Tag: hiatal hernia
One of the leading reasons for Gastro-esophageal reflux disease (GERD) is a physical defect called a Hiatal hernia. The esophageal Hiatus is the opening in the diaphragm where the esophagus enters from chest cavity allowing the esophagus to pass into the abdominal space. If the opening in the diaphragm is much larger than the esophagus, it will result in reflux of the stomach secretions and food from the stomach into esophagus. *Note: Graphic surgical pictures below
Hiatal Hernia Causes:
- heavy lifting
- persistent vomiting
- age related
Reflux and Hernia Symptoms:
- sour taste
- chest or abdominal pain
- difficulty swallowing
- no symptoms
The treatment includes dietary changes, medication and in those who do not improve surgery.
Hiatal hernia repair includes tightening of the dilated opening of the esophageal hiatus by re-appoximating the separated muscle fibers of the right and the left crus. This tightens the defect in the diaphragm and helps prevent part of the stomach or stomach contents from entering the chest cavity.
You can find further information and dietary changes regarding Hiatal Hernia and GERD here, including information unique to weight loss surgery and Hiatal Hernia. You can also find further surgical information, as well as a surgical video here.
Hiatal Hernia may be one reason for developing symptoms of GERD (Gastroesophageal reflux disease). As we have discussed previously, the treatment for reflux should not be long-term use of the “purple pill”, or all PPI’s, as advertised on TV. There is a large population who are delaying definitive care and probably increasing their chance of esophageal cancer by taming the symptoms of the reflux with over the counter or prescription medication. However, it is important to note that taming the symptoms isn’t necessarily stopping the effects. Be proactive and request to be sent to a surgeon to fix any issues if you are being recommended to “….take the medication and come back again for another endoscopy again ….”
Types of Hiatal Hernia:
This is an example of a patient who had been told to take the medication and just keep and eye on it with repetitive endoscopies. He had to have hiatal hernia repair with Nissen fundoplication for progressively worsening symptoms even on maximum treatment.
The band in place and after being taken down
The dissection of the wrap over the band that shows erosion
Part of the hiatal hernia repair.
The band and the port removed.