulge of tissue through a defect. A hiatal hernia is where part of the stomach goes up past the diaphragm into the lower chest. There are different types. A surgeon would have to evaluate this to see if surgery is needed. He or she may also do an endoscopy (egd). ...Read more

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What is success of laparoscopic anti-reflux surgery for hiatal hernia?

What is success of laparoscopic anti-reflux surgery for hiatal hernia?

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 more

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Is hiatal hernia surgery very painful?

Is hiatal hernia surgery very painful?

Not so much: Now a days this can be done with minimally invasive techniques like laparoscopy and the davinci robot. Still some pain, b it not umbearable. www.drlugo.com. ...Read more

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As between a ventral hernia and an incisional hernia?

The same.: A ventrlal hernia is a hole anywhere along the front or ventral surface of the abdominal wall. An incisional hernia is a type of ventral hernia that forms after the abdominal wall is weakened by prior surgery. ...Read more

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Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

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 more

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What causes a hiatal hernia?

Unknown: The hiatus is the normal hole in the diaphragm muscle thru which the esophagus passes to go from the chest to the abdominal cavity. A hiatal hernia is an enlargement of this opening thru which the stomach can slip up into the chest. This is found in 15% of people & rarely causes symptoms. It is unclear if this develops before birth and/or develops in response to elevated abdominal pressure. ...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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Gastroscopy found 1cm sliding hiatis hernia. Is this serious ?

Gastroscopy found 1cm sliding hiatis hernia. Is this serious ?

Can be if you reflux: Hiatal hernias often cause GERD, also known as reflux. This feels like heartburn, and over time can severely damage your esophagus. Omeprazole is a good medicine to lessen the symptoms of GERD, but your best bet for the long term is surgery. Get it done while you're still on your parents' policy. ...Read more

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What is hiatal hernia?

Hiatal hernia: A hiatal hernia is a laxity or defect of the diaphragm where the esophagus travels through the back of the chest into the abdominal cavity and your stomach. Some patients have heartburn associated with hiatal hernias while some do not. ...Read more

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Could large hiatal hernia be missed on x-ray?

Could large hiatal hernia be missed on x-ray?

Yes: A regular chest x-ray should reveal a large hiatal hernia, but if done for another purpose it could be missed. Ct scan can also miss this if they are looking for something else. Very unlikely to be missed on an upper GI contrast study or esophagram. Hope this helps! ...Read more

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How are hiatal and inguinal hernia different?

How are hiatal and inguinal hernia different?

Location: A hiatal hernia occurs in the diaphragm, so that abdominal organs end up in the chest (usually just part of the stomach). An inguinal hernia occurs in the groin. The treatments are different, although both can be approached without a long traditional incision (laparoscopic surgery). ...Read more

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Egd 2 yrs ago: small hiatal hernia. Nexium (esomeprazole) & Prilosec no help. More and worse symptoms now. Possible strangulation of hernia?

Egd 2 yrs ago: small hiatal hernia. Nexium (esomeprazole) & Prilosec no help. More and worse symptoms now. Possible strangulation of hernia?

No: A small hernia does not have the room to twist and cut off its blood supply which is the definition of strangulation. Antireflux meds frequently lose efficacy and either the dose has to be increased or switched to another one. A change in symptoms like this usually warrants a follow up egd. Consult with your doctor. ...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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Can small ileus be mistaken for hiatal herna?

Can small ileus be mistaken for hiatal herna?

Different problems: A hiatal hernia is when part of the stomach squeezes up into the chest area through a weak spot in the sheet of muscle (the diaphragm) that separates the chest from the abdomen. A hiatal hernia should not resemble an ileus, which is not a part of the body, but is a condition in which the intestines are very quiet and not moving. With an ilieus, the stomach won't empty and the person will vomit. ...Read more

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How is a hiatal hernia diagnosed?

X-RAY, Endoscopy,etc: A hiatal hernia is an enlargement of the hole in the diaphragm thru which the esophagus passes to enter the abdominal cavity. This commonly leads to the stomach "yo-yo-ing" up into the chest, which may cause gerd (reflux). This can be seen by ct scan and by upper endoscopy. ...Read more

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Dr. David Earle
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Hernia (Definition)

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