|Discussion in 'All Categories' started by sandy - Aug 15th, 2011 12:29 am.|
|can't perform surgery to fix twisted stomach hiatal hernia because of heart condition --- what can be done? what will happen if not treated?|
re: twisted stomach hiatal hernia by Dr Sadhana - Aug 15th, 2011 2:12 pm
In most cases, patient experience no discomfort and no treatment is required. However, when the hiatal hernia is large, or is of the paraesophageal type, twisted, it is likely to cause esophageal stricture and discomfort. Symptomatic patients should elevate the head of their beds and avoid lying down directly after meals until treatment is rendered. If the condition has been brought on by stress, stress reduction techniques may be prescribed, or if overweight, weight loss may be indicated. Medications that reduce the lower esophageal sphincter pressure should be avoided. Antisecretory drugs like proton pump inhibitors and H2 receptor blockers can be used to reduce acid secretion.
Where hernia symptoms are severe and chronic acid reflux is involved, surgery is sometimes recommended, as chronic reflux can severely injure the esophagus and even lead to esophageal cancer.
The surgical procedure used is called Nissen fundoplication. In fundoplication, the gastric fundus (upper part) of the stomach is wrapped, or plicated, around the inferior part of the esophagus, preventing herniation of the stomach through the hiatus in the diaphragm and the reflux of gastric acid. The procedure is now commonly performed laparoscopically. With proper patient selection, laparoscopic fundoplication has low complication rates and a quick recovery.
Complications include gas bloat syndrome, dysphagia, dumping syndrome, excessive scarring, and rarely, achalasia. The procedure sometimes fails over time, requiring a second surgery to make repairs.
You need to come to World Laparoscopy Hospital so that we can evaluate your condition is suitable for laparoscopic surgery.
re: twisted stomach hiatal hernia by Starr - Nov 21st, 2011 2:15 pm
|IJWTS wow! Why can't I think of tihgns like that?|
re: twisted stomach hiatal hernia by lisa marie alexander - Jan 11th, 2013 7:23 am
lisa marie alexander
|i have a twisted hernia and nothing has been done about it as yet, im also sick in my sleep at night which scares me as i could choke and die, i suffer with terrible heartburn or acid reflux which is very uncomfortable, my tummy looks like im 7months pregnant. will this go bk to normal when the hernia is fixed?|
re: twisted stomach hiatal hernia by Twisted Hernia - Feb 1st, 2013 8:46 am
|I have had this twisted hernia for over 3yrs now and nothings been done about it, im sick in my sleep every night sometimes pouring out of my nose, im scared i will choke in my sleep and die x
You Should get your hernia repaired.
Dr JS Chowhan
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