|Discussion in 'All Categories' started by june macmillan - Jun 28th, 2012 3:53 pm.|
|i have a hiatus hernia i suffer from chest pain and back pain and shortness of breath, i often feel like my food is sitting in my throat, my doctor has advised me not to get a operation for this condition but i am in constant pain every day. i am not over weight, i do not smoke or drink, i do take emeprozole 20mg twice daily but they not helping. please can you help is there any other suggestions or should i push for this operation so i can lead a normal life again. I did have ulcers but they have now cleared up although i still do have reflux|
re: hiatus hernia by Dr J S Chowhan - Jul 1st, 2012 10:03 am
Dr J S Chowhan
We do not understand why your doctor has not advised you to go for fundoplication surgery for your hiatus hernia but it could be related to your preexisting some other disease which may be a risk factor for you for anaesthesia or surgery.
Surgery to reinforce the lower esophageal sphincter and to repair the defect of hiatus hernia is called as Nissen fundoplication. This surgery involves tightening the lower esophageal sphincter to prevent reflux by wrapping the very top of the stomach around the outside of the lower esophagus.
Surgery can be open or laparoscopic. In open surgery, the surgeon makes a long incision in your abdomen. In laparoscopic surgery, the surgeon makes three or four small incisions in the abdomen and inserts instruments, including a flexible tube with a tiny camera, through the incisions.
The main aim of fundoplication surgery is to create a barrier preventing the backup of stomach acid. Sometime if the patient is not fit for surgery a device Esophyx is inserted through the mouth into the stomach. The device is used to fold the tissue at the base of the stomach into a replacement for the sphincter valve, to keep stomach acid from washing into your esophagus.
Generally we recommend this procedure if medications are not effective or if you are not a candidate for Nissen fundoplication. It is not clear who is best suited for this treatment, and research is ongoing.
So please again consult and get an advice so that you can get a normal healthy life.
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