Medical Arts Surgical Group Hiatal Hernia And Gerd Surgery

Hiatal Hernia and GERD

A hiatal hernia occurs when part of the stomach pushes through the diaphragm into the thoracic cavity. This diaphragm, acting as a muscle divider between the chest and abdomen, is essential for breathing. A hernia can disrupt this structure, making acid reflux into the esophagus more likely and potentially causing gastroesophageal reflux disease (GERD). GERD is a chronic condition where stomach acid regularly flows back into the esophagus, leading to heartburn, regurgitation, and sometimes trouble swallowing. If GERD persists, complications such as esophagitis, esophageal strictures, or even Barrett's esophagus may develop.

Medical Arts Surgical Group Hiatal Hernia And Gerd Surgery

Hiatal Hernia and GERD

The Necessity of Surgery for Hiatal Hernia and GERD

While many people with hiatal hernias may not show symptoms, others could suffer from severe heartburn, backflow of stomach contents, and acid reflux. If traditional methods such as changes in diet, managing weight, and medications don't provide relief, the possibility of surgical intervention emerges. These surgeries aim to repair the hernia and strengthen the lower esophageal sphincter (LES) to counteract acid reflux. Various factors like the size and nature of the hernia, the patient's age and health condition, and any existing complications influence the decision and type of surgical procedure.

Medical Arts Surgical Group Hiatal Hernia And Gerd Surgery

Surgical Procedures for Hiatal Hernia and GERD

Fundoplication: This surgical technique is the most common for addressing hiatal hernias and treating GERD. During this operation, the fundus, which is the top section of the stomach, is wrapped around the esophagus's lower part. By doing so, the LES gets reinforced, reducing acid reflux likelihood. Surgeons can either choose a laparoscopic approach with several small cuts or an open method with a larger incision. While both have their advantages and challenges, the laparoscopic method typically leads to faster healing and reduced discomfort post-surgery.

LINX Device Placement: In this advanced surgical approach, a ring of tiny magnetic beads is positioned at the junction between the stomach and esophagus. These beads enhance the LES's ability to act as a barrier, ensuring it stays shut to block acid reflux, yet it can briefly open for food and drink passage.

Surgical Procedures for Hiatal Hernia and GERD
Recovery and Post-operative Care

Recovery and Post-operative Care

The recuperation process after hiatal hernia and GERD surgery is well-organized. Once the procedure is completed, a brief hospitalization, usually lasting a few days, is typical for thorough observation. Over a few weeks, many patients can slowly get back to their regular routines, though with some restrictions. Starting with a liquid diet is advised, which then progresses to softer foods, eventually leading to the reintroduction of a normal diet. Following the surgeon's post-surgery advice about diet, physical exertion, and medications is crucial. Ongoing medical assessments after the surgery are vital to track its effectiveness, detect any possible issues, and confirm sustained health.

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