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I suffer from reflux, underwent an upper GI series, and have been told that I have a paraesophageal hiatal hernia. I have an appointment with a gastroenterologist, but my internist said that I might need surgery. My symptoms aren't that bad. Should I be concerned?
Hiatal hernias are defects in the diaphragm that allow the stomach to slide up into the chest. While they can cause heartburn, generally this is controlled with medications and surgery is not needed. The stomach moves up through the diaphragm right underneath the esophagus. That type of hernia is called a sliding hiatal hernia. The much rarer type, paraesophageal hernia, occurs when the stomach goes through the diaphragm next to the esophagus. Paraesophageal hernias generally tend to enlarge with time, and sometimes the entire stomach is found within the chest. Most patients with a paraesophageal hernia remain asymptomatic. In this type of hernia, symptoms from acid reflux usually do not occur. Instead, the most commo...
Fundoplication; Anti-reflux surgery
Expectations after surgery
Hiatal hernia repair is a safe, effective operation. Reflux is greatly reduced or eliminated in 95% of patients.
Patients who have laparoscopic surgery typically spend 1 to 3 days in hospital. Those who have open surgery may spent 2 to 6 days in the hospital after the procedure.
During surgery, a tube was placed into the stomach through the nose and throat (nasogastric tube). Some surgeons like to leave the tube in for a few days after the procedure, while others do not.
Eat small, frequent meals after the surgery and avoid gas-producing foods.
Most patients go back to work in 2-3 weeks for laparoscopic surgery, or 4-6 weeks after open surgery.
Hernia repair is surgery to correct a hernia. A hernia is an abnormal bulging of internal organs, often the intestine, through a weakness in a muscular wall.
This article focuses on surgery to repair a hernia. For information on a specific type of hernia see:
Before surgery, you will be given a sedative to make you drowsy. A local or spinal numbing medicine (anesthesia) will be used so you do not feel pain during the procedure. In some cases, the procedure is done while you are under general anesthesia (unconscious and pain-free).
The surgeon makes a cut over the area of the hernia. The bulging tissue or organ is placed back inside the muscle wall, the muscle tissue is repaired, and the skin is closed. In many inguinal hernia repairs, a small piece of ...
You should know
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