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Doctor insights on: What Can Be Done For A Hiatal Hernia

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What can be done about a hiatal hernia?

What can be done about a hiatal hernia?

Surgical repair: 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. ...Read more

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Dr. Buck Parker
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Dr. Barry Rosen
1,597 doctors shared insights

Hernia (Definition)

A hernia is a hole in the abdominal wall thru which the inner lining protrudes thru, creating a sac. Organs from within the abdominal cavity, such as the intestine, can protrude thru the hole and get stuck in the sac. Many hernias develop during fetal life and become evident in childhood or as an adult. Some develop following a prior abdominal operation. The cornerstone ...Read more


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

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

Define locally: 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. ...Read more

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Dr. Buck Parker
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Is it possible to have your hiatal hernia repaired using mesh without having the wrap (nissen fundoplication) done at the same time?

Is it possible to have your hiatal hernia repaired using mesh without having the wrap (nissen fundoplication) done at the same time?

Yes, rarely: Sliding hiatal hernias, where the esophagus & stomach "yo-yo" into the chest, are responsible for reflux (gerd). Surgical rx of the gerd includes the wrap. Paraesophageal hiatal hernias are much more rare & more serious--here the stomach twists up into the chest, causing obstruction (or worse). These always require hernia repair; a wrap is not necessary, tho advisable, since gerd often follows. ...Read more

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At what point does a hiatal hernia need repair? Is it worth getting done because I've met my insur deductible? Also have GERD controlled by meds.

At what point does a hiatal hernia need repair? Is it worth getting done because I've met my insur deductible? Also have GERD controlled by meds.

Repair likely needed: Presence of hiatal hernia along with GERD symptoms is a good enough reason to get it repaired however decision to perform a surgical intervention depends on many factors including overall health, endoscopy findings and results of other investigations. A timely evaluation by a surgeon with experience in laparoscopic repair is a good idea. ...Read more

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Dr. Buck Parker
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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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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. ...Read more

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Drs have done 4 endoscopies, I don't have hiatal hernia, if I don't take Nexium daily I feel horrible, I diet, what's wrong? Are there any surgerys to fix acid reflux?

Most definitely : Your condition if confirm as acid reflux can be treated with anti reflux procedure (nissen fundoplication) or less invasive and less effective procedure esophyx. Talk to your doctor. ...Read more

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I have been diagnosed with a hiatal hernia and had a endo scope done. I have been taking prilosec, famitodine and tums. I still cant eat much?

I have been diagnosed with a hiatal hernia and had a endo scope done. I have been taking prilosec, famitodine and tums. I still cant eat much?

Eat much?: patient with hiatal hernia and reflux do not have a problem with how much they eat as much as what they eat. Yes,we do advise patient to eat multiple small meal to facilitate the digestion.more important is to avoid eating spicy,greasy,and rich creamy food,and food that might contain a lot of acid.the medication does not cure GERD, it is simply trying to control the chemical part, ...Read more

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Had stomach balloon, removed after 6 weeks didn't tolerate, am short of breath for 1 month, been diagnosed hiatal hernia no scans done, can hh cause that?

Had stomach balloon, removed after 6 weeks didn't tolerate, am short of breath for 1 month, been diagnosed hiatal hernia no scans done, can hh cause that?

PUlmonary embolism: 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. ...Read more

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What do you advise if I'm going to get the sleeve done - bariatric surgery - I found out I have a hiatal hernia is that procedure done together or separate?

What do you advise if I'm going to get the sleeve done - bariatric surgery - I found out I have a hiatal hernia is that procedure done together or separate?

Together: The presence of hiatal hernia is not contraindication to having a sleeve done at the same time. If you have severe reflux in addition to the hiatal hernia, most surgeon would push you to have a RYGB. However, few surgeons believe that just repairing the hiatal hernia at the same time will decrease the reflux in combination with the weight loss. Very few surgeons may add a fundoplication. ...Read more

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Dr. David Earle
442 doctors shared insights

Hiatal Hernia (Definition)

Hiatal hernia is a medical condition in which the stomach protrudes up into the chest through an opening in the diaphragm, which is the muscle lining the bottom of your lungs that control your breathing. Symptoms include heartburn, chest pain, ...Read more


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Dr. Buck Parker
Board Certified, General Surgery
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