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.
Hiatal hernia. Hiatal hernias are are very common and often without any symptoms at all. It is not like a groin hernia that one worries about stragulation or need for surgery. Often associated symptoms are reflux which is really caused by a weakened lower esophageal sphincter and not the hernia---ie hearburn, indigestion etc.
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.
Yes. Many. Yes. It works very well as long as it is done well andvforcthe right reason. Www. Drlugo. Com.
Yes. Laparoscopic anti-reflux surgery such as a nissen fundoplication involves reducing the stomach from the hiatal hernia, repairing the hernia, and wrapping the stomach around the gastro-esophageal junction to help prevent reflux. It works well in normal-weight patients, but is more likely to fail in obese patients.
Yes, many. Gerd is very often associated with a hiatal hernia because this distorts the shape of the anti-reflux valve at the top of the stomach and actually causes reflux, or gerd. The repair is done laparoscopically, usually as an overnight procedure, and patients take pain medicine for several days only. Lap hiatal hernia repair and nissen fundoplication are up to 95% effective at curing gerd.
I have a hiatal hernia. I've been on ppi meds for it. I've done everything except surgery. What can I do. I have gerd& 4 upper gi dr didnt do anything?
Nissan fundoplicatio. Sound lke time to find yourself a good surgeon.
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.