Free Medical Advice | Asesoramiento médico gratuito| मुफ्त चिकित्सा सलाह

hiatus hernia
Discussion in 'All Categories' started by Pawan Bajaj - Jun 10th, 2012 1:41 pm.
Pawan Bajaj
Pawan Bajaj
Burning and Choking ans indigestion - diagnosis from manometry- hypotensive Les with ineffective esophageal body motility
re: hiatus hernia by Dr J S Chowhan - Jun 12th, 2012 7:23 am
Dr J S Chowhan
Dr J S Chowhan
Dear Mr Pawan Bajaj

We will advice you that in first line management you should go for surgery.

Giving surgical advice just reading the symptom of the patient online is not an easy task but in your case in our opinion you should go for partial fundoplication. Toupet fundoplication (posterior 270°) procedure with somewhat different indications as in yours.

Anterior 90° partial fundoplication for gastroesophageal reflux (GER) is better tolerated with fewer negative effects than the laparoscopic Nissen (LN) procedure, according to the results of a prospective, randomized trial "The 360° fundoplication that was first described by Nissen continues to be most commonly performed anti-GER procedure worldwide.

These early outcomes support the continued evaluation of this technique although longer-term follow-up is needed before this procedure can be suitable for routine clinical application in patient with hypotensive lower esophageal sphincter.

In our opinion if medical treatment does not give you good advantage you should go for any of the above partial fundoplication as esophageal manometry has shown that there is hypotensive lower esophageal sphincter and there is ineffective esophageal body motility.

With regards
J.S. Chowhan
Post Reply
Name *
Email * Will be hidden from visitors
Your Picture * Limit 2Mb please
Enter verification code Simple catpcha image
* - required fields


Get Free Postoperative Advice

Laparoscopic Surgery Training

If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum

Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.

The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.

World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.

In case of any problem in asking free medical advice please contact | RSS

World Laparoscopy Hospital, Cyber City, Gurugram, NCR Delhi, 122002, India

All Inquiries

Tel: +91 124 2351555, +91 9811416838, +91 9811912768, +91 9999677788

Need Help? Chat with us
Click one of our representatives below
Hospital Representative
I'm Online