|Discussion in 'All Categories' started by vinod sharma - Dec 31st, 2012 11:40 pm.|
After endoscopy i found that there is hiatus hernia 3 cm and G. I x 4 esophagial variaces. I contacted MD medicine and he said that not to worry. and given medical treatment
One tab early in the morning before meal and one table in night after meal. felling better but most of the time i found pressure every time after meal.
Is this degree of hiatus hernia should repair through surgery or it will be okay with life style change.
re: hiatal hernia by Dr M K Gupta - Jan 2nd, 2013 4:41 am
Dr M K Gupta
|Dear Mr. Sharma
If Medicine and change in life style is keeping your symptom in control, then surgery can be avoided. Anti-reflux surgical procedures are surgery to take care of an issue with the muscles at the bottom of the esophagus (the tube from your mouth to the stomach). Difficulties with your muscles allow gastro esophageal reflux disease (GERD) to occur.
A hiatal hernia happens when the natural opening with your diaphragm from a esophagus is too large. Your diaphragm could be the muscle and tissue layer relating to the chest and belly. Your stomach may bulge through this opening into the chest. This bulging is termed a hernia. It might make GERD symptoms worse.
An operation called fundoplication is regarded as the everyday sort of anti-reflux surgery. With this procedure, your surgeon will:
First repair the hiatal hernia with stitches. The surgeon will tighten the outlet inside your diaphragm to maintain your stomach from bulging through.
Some surgeons place a piece of mesh in the repaired method to make it better.
Your surgeon will likely then use stitches to wrap the top of section of your stomach throughout the end of your esophagus. This creates pressure at the end of your esophagus helping prevent gastric acid and food from flowing back up.
Surgical treatment is done if you are under general anesthesia (asleep and pain-free). Surgery typically takes Two or three hours.
Ways your doctor may do that surgery are:
Open repair. Your surgeon will make a surgical cut in your belly area (abdomen). Sometimes the surgeon will place a tube from a stomach over the abdomen wall to keep your stomach set up. This tube will probably be removed when you not need it.
Laparoscopic repair: Your surgeon can make 3 - 5 small cuts inside your belly. Your surgeon will insert a laparoscope (a thin, hollow tube which has a tiny camera about the end) through one of these simple cuts as well as other tools through the other cuts. The laparoscope is associated with a video monitor inside the operating room which allows your surgeon to see inside your belly and correct it. The surgeon ought to exchange signal of an open procedure if you find bleeding, a lot of scarring from earlier surgeries, otherwise you have become overweight.
Endoluminal fundoplication can be a new procedure that is completed to assist prevent reflux. It uses a special camera on a flexible tool called an endoscope that is certainly passed down through your mouth and into your esophagus.
If you want thorough examination you should get one esophageal manometry and 24 hour ambulatory pH monitoring should be done.
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