what can be done about a hiatal hernia

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What can be done about a hiatal hernia?

Surgical repair

Esophagus_med_student_lecture_026
Not all hiatal hernias need to be repaired. The common type I hernia causes GERD, and is usually treated medically, but sometimes requires surgery because medecial therapy doesn't work. Type II hernias usually require surgery if symptoms are present, because there is no effective medical therapy. Hiatal hernias are repaired laparoscopically, so most people tolerate surgery very well.
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Dr. Stephen S. Kim answered:

What can you do about a hiatal hernia when youu also have acid reflux i am now having trouble with laranx spasms?

Antireflux procedure

Acid_reflux
Nissen fundoplication can be performed at the time of the hiatal hernia repair
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Dr. David Earle answered:

I just asked a question about a hiatal hernia in the cardia. I have another question about erosion in the Antrum. Can some answer my question, please?

Hiatal hernia

Hiatal_hernia
Not sure what your question is, but a hiatal hernia is when the normal opening for the esophagus in the diaphragm stretches out, and allows the stomach to herniate in to the chest. The top part of the stomach next to the valve at the esophagus is called the cardia, and if this were the only part herniated, it would be a very small hernia, not responsible for ulcers in the antrum. Hope this helps.
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Had stomach balloon,removed after 6 weeks didnt tolerate,am short of breath for 1 month, been diagnosed hiatal hernia no scans done,can HH cause that?

PUlmonary embolism

Stomach
You had an operation on your stomach. It was operated on and taken down. If you are short of breath and obese a pulmonary embolism should be considered. You may have had a dvt. The doctors will evaluate you. An elevated d dimer. Hope this helps. It could be many things.
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Dr. Leon V. Katz answered:

I have really bad reflux with hiatal hernia significant in size. My esophagus is not working properly for surgery. what can i do my last thing to be done was the pressure test for my esophagus and it isnt working properly. I am tired of the pain and tired

With

With a large hiatal hernia and years of suffering you woul likely benefit from a discussion with a surgeon who does a good number of anti reflux surgeries. While I can't say you absolutely need surgery, I can say you absolutely should a least have a discussion with a surgeon since it sounds like your problem is at partially due to the anatomy- hiatal hernia. Good luck.
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Dr. George T Tsai answered:

Is hiatal hernia surgery done as an out-patient surgery?

Sometimes

It depends on the extent of your surgery. Many of my patients who had simple small hiatal hernias repaired with concurrent antireflux procedure do go home the same day.
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Dr. Barry Rosen answered:

Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

Relatively common

Hiatal_hernia
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.
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Dr. Barry Rosen answered:

Are all diagnostic tests for hiatal hernia done locally? What are they?

Define locally

Hiatal_hernia
Do you mean "the community you live in" or "under local anesthesia"? Hiatal hernia is often used to describe gastroesophageal reflux disease(GERD); while there is overlap, they are two distinct diseases. Tests for GERD include endoscopy (EGD), pressure recordings of the esophagus, and a 24-pH study. A hiatal hernia is best seen on CT, although indirect info will be obtained by EGD.
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Dr. Emil Shakov answered:

Can you tell me about laparoscopic anti-reflux surgery for heartburn/hiatal hernia?

Yes

Hernias
For hiatal hernia, the stomach is brought back into the abdomen and the defect of the crus muscles around the esophagus are brought together and possible mesh reinforcement. For just reflux without the hernia, the stomach is wrapped around itself called a fundoplication. Best part is the symptoms are gone almost immediately.
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Dr. David Earle answered:

Can you tell me about laparoscopic anti reflux surgery for heartburn and or hiatal hernia?

Laparoscopy

Reflux
In general terms, the operation uses 5 small incisions, takes 2-4 hours depending on a variety if factors, is associated with a 1-2 night stay in the hospital, and a 1-2 week recovery period regarding postop pain. There is usually difficulty swallowing for 3-6 weeks afterward as well. Preop tests will determine if its right for you, and there will be occasional reflux afterward, but markedly Improved.
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