What is the best bariatric surgery for a hiatal hernia?

So, you want to know What is the best bariatric surgery for a hiatal hernia?

Some surgeons believe Roux-en-Y gastric bypass is the best bariatric surgical procedure for obese patients with hiatus hernia. Others believe that even patients with hiatus hernia can also be safely offered sleeve gastrectomy if combined with a simultaneous hiatus hernia repair.

Can a hiatal hernia affect a gastric bypass?

Hiatal hernia (HH) with intrathoracic migration of the gastric pouch (IMGP) is a rare long-term complication of laparoscopic Roux-en-Y gastric bypass (LRYGB); however, its management remains poorly documented [1, 2]. Several factors may contribute to the development of this entity.

Can you get gastric bypass with a hernia?

According to Dr. Tymitz, smaller hernias can be fixed safely at the time of bariatric surgery. Often times, a CT scan is the best way to determine the exact size of the defect, as it may be difficult to determine the size of the hernia based on physical exam alone.

Can weight loss cure a hiatal hernia?

The weight loss itself may ease symptoms from a hiatal hernia or reduce the size of the bulge to the point where surgery is no longer necessary. If symptoms return, hernia repair may still be performed after some weight is lost following weight reduction surgery, or even along with a weight loss surgery.

What is the best bariatric surgery for a hiatal hernia Related Questions

How bad does a hiatal hernia have to be for surgery?

Surgery is often recommended for large hiatal hernias that cause serious symptoms that are not controlled with medication. Occasionally these hernias can become emergency operations if the stomach twists and causes an obstruction or ischemia (lack of blood flow) to the stomach.

What is the new surgery for hiatal hernia?

Treating GERD and hiatal hernias with minimally invasive surgery. Nissen fundoplication is a surgical procedure used to treat gastroesophageal reflux disease, or GERD, and hiatal hernia. It tightens and reinforces the sphincter at the top of the stomach to prevent stomach acid from rising into the esophagus.

Why no surgery for hiatal hernia?

When is surgery required? Most hiatal hernias do not cause symptoms, and therefore, treatment is not usually necessary. Those who have more mild symptoms, such as heartburn, acid reflux, or gastroesophageal reflux disorder (GERD), may be able to treat their condition with medications or lifestyle changes.

Can you live with a hiatal hernia without surgery?

Most people with a hiatal hernia don’t experience any signs or symptoms and won’t need treatment. If you experience signs and symptoms, such as recurrent heartburn and acid reflux, you may need medication or surgery.

What happens if I don’t get hiatal hernia surgery?

Leaving a hiatal hernia untreated can result in pain and serious illness. The blood supply to the trapped portion of your stomach can lose blood flow and result in serious illness, so it’s important to seek treatment at the first signs of illness.

Who is not a good candidate for gastric bypass?

But why might a patient not qualify for bariatric surgery? BMI: First and most obviously, they simply may not have a BMI that is high enough. A BMI of 35 or more with one or more obesity related conditions or BMI of 40 or greater regardless of obesity related conditions is required to have surgery.

Who should not have gastric bypass surgery?

You’ll likely not be able to have surgery if you have these conditions: Blood-clotting disorders. Severe heart disease that prohibits the safe use of anesthesia. Other conditions that increase the risk of using anesthesia.

Will losing weight make my hernia smaller?

Weight loss alone may decrease your pain and reduce the size of the bulge from your hernia to the point where surgery will no longer be needed, or may be delayed for many years. We recommend reaching a BMI of less than 35 prior to hernia repair.

What shrinks a hiatal hernia?

decreasing food portion sizes. eating several smaller meals throughout the day (as opposed to a few large meals) elevating the head of your bed by 8 inches. avoiding meals 2 to 3 hours before bedtime or before lying down.

How do you permanently fix a hiatal hernia?

A laparoscopic surgery is done through several small incisions instead of one big cut. This is considered a minimally invasive option. The specific laparoscopic procedure used to repair a hiatal hernia is called the Nissen fundoplication. This procedure creates a permanent solution to your hiatal hernia symptoms.

Can you heal a large hiatal hernia without surgery?

Larger hernias may require surgery, but typical hiatal hernias can heal with exercises and stretches that can strengthen the diaphragm. These exercises can reduce the risk and may even relieve some symptoms.

What are signs that a hiatal hernia is getting worse?

Heartburn. Regurgitation of food or liquids into the mouth. Backflow of stomach acid into the esophagus (acid reflux) Difficulty swallowing. Chest or abdominal pain. Feeling full soon after you eat. Shortness of breath.

How much weight do you lose after hiatal hernia surgery?

Patients are counseled that they will likely lose 10–15 pounds during the first 4–6 weeks after surgery before the nadir of weight loss (2).

How long is the hospital stay after hiatal hernia surgery?

In most cases, patients are discharged the same day; however, some patients who have had abdominal wall hernia repair may need to stay in the hospital for two days.

How many hours is hiatal hernia surgery?

Your doctor has arranged for you to have your hiatal hernia repaired. You will have 5 or 6 small (1 to 1 1/2-inch) incisions (cuts) in the middle of your abdomen (stomach area) between your nipples and belly button. Your surgery will take about 2 to 6 hours.

What is life like after hiatal hernia surgery?

There are no significant restrictions on activity after surgery. That means it is OK to walk, climb stairs, have sexual intercourse, mow the lawn, or exercise as long as it doesn’t hurt. In fact, returning to normal activity as soon as possible will most likely enhance your recovery.

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