Materiały źródłowe

• #1 Hiatal hernia – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hiatal-hernia/diagnosis-treatment/drc-20373385

  Most people with a hiatal hernia don’t experience any symptoms and won’t need treatment. If you experience symptoms, such as frequent heartburn and acid reflux, you may need medicine or surgery. […] Sometimes a hiatal hernia requires surgery. Surgery may help people who aren’t helped by medicines to relieve heartburn and acid reflux. Surgery also may help people who have complications such as serious inflammation or narrowing of the esophagus. […] Surgery to repair a hiatal hernia may involve pulling the stomach down into the abdomen and making the opening in the diaphragm smaller. Surgery also may involve reshaping the muscles of the lower esophagus. This helps keep the contents of the stomach from coming back up. Sometimes, hiatal hernia surgery is combined with weight-loss surgery, such as a sleeve gastrectomy.

• #2 Hiatal hernia – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hiatal-hernia/symptoms-causes/syc-20373379

  A small hiatal hernia usually doesn’t cause problems. You may never know you have one unless your healthcare team discovers it when checking for another condition. […] But a large hiatal hernia can allow food and acid to back up into your esophagus. This can cause heartburn. Self-care measures or medicines can usually relieve these symptoms. A very large hiatal hernia might need surgery.

• #3 Hiatal Hernia Treatment & Management: Medical Care, Surgical Care, Diet

  https://emedicine.medscape.com/article/178393-treatment

  When hiatal hernias are symptomatic, acid reflux usually produces the symptoms. If the hernia itself is causing chest discomfort or other symptoms, surgery may be necessary. […] When symptoms are due to GERD, the goals of treatment include prevention of reflux of gastric contents, improved esophageal clearance, and reduction in acid production. This is achieved in the majority of patients by a combination of the following: Modifying lifestyle factors, Neutralizing acid or inhibiting acid production, Enhancing esophageal and gastric motility. […] Large hiatal hernias may cause iron deficiency anemia regardless of whether Cameron ulcers are present. This anemia responds well to PPI therapy with surgery offering no clear advantage over medical therapy. […] The goal of surgery is to remove the hernia sac and close the abnormally wide esophageal hiatus.

• #4 Hiatal hernia: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001137.htm

  The goals of treatment are to relieve symptoms and prevent complications. Treatments may include: […] If medicines and lifestyle measures do not help control symptoms, you may need surgery. […] Treatment can relieve most symptoms of hiatal hernia.

• #5 Hiatus hernia | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/hiatus-hernia/

  Treatment for a sliding hiatus hernia usually focuses on relieving the symptoms of GORD, such as heartburn. […] Lifestyle changes and medication are the preferred treatments. Surgery is usually only recommended as an alternative to long-term medication or if other treatments haven’t worked. […] If a hiatus hernia isn’t causing any noticeable problems, it doesn’t usually need to be treated. […] Surgery is used to repair a para-oesophageal hiatus hernia if there’s a risk of serious complications. […] Treatment for a hiatus hernia is usually only necessary if it’s causing problems. […] In most cases, people with a hiatus hernia only experience problems if the hernia causes gastro-oesophageal reflux disease (GORD). GORD can cause symptoms such as heartburn and an unpleasant taste in your mouth.

• #6 Hiatal Hernia: Symptoms, Surgery, Treatment, and More

  https://www.healthline.com/health/hiatal-hernia

  While surgery is sometimes needed, you can also manage the condition with medication and dietary changes. […] Surgical treatment is sometimes required to repair larger hiatal hernias and treat heartburn symptoms. If your reflux symptoms can’t be managed with medication, your doctor may recommend surgery. […] While hiatal hernias can often be treated with lifestyle changes or medication, some people may need surgery to repair them. This involves tightening your diaphragm and pulling the stomach down from the chest cavity back into the abdomen. […] Common surgical options include: Hiatus hernia surgery: A surgeon will repair the diaphragm opening and pull the hernia back into your abdomen. Then, they’ll repair the hiatus to make it more narrow. […] Most cases of hiatal hernia don’t require treatment. If you have acid reflux and heartburn, you may be treated with medications or, if those don’t work, surgery.

• #7 Hiatal Hernia Treatments | Northwestern Medicine

  https://www.nm.org/conditions-and-care-areas/gastroenterology/hiatal-hernia/treatments

  When hiatal hernia symptoms are mild, they can be treated with dietary and lifestyle changes: […] Medications: Over-the-counter antacids and proton pump inhibitors can control the painful symptoms of acid reflux. […] When symptoms are severe or acid reflux is causing damage to the lining of the esophagus, surgery may be recommended. Surgery for a hiatal hernia may involve three different approaches: […] This surgery may be open (making a single, larger incision in your chest) or performed using a laparoscope (a thin, lighted tube inserted into the body through tiny incisions in the abdomen).

• #8 How to Fix a Hiatal Hernia Yourself, and When to Seek Medical Help

  https://www.healthline.com/health/how-to-fix-a-hiatal-hernia-yourself

  While there are lifestyle changes you can make to treat hiatal hernias, consider speaking with a doctor first. In some cases, you may need other treatment or surgery to remove it. […] According to a 2019 research review, one of the first steps in treating symptomatic hiatal hernia is addressing gastric acid secretion. Recommendations include: losing weight (if needed), decreasing food portion sizes, eating several smaller meals throughout the day (as opposed to a few large meals), elevating the head of your bed by 8 inches, avoiding meals 2 to 3 hours before bedtime or before lying down, avoiding or limiting trigger foods and drink such as fried foods, fatty foods, acidic foods (citrus, tomato, vinegar), spicy foods, caffeine (coffee, chocolate), alcoholic beverages, carbonated drinks, quitting smoking, taking over-the-counter (OTC) medications such as antacids, such as Gaviscon (aluminum with magnesium hydroxide) or H-blockers (such as Pepcid AC or famotidine), avoiding tight clothing that can increase the pressure on your abdomen, such as a tight belt, control top hosiery, and body shapers.

• #9 Hiatus hernia treatment options

  https://patient.info/news-and-features/hiatus-hernia-treatment-options

  Hiatus hernia is the term used to describe a condition where part of the stomach pushes up into the lower chest through a weakness in the diaphragm. […] If symptoms do occur, there are some treatments which may help. You can compare treatment options below. […] Lifestyle changes which improve symptoms of hiatus hernia include: Losing weight if overweight. Stopping smoking. Sleeping with the head of the bed raised. Avoiding excess alcohol. Avoiding tight clothing and corsets. Avoiding eating near bedtime. […] Two types of medicines are used to reduce the amount of acid the stomach makes: proton pump inhibitors – PPIs (eg, omeprazole, lansoprazole, esomeprazole) or H2-receptor antagonists. […] An operation tightens the valve at the top of the stomach, so that acid is prevented from passing back up into the gullet. This is usually done by wrapping a loop of the stomach around the lower part of the gullet. It can be done through a telescope (a laparoscopic approach) rather than using a large cut.

• #10 Hiatal Hernia: What It Is, Symptoms, Treatment & Surgery

  https://my.clevelandclinic.org/health/diseases/8098-hiatal-hernia

  A hiatal hernia happens when the top of your stomach bulges through an opening in your diaphragm. Treatment is available for hiatal hernias that cause symptoms. […] If your hiatal hernia never causes any symptoms, you might not need to treat it. But if it does, you can expect those symptoms to continue and possibly worsen. You might be able to manage mild acid reflux with medications. But if you have a more severe case, you might need surgical repair. […] Your healthcare provider will thoroughly evaluate the nature of your hernia, your reflux and your symptoms to help determine the best long-term treatment approach for you. The options are: Wait and watch. If your hernia isn’t bothering you, it might not need treatment. […] Medications can’t stop acid reflux, but they can reduce the acid content in your stomach. This makes reflux less damaging and alleviates the pain associated with it.

• #11 Hiatal Hernia: Symptoms, Causes, Diagnosis, and Treatment

  https://www.webmd.com/digestive-disorders/hiatal-hernia

  Most people dont notice symptoms of a hiatal hernia and dont need treatment. […] Your doctor will decide the best long-term treatment for you, depending on things such as the nature of your hernia, your reflux, and your symptoms. Treatment options are: […] Wait and watch. You might not need any treatment for your hernia. But your doctor may want to keep an eye on it. Your hernia might get bigger over time. […] Medications. These can’t stop your acid reflux, but they can reduce the acid content in your stomach. This makes your reflux less harmful and uncomfortable. Your doctor may suggest: Antacids to weaken your stomach acid, Proton pump inhibitors or H-2 receptor blockers to keep your stomach from making as much acid, Prokinetics to make your esophageal sphincter, the muscle that keeps stomach acid from backing up into your esophagus, stronger. They also help muscles in your esophagus work and help empty your stomach.

• #12 List of 5 Hiatal Hernia Medications Compared

  https://www.drugs.com/condition/hiatal-hernia.html

  Hiatal hernia is a condition in which a portion of the stomach protrudes upward into the chest, through an opening in the diaphragm. […] The medications listed below are related to or used in the treatment of this condition. […] Omeprazole to treat Hiatal Hernia […] Famotidine to treat Hiatal Hernia […] Lansoprazole to treat Hiatal Hernia […] Aluminum hydroxide / magnesium trisilicate to treat Hiatal Hernia.

• #13 Hiatal Hernia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562200/

  A hiatal hernia is a common condition characterized by the abnormal protrusion of the upper part of the stomach or other internal organs through the diaphragm’s hiatus. […] Treatment options for hiatal hernia range from conservative to surgical approaches, depending on symptom severity and the presence of complications. Conservative measures include dietary modifications, weight loss, and pharmacological therapy to manage reflux symptoms. Surgical repair, such as laparoscopic Nissen fundoplication, is considered for individuals with severe or refractory symptoms or complications like esophagitis or Barrett esophagus. […] The management of hiatal hernias depends on the type of hernia and the severity of the symptoms. The initial treatment given to a patient presenting with typical GERD symptoms in an outpatient setting includes a double dose of a proton pump inhibitor (PPI), which can be both therapeutic and diagnostic in that persistent symptoms often require a more extensive evaluation.

• #14 Hiatal Hernia: Symptoms, Surgery, Treatment, and More

  https://www.healthline.com/health/hiatal-hernia

  Your doctor may recommend over-the-counter (OTC) or prescription medications such as: antacids to neutralize stomach acid, H2-receptor blockers that lower acid production, proton pump inhibitors to prevent acid production, giving your esophagus time to heal. […] Changing your diet can reduce your symptoms. […] It may help to eat smaller meals several times a day instead of three large meals. You should also avoid eating meals or snacks within a few hours of going to bed. […] Many people with hiatal hernias have no symptoms and do not need medical care. But for people with more severe hernias, treatment with medication, lifestyle changes, and, in some cases, surgery may be needed to repair the hernia and provide relief from uncomfortable symptoms like heartburn and chest pain.

• #15 How to Fix a Hiatal Hernia Yourself, and When to Seek Medical Help

  https://www.healthline.com/health/how-to-fix-a-hiatal-hernia-yourself

  If lifestyle changes and home treatments aren’t helping, your doctor may recommend prescription medication or surgery. […] Prescription medication for hiatal hernias include: esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), rabeprazole (Aciphex). […] Surgery for hiatal hernias typically involves three steps. The surgeon: moves the hiatal hernia from your chest cavity back into your abdomen, repairs the valve in your esophagus where your esophagus joins your stomach, tightens the hole (hiatus) in your diaphragm. […] If home treatment is not effective, your doctor may recommend prescription medication or, in some cases, surgery.

• #16 Hiatal Hernia: Symptoms, Causes, Diagnosis, and Treatment

  https://www.webmd.com/digestive-disorders/hiatal-hernia

  Most people dont notice symptoms of a hiatal hernia and dont need treatment. […] Your doctor will decide the best long-term treatment for you, depending on things such as the nature of your hernia, your reflux, and your symptoms. Treatment options are: […] Wait and watch. You might not need any treatment for your hernia. But your doctor may want to keep an eye on it. Your hernia might get bigger over time. […] Medications. These can’t stop your acid reflux, but they can reduce the acid content in your stomach. This makes your reflux less harmful and uncomfortable. Your doctor may suggest: Antacids to weaken your stomach acid, Proton pump inhibitors or H-2 receptor blockers to keep your stomach from making as much acid, Prokinetics to make your esophageal sphincter, the muscle that keeps stomach acid from backing up into your esophagus, stronger. They also help muscles in your esophagus work and help empty your stomach.

• #17 Reddit – The heart of the internet

  https://www.reddit.com/r/HiatalHernia/comments/1izegzf/the_ultimate_guide_to_hiatal_hernia_treatment/

  While these measures help with symptom management, they do not repair the anatomical defect of the hernia. […] Medication aims to reduce stomach acid production, allowing damaged esophageal tissue to heal. Common options include: Proton Pump Inhibitors (PPIs) (Omeprazole, Lansoprazole, Pantoprazole) First-line therapy for acid suppression. H2 Receptor Blockers (Ranitidine, Famotidine) Less potent than PPIs but useful for nighttime acid control. Antacids (Calcium carbonate, magnesium hydroxide) Provide short-term relief but do not prevent reflux. […] Limitations of medication: They do not prevent the hernia from worseningthey only reduce acid-related symptoms. Long-term PPI use is linked to nutrient deficiencies (B12, iron), increased fracture risk, gut infections, and kidney disease. Up to 40% of GERD patients remain symptomatic despite taking PPIs.

• #18 Hiatal hernia: Treatment options and surgical procedures – Reflux Center Munich

  https://www.heartburn-hiatal-hernia.com/en/faq/hiatal-hernia/treatment/

  Risks and side effects of drug treatment […] In the short term, treatment with proton pump inhibitors is the therapy of choice. If, however, it becomes apparent after several attempts to omit the proton pump inhibitor, that long-term drug therapy is necessary, it must be borne in mind that this is a purely symptomatic therapy with side effects. First, this treatment does not change the reflux of food into the esophagus. Secondly, there is no acid available in the stomach for digestion. This means that the treatment creates another pathological condition. […] 3. Surgical […] Surgical reflux therapies have one major benefit: The cause of the disorders is eliminated. Minimally invasive surgery enables treatment with a minimal impact on the body. The surgery itself is divided into two steps:

• #19 Hiatal Hernia Treatment & Management: Medical Care, Surgical Care, Diet

  https://emedicine.medscape.com/article/178393-treatment

  Surgery is necessary only in the minority of patients with complications of GERD despite aggressive treatment with proton pump inhibitors (PPIs). […] By far, the majority of patients who would have undergone surgery in the past are managed successfully today with PPIs. […] Another group of patients who are surgical candidates are those with pulmonary complications, in particular, asthma, recurrent aspiration pneumonia, chronic cough, or hoarseness linked to reflux disease. […] A significant proportion of patients with this type of hernia develop incarceration of the hernia and possible gastric volvulus, which can lead to perforation. […] Because of this, many surgeons advise elective repair when the diagnosis is made. […] Three major types of surgical procedures correct gastroesophageal reflux and repair the hernia in the process.

• #20 Hiatus hernia | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/hiatus-hernia/

  Lifestyle changes and medication are the preferred treatments, although surgery may be used as an alternative to long-term medication, or if other treatments are ineffective. […] Surgery is usually only recommended for a sliding hiatus hernia (hernias that move up and down, in and out of the chest area) if the problem fails to respond to lifestyle changes and medication. […] You may also want to consider surgery if you have persistent and troublesome symptoms, but don’t want to take medication on a long-term basis. […] A procedure called a laparoscopic nissen fundoplication (LNF) is one of the most common surgical techniques used to treat GORD and sliding hiatus hernias. […] During LNF, the stomach is put back into the correct position and the diaphragm around the lower part of the oesophagus is tightened. This should prevent any acid moving back out of your stomach. […] If you have a para-oesophageal hiatus hernia, where the stomach pushes up through the hole in the diaphragm next to the oesophagus, surgery may be recommended to reduce the risk of the hernia becoming strangulated.

• #21 Hiatus hernia – Symptoms, diagnosis and treatment | BMJ Best Practice

  https://bestpractice.bmj.com/topics/en-gb/735

  Hiatus hernia may be asymptomatic or may present with heartburn, dysphagia, odynophagia, hoarseness, asthma, shortness of breath, chest pain, anaemia or haematemesis, or a combination of these. […] The necessity for, and type of treatment, depends on the patient’s symptoms and the anatomical configuration of the hernia. […] Uncomplicated sliding hiatus hernias are treated symptomatically with medical therapy, although some patients may select surgical therapy. Complicated hiatus hernias (those with bleeding, volvulus, or obstruction) have a stronger indication for surgical repair. […] INITIAL upper gastrointestinal haemorrhage and/or obstruction and/or volvulus […] ACUTE symptomatic gastro-oesophageal reflux disease (GORD) […] ONGOING type I refractory to medical therapy or patient prefers surgery […] types II, III, and IV.

• #22 Hiatal hernia surgery: Procedure, recovery, and outlook

  https://www.medicalnewstoday.com/articles/321370

  A hiatal hernia occurs when part of the stomach moves upward into the chest. A person may need surgery if the hernia causes severe symptoms or is likely to cause complications. Various surgical options are available. […] Not everyone with a hiatal hernia requires surgery. Many people may be able to treat the condition with medication or lifestyle changes. However, there is a range of procedures available for those who need surgery, the most common being the Nissen fundoplication. […] A doctor may recommend surgery if the symptoms are severe and interfere with quality of life. […] There are three types of surgery for a hiatal hernia: Nissen fundoplication, open repairs, and endoluminal fundoplication. […] A Nissen fundoplication is a common surgery for a hiatal hernia. This procedure involves laparoscopic repair or keyhole surgery.

• #23 Paraesophageal Hernia (Hiatal Hernia) | Minimally Invasive and Gastrointestinal Surgery | Medical College of Wisconsin

  https://www.mcw.edu/departments/surgery/divisions/minimally-invasive-and-gastrointestinal-surgery/patient-care/gerd-and-gastrointestinal-surgery-program/paraesophageal-hernia-hiatal-hernia

  Hiatal hernias are known to contribute to GERD. When diet, lifestyle modifications (lose weight, dont eat late at night, sleep upright), and acid reduction medications fail to adequately control symptoms, hiatal hernia repair may be indicated. […] In general, all paraesophageal hernias causing symptoms should be repaired. […] Many patients (but not all) with paraesophageal hernias may also suffer from gastroesophageal reflux disease symptoms. GERD by itself is not a reason to repair a paraesophageal hernia. GERD is first treated with medications, and surgery is reserved for those who fail medical management. […] Almost all paraesophageal hernias can successfully and safely be repaired laparoscopically (with about 5 very small incisions) and through the abdomen (rather than the chest cavity).

• #24 Hiatus hernia | healthdirect

  https://www.healthdirect.gov.au/hiatus-hernia

  A hiatus hernia is when a part of the stomach pushes up through a gap in your diaphragm, moving into the space in your chest. […] Treatment options may include medicines, lifestyle changes and surgery, if symptoms are severe. […] See your doctor if your symptoms are getting worse, over-the-counter medicines aren’t helping or you are vomiting frequently. […] The treatment depends on the type of hernia and whether your symptoms are significant. […] Treatments may include: Medicines such as proton pump inhibitors (PPIs), that are used to reduce the amount of stomach acid produced. These are often the first treatment for symptoms of GORD. […] Surgery you may need surgery if medicines don’t help or if there is damage to your oesophagus. There are different types of surgery, including anti-reflux surgery or a large hiatus hernia surgery.

• #25 Treatment of Older Patients With Hiatal Hernia

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3088843/

  Hiatal hernia occurs more commonly among older patients than among younger adults. It is believed that the size of the hiatal hernia increases as patients age. […] I believe that the best treatment option is proton pump inhibitor (PPI) therapy, as it has been shown to be easy and safe in older patients. Endoscopic therapy should not be recommended at this time without positive long-term data from sham-controlled trials. […] Laparoscopic antireflux surgery is effective in reducing a type 1 sliding hiatal hernia, but PPIs should be tried first. […] It is reasonable to perform laparoscopic repair for a type 3 paraesophageal hernia in a relatively healthy older individual if the surgical expertise is available. However, close observation can be a reasonable approach in patients without complicated symptoms. […] It is very important to recognize the signs of impending strangulation in a patient with paraesophageal hernia to surgically correct it and avert a life-threatening situation.

• #26 Hiatal hernia – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hiatal-hernia/diagnosis-treatment/drc-20373385

  Surgery may be performed using a single incision in the chest wall, called a thoracotomy. Surgery also may be performed using a technique called laparoscopy. In laparoscopic surgery, a surgeon inserts a tiny camera and special tools through several small incisions in the abdomen. The operation is then performed by a surgeon who views images from inside the body that are displayed on a video monitor.

• #27 Hiatal hernia surgery: Procedure, recovery, and outlook

  https://www.medicalnewstoday.com/articles/321370

  A hiatal hernia occurs when part of the stomach moves upward into the chest. A person may need surgery if the hernia causes severe symptoms or is likely to cause complications. Various surgical options are available. […] Not everyone with a hiatal hernia requires surgery. Many people may be able to treat the condition with medication or lifestyle changes. However, there is a range of procedures available for those who need surgery, the most common being the Nissen fundoplication. […] A doctor may recommend surgery if the symptoms are severe and interfere with quality of life. […] There are three types of surgery for a hiatal hernia: Nissen fundoplication, open repairs, and endoluminal fundoplication. […] A Nissen fundoplication is a common surgery for a hiatal hernia. This procedure involves laparoscopic repair or keyhole surgery.

• #28 Hiatal Hernia Treatment & Management: Medical Care, Surgical Care, Diet

  https://emedicine.medscape.com/article/178393-treatment

  These procedures offer relief of symptoms in 80-90% of patients. […] A systematic review and meta-analysis of 4 trials comprising 406 patients found comparable results and outcomes between suture cruroplasty and prosthetic hiatal herniorrhaphy for large hiatal hernia closure. […] In another systematic study and meta-analysis of mesh (n=673) versus suture (n=521) cruroplasty during laparoscopic large hiatal hernia repair, data from 13 studies consisting of 1194 patients showed symptomatic improvement in most studies, with fewer odds of recurrence but not need for reoperation with mesh cruroplasty. […] Good long-term results have been reported for antireflux surgery, with adequate control of reflux in the range of 80% at 10 years. […] The Nissen fundoplication performed laparoscopically has gained popularity because of its lower morbidity and shorter hospital stay compared to the open procedure performed previously.

• #29 Hiatal Hernia Treatment: 4 Options

  https://www.verywellhealth.com/treating-hiatal-hernias-1742603

  Surgery is also considered for sliding hernias if it’s associated with GERD. […] Either a transthoracic („open”) or transabdominal (laparoscopic, or „keyhole”) surgery may be used to repair a paraesophageal hernia. […] Nissen fundoplication is performed laparoscopically. The aim of the surgery is to tightly wrap the upper part of the stomach (called the fundus) around the esophagus and secure it in place with stitches or staples so that it’s held upright and supported. […] If performed correctly, fundoplication can realign the LES into a position where it functions normally. […] Nissen fundoplication is considered safe and effective. It has less than 1% risk of mortality and an efficacy rate of 89.5% over 10 years. […] For a more severe case, known as paraesophageal hernia, surgery may be needed to prevent serious complications.

• #30 Hiatus hernia: a comprehensive guide for patients | A/Prof Santosh Sanagapalli

  https://www.drsantosh.com.au/hiatus-hernia

  Para-oesophageal hernia with obstruction leading to difficulty swallowing, pain and vomiting. […] Nowadays, hiatus hernia surgical repair is usually performed via laparoscopy (keyhole surgery). This results in a quicker recovery time. Nevertheless, there are always risks of complications with any surgery, and particular to this operation there are risk of post-operative swallowing difficulty, abdominal bloating, damage to the oesophagus, nerves supplying the stomach, and injury to the spleen. Therefore, the decision to undertake surgery should not be taken lightly, and such patients should be first assessed by an oesophageal specialist to ensure that they are likely to benefit from surgery.

• #31

• #32 Hiatal Hernia: Symptoms, Causes, Diagnosis, and Treatment

  https://www.webmd.com/digestive-disorders/hiatal-hernia

  Surgery. You might need a minor surgical procedure to repair your hiatal hernia. […] Hiatal hernia surgery has a 90% success rate. You’ll likely be able to stop medications and have no more acid reflux after hiatal hernia surgery. […] Treatment for your hiatal hernia depends on your overall condition and the type of hiatal hernia you have.

• #33 Hiatal hernia surgery: Procedure, recovery, and outlook

  https://www.medicalnewstoday.com/articles/321370

  A person may soon feel well again, but may find that they tire easily. […] In the weeks after surgery, the National Health Service (NHS) in the United Kingdom recommends avoiding any heavy lifting for 2-3 weeks, avoiding driving for 7-10 days, returning to work within 2-3 weeks, or whenever a person feels well enough, and taking pain relief medications for several days after surgery to minimize discomfort. […] A Nissen fundoplication is usually very effective at relieving symptoms of GERD. […] The NHS estimates that 80%-85% of people will continue to have relief from symptoms 10 years after surgery. […] While surgery can often be an effective treatment for a hiatal hernia that causes severe symptoms, people with mild symptoms may find relief using medications or home treatments. […] People may be able to treat heartburn and acid reflux with antacids, H2 receptor blockers, and proton pump inhibitors (PPIs).

• #34 Reddit – The heart of the internet

  https://www.reddit.com/r/HiatalHernia/comments/1izegzf/the_ultimate_guide_to_hiatal_hernia_treatment/

  When conservative treatment fails, surgery is the only option to correct the hernia itself. Most procedures are performed laparoscopically, ensuring a short recovery time. […] Standard surgical option for GERD + hiatal hernia. Involves wrapping the stomach around the esophagus to reinforce the valve. […] Most effective at preventing reflux (~90% success rate). Allows most patients to stop PPIs after surgery. Alters stomach anatomy permanently. Potential side effects: Temporary swallowing difficulties (dysphagia). Bloating and gas-trapping syndrome (patients may struggle to burp or vomit). Reflux recurrence (~10-30%) over time. […] Lower risk of swallowing difficulties and bloating. Patients can burp/vomit more easily than with Nissen. May be slightly less effective at preventing reflux than Nissen. […] A well-performed Nissen or LINX has the lowest recurrence rates when combined with proper post-op care. […] Surgery offers the only permanent fix for hiatal hernias, but every case is unique. Discuss with a specialist to choose the best option for your situation!

• #35 Hiatal hernia surgery: Procedure, recovery, and outlook

  https://www.medicalnewstoday.com/articles/321370

  Laparoscopic repair has some advantages over other types of hiatal hernia surgeries. These include less risk of infection, pain, scarring, time in the hospital, and recovery time, usually. […] Open surgery involves making a larger incision in the abdomen so that the surgeon can fix the hernia. […] This procedure usually carries more risks than laparoscopic repair. […] This procedure is even less invasive than laparoscopic repair, though it is uncommon. […] The TIF procedure is another nonsurgical alternative to address a hiatal hernia and reflux. […] A 2020 research review of the history of the procedure noted that the TIF 2.0 is often one of the most popular treatments. […] Another type of endoscopic fundoplication is the MUSE procedure. […] After laparoscopic surgery, most people usually do not experience much pain, but they may feel discomfort in their abdomen and chest and have difficulty swallowing for a short time.

• #36 Hiatal Hernia: Treatment Options

  https://www.health.com/hiatal-hernia-treatment-8302968

  When lifestyle modifications and medications are not enough to treat your symptoms, your healthcare provider may recommend surgery. Of the two types of hernias, paraesophageal hernias often require surgical repair because they pose a higher risk of complications. […] A Nissen fundoplication is the most common surgical procedure for treating hiatal hernias. This surgery is a minimally invasive procedure meaning that your surgeon doesn’t need to make large cuts into your skin to treat the hernia. […] Hiatal hernia repair surgery involves placing the stomach back into its proper position and reducing the size of the diaphragm’s opening. […] Collis-Nissen gastroplasty is a type of hiatal hernia surgery that lengthens the esophagus and tightens the lower esophageal sphincter (LES). This helps prevent stomach acid from leaking into the esophagus.

• #37 Hiatal Hernia | Columbia Surgery

  https://columbiasurgery.org/conditions-and-treatments/hiatal-hernia

  Hiatal hernias require repair for two main reasons: […] If surgical treatment is required, our surgeons nearly always use minimally invasive anti-reflux techniques, including laparoscopy and endoscopy, with the type of procedure used depending upon the amount of stomach that has migrated through the diaphragm into the chest. GERD medications are not necessary after surgery. […] An early-stage hiatal hernia may be repaired by decreasing the size of the enlarged hiatus (the opening in the diaphragm through which the esophagus travels on its way to the stomach). This is accomplished by means of sutures and a prosthetic mesh to reinforce the diaphragm tissue. […] To repair and prevent a sliding hiatal hernia, Nissen fundoplication involves wrapping of the fundus (upper part) of the stomach around the bottom portion of the esophagus to create a bulge of tissue that holds the stomach in place below the diaphragmatic hiatus. Nissen fundoplication also reinforces the lower esophageal sphincter and alleviates reflux when it is present. […] In Collis-Nissen gastroplasty, the surgeon uses the upper portion of the stomach to extend the esophagus and ease this tension. Our team routinely uses minimally invasive laparoscopy to perform this procedure, which was traditionally performed through a major chest incision.

• #38 Hiatal Hernia Treatment & Management: Medical Care, Surgical Care, Diet

  https://emedicine.medscape.com/article/178393-treatment

  This procedure involves a 360 fundic wrap around the gastroesophageal junction. The diaphragmatic hiatus also is repaired. […] Magnetic sphincter augmentation (MSA) is an innovative surgical procedure in which a small, flexible band of magnetic titanium beads is implanted around the esophagus laparoscopically. […] MSA has been shown to be effective to control GERD symptoms and to reduce esophageal acid exposure.

• #39 Overcoming GERD and Hiatal Hernia – Capital Surgeons Group

  https://capitalsurgeons.com/gerd-hiatal-hernia-linx/

  Capital Surgeons Group offers a range of surgical treatment options for GERD, including daVinci robotic surgery for hiatal hernia repair and the LINX procedure. […] The daVinci system is a state-of-the-art surgical technology that allows for greater precision, control, and visualization during the surgery. […] The LINX procedure is a minimally invasive surgical treatment for GERD. It involves placing a small, flexible ring of magnetic beads around the lower esophageal sphincter (LES), the muscle that controls the flow of food and acid between the esophagus and stomach. […] Fundoplication is another surgical treatment option for GERD that involves wrapping the upper part of the stomach around the lower esophageal sphincter (LES) to strengthen it and prevent the reflux of stomach acid into the esophagus. […] GERD surgery, including daVinci robotic surgery for hiatal hernia repair and the LINX procedure, offers several benefits to patients struggling with chronic GERD symptoms, including improved quality of life, elimination or reduction of medications, and long-term relief from chronic GERD symptoms.

• #40 Hiatal hernia surgery: Procedure, recovery, and outlook

  https://www.medicalnewstoday.com/articles/321370

  Laparoscopic repair has some advantages over other types of hiatal hernia surgeries. These include less risk of infection, pain, scarring, time in the hospital, and recovery time, usually. […] Open surgery involves making a larger incision in the abdomen so that the surgeon can fix the hernia. […] This procedure usually carries more risks than laparoscopic repair. […] This procedure is even less invasive than laparoscopic repair, though it is uncommon. […] The TIF procedure is another nonsurgical alternative to address a hiatal hernia and reflux. […] A 2020 research review of the history of the procedure noted that the TIF 2.0 is often one of the most popular treatments. […] Another type of endoscopic fundoplication is the MUSE procedure. […] After laparoscopic surgery, most people usually do not experience much pain, but they may feel discomfort in their abdomen and chest and have difficulty swallowing for a short time.

• #41 Hiatus Hernia | Treatment For Hiatus Hernia

  https://drrehanhaidry.com/hiatus-hernia/

  TIF is a minimally invasive advanced endoscopy procedure which creates a new anti reflux valve to prevent stomach contents leaking up. […] The join between the bottom of the food pipe and stomach created during the TIF procedure is associated with less side-effects, so for instance the patient can still belch (cTIF patients experience less gas/bloating) and vomit. There is a much lower risk of swallowing issues after cTIF compared with traditional hiatus hernia surgery.

• #42 Hiatal Hernia Treatment & Management: Medical Care, Surgical Care, Diet

  https://emedicine.medscape.com/article/178393-treatment

  These procedures offer relief of symptoms in 80-90% of patients. […] A systematic review and meta-analysis of 4 trials comprising 406 patients found comparable results and outcomes between suture cruroplasty and prosthetic hiatal herniorrhaphy for large hiatal hernia closure. […] In another systematic study and meta-analysis of mesh (n=673) versus suture (n=521) cruroplasty during laparoscopic large hiatal hernia repair, data from 13 studies consisting of 1194 patients showed symptomatic improvement in most studies, with fewer odds of recurrence but not need for reoperation with mesh cruroplasty. […] Good long-term results have been reported for antireflux surgery, with adequate control of reflux in the range of 80% at 10 years. […] The Nissen fundoplication performed laparoscopically has gained popularity because of its lower morbidity and shorter hospital stay compared to the open procedure performed previously.

• #43 Which hiatal hernia’s need to be fixed? Large, small or none? – Dunn – Annals of Laparoscopic and Endoscopic Surgery

  https://ales.amegroups.org/article/view/5885/html

  In recent years, however, some studies have found that the risk of catastrophic complications is much lower than these initial estimates. This has reignited the debate on the need to operate on asymptomatic or minimally symptomatic paraesophageal hernias. […] The surgical management of hiatal hernia has evolved from open (transthoracic, transabdominal) procedures to laparoscopic procedures. Laparoscopy is now favored for its reduced morbidity, shorter hospital stay, and decreased pain medication requirements. Regardless of the approach, the aim of surgery is reduction of the hernia sac and tension-free closure of the hiatal defect, paired with an anti-reflux procedure. […] An ideal research study to compare the risks and benefits of repair versus observation of symptomatic PEH would be a randomized controlled trial. However, this data is lacking given that symptomatic hernias are already routinely repaired by most surgeons.

• #44 Hiatal Hernia Repair | Baylor Medicine

  https://www.bcm.edu/healthcare/specialties/the-lung-institute/thoracic-surgery/hiatal-hernia-repair

  Depending on the size of your hernia, your surgeon will discuss with you the most appropriate approach to fix your hiatal hernia. Many patients are able to have their hernia repaired through minimally invasive surgery, also called laparoscopic or robotic laparoscopic surgery, which offers a faster, less painful recovery. […] Hiatal hernia surgery is often combined with other surgeries to address GERD symptoms, such as LINX or Fundoplication. […] Recovery from hiatal hernia surgery usually takes four to six weeks, but many patients feel better very quickly after surgery and can even return to work in one to two weeks.

• #45 Paraesophageal Hernia (Hiatal Hernia) | Minimally Invasive and Gastrointestinal Surgery | Medical College of Wisconsin

  https://www.mcw.edu/departments/surgery/divisions/minimally-invasive-and-gastrointestinal-surgery/patient-care/gerd-and-gastrointestinal-surgery-program/paraesophageal-hernia-hiatal-hernia

  In the hands of experienced surgeons, the results of laparoscopic paraesophageal hernia repair are excellent. A minimally invasive laparoscopic approach results in significantly fewer complications than an open abdominal approach (many small incisions instead of one large incision in an open approach). Most patients are in the hospital for only 1-2 days and are back to their usual activities within 4 weeks. […] For a more detailed discussion about the options, risks, and outcomes of paraesophageal hernia repair, and to determine if a patient is a candidate for a laparoscopic repair, please make an appointment with a fellowship trained minimally invasive gastrointestinal surgeon in the Division of Minimally Invasive and Gastrointestinal Surgery at the Medical College of Wisconsin.

• #46 Hiatal hernia surgery: Procedure, recovery, and outlook

  https://www.medicalnewstoday.com/articles/321370

  A person may soon feel well again, but may find that they tire easily. […] In the weeks after surgery, the National Health Service (NHS) in the United Kingdom recommends avoiding any heavy lifting for 2-3 weeks, avoiding driving for 7-10 days, returning to work within 2-3 weeks, or whenever a person feels well enough, and taking pain relief medications for several days after surgery to minimize discomfort. […] A Nissen fundoplication is usually very effective at relieving symptoms of GERD. […] The NHS estimates that 80%-85% of people will continue to have relief from symptoms 10 years after surgery. […] While surgery can often be an effective treatment for a hiatal hernia that causes severe symptoms, people with mild symptoms may find relief using medications or home treatments. […] People may be able to treat heartburn and acid reflux with antacids, H2 receptor blockers, and proton pump inhibitors (PPIs).

• #47

• #48 Hiatus hernia

  https://www.nhs.uk/conditions/hiatus-hernia/

  If medicines from a pharmacy and changing your eating habits do not help, a GP can prescribe stronger medicines. […] A GP might refer you to a specialist to check if you need surgery. This usually only happens if other treatments have not worked and you keep having very bad symptoms. […] Keyhole surgery (also called a laparoscopy) is usually used for a hiatus hernia. This involves making small cuts in your tummy. […] After surgery, it can take up to 6 weeks before you can eat what you want and a few months to recover from things like bloating, farting and difficulty swallowing. […] There’s a chance that you may need more surgery.

• #49 Hiatal Hernia

  https://www.rwjbh.org/treatment-care/surgery/thoracic-surgery/thoracic-diseases-and-conditions/hiatal-hernia/

• #50 Hiatal Hernia: What It Is, Symptoms, Treatment & Surgery

  https://my.clevelandclinic.org/health/diseases/8098-hiatal-hernia

  Healthcare providers recommend hernia repair surgery when: Your hernia causes symptoms or complications that medications can’t prevent. […] Hiatal hernia surgery repairs the hernia and reflux by: Pulling your stomach and lower esophagus back under your diaphragm. Closing the hole in your diaphragm where the hernia came through. Tightening the junction between your stomach and your esophagus. […] Hiatal hernia surgery has a 90% success rate. Most people are able to discontinue medications and enjoy life free of acid reflux after hiatal hernia surgery. […] Fortunately, both acid reflux and hiatal hernias are treatable. The treatment you need will depend on your hernia’s nature and symptoms. In many cases, medication and lifestyle changes are enough to manage acid reflux. In more severe cases, you may need surgery to repair the hernia. This surgery is very effective.

• #51 Hiatal hernia surgery: Procedure, recovery, and outlook

  https://www.medicalnewstoday.com/articles/321370

  A person may soon feel well again, but may find that they tire easily. […] In the weeks after surgery, the National Health Service (NHS) in the United Kingdom recommends avoiding any heavy lifting for 2-3 weeks, avoiding driving for 7-10 days, returning to work within 2-3 weeks, or whenever a person feels well enough, and taking pain relief medications for several days after surgery to minimize discomfort. […] A Nissen fundoplication is usually very effective at relieving symptoms of GERD. […] The NHS estimates that 80%-85% of people will continue to have relief from symptoms 10 years after surgery. […] While surgery can often be an effective treatment for a hiatal hernia that causes severe symptoms, people with mild symptoms may find relief using medications or home treatments. […] People may be able to treat heartburn and acid reflux with antacids, H2 receptor blockers, and proton pump inhibitors (PPIs).

• #52 Surgery for large hiatus hernia | healthdirect

  https://www.healthdirect.gov.au/surgery/surgery-for-large-hiatus-hernia

  Your surgeon will usually wrap and stitch the top part of your stomach around your lower oesophagus. This strengthens the repair and, if acid reflux is a problem, it may reduce the symptoms. […] If you smoke, stopping smoking now may reduce your risk of developing complications and will improve your long-term health. […] You should make a full recovery, with the symptoms of acid reflux gone or much improved. You should be able to eat and drink normally without feeling sick.

• #53 Hiatus Hernias | Sliding, Rolling | Treatment – RefluxUK

  https://refluxuk.com/diagnosis/hiatus-hernia

  Mr Boyle recommended an endoscopy, this showed I had a sliding hiatus hernia Jan – West Sussex […] When a hiatus hernia evolves most people will develop reflux although they can be asymptomatic. Hiatus hernias are probably the main cause of GORD as they cause failure of the LOS. […] A hiatus hernia is a degenerative bio-mechanical failure. Once this is understood it is clear that life-style changes and medications can only control symptoms and cannot solve the fundamental anatomical problem. […] In the presence of a hiatus hernia we would advise that LINX or fundoplication is more likely to achieve a good result in terms of reduced reflux symptoms than other interventions. […] After anti-reflux surgery hiatus hernias have a tendency to recur in some people. Indeed, after fundoplication at 5 years 25-50% of patients will have recurrent symptoms requiring PPIs and about 10% of patients will need to undergo revisional surgery.

• #54 Reddit – The heart of the internet

  https://www.reddit.com/r/HiatalHernia/comments/1izegzf/the_ultimate_guide_to_hiatal_hernia_treatment/

  While these measures help with symptom management, they do not repair the anatomical defect of the hernia. […] Medication aims to reduce stomach acid production, allowing damaged esophageal tissue to heal. Common options include: Proton Pump Inhibitors (PPIs) (Omeprazole, Lansoprazole, Pantoprazole) First-line therapy for acid suppression. H2 Receptor Blockers (Ranitidine, Famotidine) Less potent than PPIs but useful for nighttime acid control. Antacids (Calcium carbonate, magnesium hydroxide) Provide short-term relief but do not prevent reflux. […] Limitations of medication: They do not prevent the hernia from worseningthey only reduce acid-related symptoms. Long-term PPI use is linked to nutrient deficiencies (B12, iron), increased fracture risk, gut infections, and kidney disease. Up to 40% of GERD patients remain symptomatic despite taking PPIs.

• #55 Surgery for large hiatus hernia | healthdirect

  https://www.healthdirect.gov.au/surgery/surgery-for-large-hiatus-hernia

  Your surgeon will usually wrap and stitch the top part of your stomach around your lower oesophagus. This strengthens the repair and, if acid reflux is a problem, it may reduce the symptoms. […] If you smoke, stopping smoking now may reduce your risk of developing complications and will improve your long-term health. […] You should make a full recovery, with the symptoms of acid reflux gone or much improved. You should be able to eat and drink normally without feeling sick.

• #56 Hiatus hernia treatment options

  https://patient.info/news-and-features/hiatus-hernia-treatment-options

  PPIs are the most effective medical treatment for symptoms of hiatus hernia and usually work very well. These medicines do not cure the hiatus hernia, but they do help the symptoms. […] The operation is effective and cures the hiatus hernia as well as the symptoms. The operation is successful in 85-95 out of 100 cases, but depends on individual factors. […] For people with troublesome symptoms of hiatus hernia. […] This treats the problem itself (the hiatus hernia) rather than the symptoms (of acid reflux). You dont have to take tablets every day. […] It may not be effective on its own and medicines may still be needed. […] As with any operation, there are risks attached. Possible complications include problems with bloating and difficulty swallowing, bleeding, and problems with the anaesthetic. There is a small risk of very serious complications or even death.

• #57 Hiatus hernia: a comprehensive guide for patients | A/Prof Santosh Sanagapalli

  https://www.drsantosh.com.au/hiatus-hernia

  Para-oesophageal hernia with obstruction leading to difficulty swallowing, pain and vomiting. […] Nowadays, hiatus hernia surgical repair is usually performed via laparoscopy (keyhole surgery). This results in a quicker recovery time. Nevertheless, there are always risks of complications with any surgery, and particular to this operation there are risk of post-operative swallowing difficulty, abdominal bloating, damage to the oesophagus, nerves supplying the stomach, and injury to the spleen. Therefore, the decision to undertake surgery should not be taken lightly, and such patients should be first assessed by an oesophageal specialist to ensure that they are likely to benefit from surgery.

• #58 Hiatal Hernia | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions/h/hiatal-hernia.html

  Treatment will depend on your symptoms, age, and general health. It will also depend on how bad the condition is. […] In most cases, you wont need treatment. But you may need medical care if your hernia: […] Your healthcare provider may suggest medicines to: […] In severe cases, surgery may also be needed to:

• #59 What Is a Hiatal Hernia? Symptoms, Causes, Diagnosis, Treatment, and Prevention

  https://www.everydayhealth.com/hiatal-hernia/guide/

  Sometimes a hiatal hernia doesn’t cause any problems at all and doesn’t require any treatment. […] Self-care measures and medication to treat your symptoms are usually enough to deal with a hiatal hernia if your symptoms are relatively mild. But if your symptoms are severe, you may require surgery to help resolve them. […] Treating a hiatal hernia can involve lifestyle changes, medication, or surgery. Your doctor will consider a number of factors when deciding on the best course of treatment, including your general health, how large your hernia is, and the severity of your symptoms. […] Recommended lifestyle changes are generally aimed at reducing symptoms of GERD and may include losing weight, avoiding acidic, fried, or fatty foods, and quitting smoking. […] Surgery may also be needed if you have a strangulated hernia or severe GERD that isn’t responding well to lifestyle measures and medication. Emergency surgery is needed for a strangulated hiatal hernia, where your stomach is being squeezed so tightly that its blood supply is cut off.

• #60 Hiatus hernia: a comprehensive guide for patients | A/Prof Santosh Sanagapalli

  https://www.drsantosh.com.au/hiatus-hernia

  Since hiatus hernia is not of itself a dangerous condition, the treatment of hiatus hernia is entirely dependent on the symptoms it is producing: […] Treatment is directed at the reflux, including dietary and lifestyle modification, weight loss and medications. In general, the management of patients with hiatus hernia and reflux is largely the same as those with reflux in the absence of hiatus hernia. However, in the presence of a hiatus hernia, especially a large one, there may be greater benefit from anti-reflux surgery. […] If mild symptoms of swallowing difficulty, then patient can compensate by altering the diet to avoid hard, chunky foods. However in most cases, such symptoms can only be relieved by surgery to repair the hernia. […] It is important to be aware that the majority of patients with hiatus hernia do not require surgery. Surgery is usually considered in the following situations: Significant reflux symptoms that are not responsive to diet, lifestyle modifications or medication; or where the patient is intolerant of medications

• #61 Hiatal Hernia 101: A Beginner’s Guide From Our Experts

  https://hospitalcmq.com/blog/hiatal-hernia/

  Hiatal hernia is a gastrointestinal condition that can significantly affect the quality of life of those who suffer from it. […] In addition, our medical team, composed of experts in general surgery and gastroenterology, works closely together from the very beginning of your visit. This approach is not only essential to understanding your hiatal hernia symptoms but also lays the foundation for an effective treatment plan tailored to your needs. […] Our experts emphasize that a hiatal hernia without symptoms does not require treatment. However, treatment for a hernia will depend on the severity of your symptoms. Our doctors will first try to treat your symptoms with medication and lifestyle changes. However, if this does not work and your symptoms persist or worsen, surgical intervention is recommended.

• #62 Treatment of Older Patients With Hiatal Hernia

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3088843/

  Hiatal hernia occurs more commonly among older patients than among younger adults. It is believed that the size of the hiatal hernia increases as patients age. […] I believe that the best treatment option is proton pump inhibitor (PPI) therapy, as it has been shown to be easy and safe in older patients. Endoscopic therapy should not be recommended at this time without positive long-term data from sham-controlled trials. […] Laparoscopic antireflux surgery is effective in reducing a type 1 sliding hiatal hernia, but PPIs should be tried first. […] It is reasonable to perform laparoscopic repair for a type 3 paraesophageal hernia in a relatively healthy older individual if the surgical expertise is available. However, close observation can be a reasonable approach in patients without complicated symptoms. […] It is very important to recognize the signs of impending strangulation in a patient with paraesophageal hernia to surgically correct it and avert a life-threatening situation.

• #63 Hiatal hernia – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hiatal-hernia/diagnosis-treatment/drc-20373385

  Most people with a hiatal hernia don’t experience any symptoms and won’t need treatment. If you experience symptoms, such as frequent heartburn and acid reflux, you may need medicine or surgery. […] Sometimes a hiatal hernia requires surgery. Surgery may help people who aren’t helped by medicines to relieve heartburn and acid reflux. Surgery also may help people who have complications such as serious inflammation or narrowing of the esophagus. […] Surgery to repair a hiatal hernia may involve pulling the stomach down into the abdomen and making the opening in the diaphragm smaller. Surgery also may involve reshaping the muscles of the lower esophagus. This helps keep the contents of the stomach from coming back up. Sometimes, hiatal hernia surgery is combined with weight-loss surgery, such as a sleeve gastrectomy.

• #64 Gastroesophageal Reflux Disease (GERD) and Hiatal Hernia | Duke Health

  https://www.dukehealth.org/treatments/digestive-disorders/esophagus-disorders

  Once the cause is diagnosed, your gastroenterologist may recommend a minimally invasive treatment to give you relief. […] A surgical procedure can repair these hernias and offer symptom relief. […] As a comprehensive center, we offer several procedures to treat GERD, hiatal hernia, and paraesophageal hernia. […] In this standard surgical treatment of GERD, your surgeon wraps part or all of the stomach around the lower esophagus to strengthen the muscle and stop the acid reflux. […] During this minimally invasive procedure, your surgeon wraps a ring of magnetic titanium beads around the lower esophageal muscle to prevent the contents of your stomach from refluxing into your esophagus. […] Small instruments are passed through an endoscope, which is inserted in your mouth to reach your stomach. […] If you experience GERD caused by obesity, gastric bypass surgery can bring relief by moving much of the acid-producing portion of the stomach away from the esophagus. […] We are constantly looking for newer, less invasive options to give people freedom from chronic reflux.

• #65 What Is a Hiatal Hernia? Symptoms, Causes, Diagnosis, Treatment, and Prevention

  https://www.everydayhealth.com/hiatal-hernia/guide/

  Sometimes a hiatal hernia doesn’t cause any problems at all and doesn’t require any treatment. […] Self-care measures and medication to treat your symptoms are usually enough to deal with a hiatal hernia if your symptoms are relatively mild. But if your symptoms are severe, you may require surgery to help resolve them. […] Treating a hiatal hernia can involve lifestyle changes, medication, or surgery. Your doctor will consider a number of factors when deciding on the best course of treatment, including your general health, how large your hernia is, and the severity of your symptoms. […] Recommended lifestyle changes are generally aimed at reducing symptoms of GERD and may include losing weight, avoiding acidic, fried, or fatty foods, and quitting smoking. […] Surgery may also be needed if you have a strangulated hernia or severe GERD that isn’t responding well to lifestyle measures and medication. Emergency surgery is needed for a strangulated hiatal hernia, where your stomach is being squeezed so tightly that its blood supply is cut off.

• #66 Hiatal Hernia 101: A Beginner’s Guide From Our Experts

  https://hospitalcmq.com/blog/hiatal-hernia/

• #67 Hiatal Hernia: Treatment Options

  https://www.health.com/hiatal-hernia-treatment-8302968

  Treating a hiatal hernia can help prevent complications, such as esophagitis (narrowed esophagus), difficulty breathing if the hernia becomes large enough to press on the diaphragm, or reduced blood supply to the herniated portion of the stomach. […] Fortunately, several treatment options can reduce symptoms. Lifestyle modifications and medications are the first-line treatments for hiatal hernia. If these treatments are ineffective or in cases of complications or large hernias, surgery may be necessary to repair the hernia.

• #68 Hiatal Hernia Treatment in Delhi, India | Symptoms, Causes & Diagnosis

  https://www.maxhealthcare.in/our-specialities/minimal-access-laparoscopic-surgery/conditions-treatments/hiatal-hernia

  The outlook for hiatal hernia is generally positive. People with these conditions usually have mild symptoms that may be managed with lifestyle changes. However, in some cases of larger hiatal hernia, the doctor may advise treatments like medications and lifestyle changes. In cases where GERD is associated with Hiatal hernia, surgery will be advised to repair the hernia and secure the defect with a mesh.

• #69 Hiatal hernia surgery: Procedure, recovery, and outlook

  https://www.medicalnewstoday.com/articles/321370

  Some people can experience relief from reflux by making lifestyle changes. […] Hiatal hernias usually do not cause symptoms. If they do, people may be able to treat their symptoms with medications or lifestyle changes, though if these do not work, surgery may give long-term relief from acid reflux and GERD. […] Even when hiatal hernia surgery is necessary, the procedure is usually minimally invasive and has a high success rate. Most people might make a full recovery in just a few weeks.

• #70 Overcoming GERD and Hiatal Hernia – Capital Surgeons Group

  https://capitalsurgeons.com/gerd-hiatal-hernia-linx/

  Hiatal hernia is a common condition in which part of the stomach protrudes through the diaphragm into the chest cavity. Hiatal hernias are a common cause of GERD, and surgery may be necessary to repair the hernia and prevent the reflux of stomach acid. […] Capital Surgeons Group specializes in the treatment of GERD (gastroesophageal reflux disease). We understand how patients can struggle with the symptoms of heartburn, acid reflux, and regurgitation. Capital Surgeons Group Surgical treatment options for GERD includes daVinci robotic surgery for hiatal hernia repair and the LINX procedure. […] Surgery is a minimally invasive and durable option to stop acid reflux and eliminate the need for medication. […] Our surgeons perform laparoscopic and robotic anti-reflux surgery. Hiatal hernia repair, Nissen or toupet fundoplication, and the LINX Reflux Management System are standard surgical options to eliminate GERD.

• #71 10 Lifestyle Changes: Effective Hiatal Hernia Treatments – Dr. Adam S. Harris, M.D.

  https://surgeonadamharris.com/lifestyle-changes-for-effective-hiatal-hernia-treatments/

  Herbal remedies, such as chamomile tea, ginger, and slippery elm, have been used for centuries to promote digestive health and reduce symptoms of acid reflux. […] Practicing relaxation techniques can be beneficial for individuals with hiatal hernia, as stress and anxiety can exacerbate symptoms. […] Smoking has detrimental effects on overall health, including the exacerbation of hiatal hernia symptoms. […] Excessive alcohol consumption can worsen hiatal hernia symptoms by increasing stomach acid production and relaxing the lower esophageal sphincter. […] Regular check-ups with a healthcare provider are an important part of managing hiatal hernia. […] In conclusion, managing hiatal hernia involves a combination of lifestyle changes, medication, and other treatment modalities to alleviate symptoms and improve quality of life.

• #72 Hiatal Hernia Relief Guide: Non-Surgical Strategies

  https://drruscio.com/how-to-fix-hiatal-hernia-yourself/

  If you have symptoms suggestive of a hiatal hernia, like frequent acid reflux, feeling too full after eating just a little, abdominal pain, or indigestion, you have many options for feeling better. It’s a good idea to work with a doctor to confirm you have a hiatal hernia. With their support, you can try various natural treatments to see if you can stave off medications or surgery. […] A combination of lifestyle changes and hands-on therapies are all viable natural avenues to help you quiet the symptoms of your hiatal hernia and ideally avoid medications or surgery.

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