«Heartburn is a common problem in the Western world. Approximately 7% of the population experiences symptoms of heartburn on a daily basis. «It is likely that there is abnormal esophageal exposure to gastric juice in 20-40% of this population, which means they have GERD.»
A hiatal hernia is a condition in which the upper portion of the stomach protrudes into the chest cavity through an opening in the diaphragm called the esophageal hiatus. This opening is usually large enough to allow passage of the esophagus. With progressive weakening and widening, this opening may allow upward passage or even entrapment of the upper part of the stomach above the diaphragm.
The presence of a hiatal hernia increases the risk of having GERD (Gastro Esophageal Reflux Disease), and when GERD is treated surgically, patients who have accompanying hiatal hernia also need surgical repair for this; that is why some patients and doctors use the term hiatal hernia to refer to GERD interchangeably, even though they are two distinct problems. BUT there are many patients with GERD who do not have hiatal hernia, and many patients with hiatal hernia who do not have GERD at all. That is why we decided to add this section to complement the GERD section.
A hiatal hernia is a common condition; by age 60, up to 60% of people have it to some degree.
CLASSIFICATION OF HIATAL HERNIAS AND INCIDENCE
Type I (90%): Classic sliding hiatus hernia in which the gastroesophageal junction (GEJ) migrates into the chest through the esophageal hiatus.
Type II (9%): true paraesophageal hernia, in which the fundus of the stomach herniates into the thorax and the EGUS is in a normal position.
Type III (1%): Combination of the two previous types.
Only if your Body Mass Index (BMI) is very high. Since the liver covers the stomach and the area to be worked on, dieting for a few days before the operation will help us and you by reducing the size of the liver, so the surgery will be easier and this will lead to a faster postoperative recovery.
Yes, only for a few days, and it varies according to the patient’s ability to adapt to the procedure. The reason is mainly to allow the body to get used to the intentional anatomical change made during surgery.
No, the only difference is that you’ll be free of expensive antacid medications and those pesky reflux symptoms.
Almost always, as it considerably reduces the risk of recurrence.
You will be discharged the following morning or a maximum of 48 hours after surgery, depending on the case.
Yes, but as mentioned, with the placement of the mesh it is significantly reduced.
Yes, but it is transitory, until your body adapts to the new position of the upper part of the stomach, and if the dysphagia continues, it can be easily treated.
I will be happy to assist you personally!