Materiały źródłowe

• #1 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. […] 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.

• #1 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. […] 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. […] 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.

• #1 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. […] 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: […] Medications cant 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. […] Healthcare providers recommend hernia repair surgery when: Your hernia causes symptoms or complications that medications cant prevent.

• #1 Hiatal Hernia: Types, Symptoms, Causes, and Treatment

  https://www.tgh.org/institutes-and-services/conditions/hiatal-hernia

  Hiatal hernias generally dont require treatment unless theyre producing symptoms. When symptoms do occur, treatment may involve: […] Implementing lifestyle changes such as eating smaller meals, eating earlier in the evening, avoiding foods that trigger heartburn, waiting to lie down after eating, losing excess weight, quitting smoking, sleeping on your left side, and elevating the head of your bed […] Taking medication to reduce or block stomach acid production, neutralize stomach acid, or heal the esophagus […] Undergoing hiatal hernia surgery to return the stomach to the abdomen, reduce the size of the esophageal hiatus, or reshape the lower esophageal muscles. […] After learning about your condition and the symptoms youre experiencing, a skilled medical provider will be able to recommend the treatment approach thats most appropriate for your needs. For example, hiatal hernias generally only need surgery when theyve led to complications or when conservative treatment methods have failed to provide sufficient relief. If youre a candidate for surgery, your hiatal hernia surgeon will walk you through what the procedure involves and what you can expect to happen both before and after.

• #1 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.

• #1 Hiatal Hernia Repair | Baylor Medicine

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

  A hiatal hernia that is not causing symptoms does not usually need any treatment. Treatment for a hiatal hernia that causes heartburn is the same as for gastroesophageal reflux disease (GERD). This may include home treatment with lifestyle changes; nonprescription antacids, acid reducers, or acid blockers; prescription medicines; or, in severe cases, surgery. […] If you have mild symptoms, your doctor may suggest lifestyle changes and nonprescription medicines. Here are some things to try: Change your eating habits. Some people have certain foods that trigger their reflux. Chocolate, mint and alcohol can make GERD worse. They relax the valve between the esophagus and the stomach. Spicy foods, foods that have a lot of acid (like tomatoes and oranges) and coffee can make GERD symptoms worse in some people. If your symptoms are worse after you eat a certain food, you may want to stop eating that food to see if your symptoms get better.

• #1 Reddit – The heart of the internet

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

  Hiatal hernia occurs when the upper part of the stomach protrudes through the diaphragms hiatus into the chest cavity, often leading to acid reflux and GERD symptoms. Treatment varies based on severitymild cases can be managed with lifestyle changes and medications, but the hernia itself does not heal on its own and may worsen over time. […] For severe or refractory cases, surgical correction is necessary to return the stomach to its normal position and reinforce the anti-reflux mechanism. This post will cover both non-surgical and surgical options, including their benefits, risks, and recent innovations. […] For mild cases, lifestyle adjustments can significantly reduce symptoms. Recommended changes include: Weight management Losing excess weight reduces abdominal pressure, minimizing reflux. Elevating the head of the bed Raising it 15-20 cm (~6-8 inches) can help prevent nighttime reflux. Avoiding trigger foods Acidic, spicy, fatty, or caffeinated foods (e.g., chocolate, coffee, carbonated drinks, peppermint) can aggravate reflux. Eating smaller meals Large meals increase stomach pressure, worsening symptoms. Avoiding late-night eating Allowing at least 3-4 hours between eating and lying down can prevent acid regurgitation.

• #1 25+ Effective Treatments for Hiatal Hernia – Dr. Adam S. Harris, M.D.

  https://surgeonadamharris.com/25-plus-effective-treatment-for-hiatal-hernia-doctor/

  Making changes to your diet can help manage the symptoms of hiatal hernia. […] Maintaining a healthy weight is important in managing hiatal hernia symptoms. […] Smoking can worsen symptoms of hiatal hernia by irritating the lining of the esophagus and increasing stomach acid production. […] Ginger has been used for centuries as a natural remedy for digestive disorders, including acid reflux. […] Marshmallow root is an herb that has been traditionally used to soothe and protect the lining of the esophagus and stomach. […] Slippery elm is another herbal remedy that can help manage the symptoms of hiatal hernia. […] Acupuncture, an ancient practice originating from Traditional Chinese Medicine, can be used to manage the symptoms of hiatal hernia. […] Chiropractic care can help alleviate the symptoms of hiatal hernia by focusing on the alignment and mobility of the spine.

• #1 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.

• #1 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. […] 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. […] 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. […] Use of PPIs is essentially a risk-benefit issue. If the patient does not need PPIs, he or she should stop or at least lower the dose. However, if he or she really does need PPIs, I believe that it is safe to continue.

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

  https://www.hoag.org/specialties-services/digestive-health/diseases-conditions/hiatal-hernia/

  Need treatment for hiatal hernia in Orange County? Trust the Hoag Digestive Health Institute to help you heal. Hoags comprehensive, fully-integrated Foregut Program is the areas recognized leader in the treatment of chronic conditions of the esophagus, stomach and lower esophageal sphincter. Our program offers a patient-centered approach, drawing on the latest advancements in techniques and technology to help patients find lasting, life-changing treatment options they just cant get anywhere else. […] Many people with hiatal hernia experience no symptoms, and will never need treatment. However, if a person is experiencing bothersome or painful symptoms of hiatal hernia, like GERD or recurring chest pain, treatment may be required through lifestyle changes, medication or surgery. […] Over-the-counter and prescription medicines may be used to treat some of the symptoms of hiatal hernia. Medications include: Antacids, H2 receptor-blockers that reduce acid production in the stomach. Over-the-counter versions of these medicines include Tagamet HB, Pepcid AC and Axid AR. Stronger H2 blockers are available by persecution. Proton pump inhibitors, which are another form or medication that blocks acid production in the stomach, allowing damage to the esophagus to heal. Over-the-counter versions of these drugs including Prevacid, Prilosec and Zegerid.

• #1 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.

• #1 25+ Effective Treatments for Hiatal Hernia – Dr. Adam S. Harris, M.D.

  https://surgeonadamharris.com/25-plus-effective-treatment-for-hiatal-hernia-doctor/

  According to every hiatal hernia doctor, hiatal hernias are a relatively common ailment that affects a significant number of individuals. […] However, fear not, for there are effective treatments available that can alleviate the symptoms and provide relief. From lifestyle modifications to medication options and surgical interventions, this article aims to explore the different avenues that patients can take to effectively manage hiatal hernia and regain their quality of life. […] Antacids are commonly used to relieve the symptoms of hiatal hernia, such as heartburn and acid reflux. […] H2 blockers, also known as histamine-2 receptor antagonists, are another type of medication commonly used to treat symptoms of hiatal hernia. […] Proton pump inhibitors (PPIs) are a more potent type of medication commonly used to treat hiatal hernia symptoms.

• #1 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.

• #1 Hiatal Hernia – StatPearls – NCBI Bookshelf

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

  The indications for surgical therapy have changed since the advent of PPIs. Individuals with evidence of severe esophageal injury, such as an ulcer, stricture, or Barrett mucosa, should be considered for surgical treatment. Other patients, such as those with a long duration or incomplete resolution of symptoms while on medical therapy, should also be considered for surgical intervention. […] Current recommendations are for operative repair of all symptomatic paraesophageal hernias and completely asymptomatic large hernias in patients younger than 60 and otherwise healthy. […] The Nissen fundoplication (360 wrap) involves completely wrapping the GEJ using the stomach fundus. […] A partial fundoplication is typically the procedure of choice when esophageal motility is poor. […] Advances in minimally invasive surgery have led to the widespread acceptance of laparoscopic hernia repair. Yet, a high recurrence rate remains despite this progress, particularly with large hernias repaired using primary sutures. To address this issue, mesh has become common in surgical practice.

• #1 Hiatus hernia | NHS inform

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

  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. […] 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.

• #1 Hiatal Hernia | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/22859

  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. […] The indications for surgical therapy have changed since the advent of PPIs. Individuals with evidence of severe esophageal injury, such as an ulcer, stricture, or Barrett mucosa, should be considered for surgical treatment. Other patients, such as those with a long duration or incomplete resolution of symptoms while on medical therapy, should also be considered for surgical intervention. The surgery cost has decreased with advancements in minimally invasive techniques for treating GERD. Surgical therapy may be considered the treatment of choice for patients with more than 8 years of life expectancy and who need lifelong therapy because of a mechanically defective LES.

• #1 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

  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. […] The results of this study highlight the poor outcomes of watchful waiting for symptomatic PEH. […] In addition to this mortality benefit, there are several well-documented symptomatic benefits to repair of PEH. Patients often report relief of their GERD symptoms: dysphagia, bloating, regurgitation and early satiety. […] Together, these studies show that the improvement after PEH repair is not limited solely to gastrointestinal and GERD-related pathology. […] Current surgical techniques for elective PEH repair have documented low postoperative morbidity/mortality and favorable long-term symptomatic outcomes. […] These studies argue that elective surgery is safe and has favorable symptomatic outcomes. They also argue that risk of recurrence is not minimal but can be symptomatically and clinically inconsequential.

• #1 Hiatal Hernia Relief & Treatment Options| UVA Health

  https://uvahealth.com/services/gastro/hiatal-hernia

  Hiatal hernias can cause gastroesophageal reflux (GERD). Treating acid reflux from GERD can help your hernia heal. […] At UVA Health, we have experts in hernia repair. You may need surgery if: […] Your GERD symptoms are severe and don’t get better with treatment. […] The hernia twists and stops blood flow to your stomach (an emergency needing immediate surgery).

• #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.

• #1 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.

• #1 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.

• #1 Hiatal Hernia | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/22859

  Paraesophageal hernias can present with a gastric volvulus due to the laxity of the stomach’s peritoneal attachments and subsequent rotation of the gastric fundus. Such severe presentations are considered surgical emergencies. Current recommendations are for operative repair of all symptomatic paraesophageal hernias and completely asymptomatic large hernias in patients younger than 60 and otherwise healthy. […] The Nissen fundoplication (360 wrap) involves completely wrapping the GEJ using the stomach fundus. A 52-French bougie ensures approximation without the wrap being too tight. The initial steps involve the dissection of the short gastric vessels off the stomach’s greater curvature to mobilize the fundus. The phrenoesophageal membrane over the left crus is thoroughly dissected, and the crural fibers are identified. The lesser omentum must be opened for the right crural dissection and the suitable phrenoesophageal membrane mobilized. The anterior and posterior vagus nerves must be preserved during dissection.

• #1 Hiatal Hernia | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/22859

  A partial fundoplication is typically the procedure of choice when esophageal motility is poor. The 2 most common partial fundoplications are the Dor procedure, an anterior wrap, and the Toupet procedure, a posterior wrap. As opposed to the complete 360 wrap of the Nissen technique, these 2 procedures involve creating a 180 to 250 wrap. A partial wrap is thought to help prevent esophageal obstruction when motility is a concern. […] Advances in minimally invasive surgery have led to the widespread acceptance of laparoscopic hernia repair. Yet, a high recurrence rate remains despite this progress, particularly with large hernias repaired using primary sutures. To address this issue, mesh has become common in surgical practice. The mesh configurations used for hiatal hernias are varied. Simple shapes like rectangular or triangular meshes were initially used to cover the primary closure. Over time, this approach evolved to include meshes designed with a central opening to facilitate the passage of the esophagus, such as U-shaped, keyhole, and A-shaped designs.

• #1 Hiatal Hernia Treatment in Cape Girardeau | Cape Surgical

  https://www.capesurgicalclinic.com/services/hiatal-hernia/

  3. Robotic-Assisted Surgery: As leaders in surgical innovation, Cape Surgical Clinic offers state-of-the-art robotic-assisted surgery for hiatal hernia repair and GERD treatment. This cutting-edge technology allows for enhanced precision and improved outcomes, helping patients return to their normal activities faster. […] At Cape Surgical Clinic, we prioritize patient care and support throughout the entire treatment journey. Our compassionate team provides thorough pre-operative education, ensuring patients feel informed and confident before their procedure. Post-operatively, we offer comprehensive follow-up care to monitor progress and address any concerns or questions that may arise. […] If you are experiencing symptoms of hiatal hernias or GERD, don’t let them impact your quality of life any longer. Turn to Cape Surgical Clinic for expert diagnosis and personalized treatment options. With our advanced techniques, skilled surgeons, and dedicated support, we are committed to helping you find relief from hiatal hernias and GERD, and regain a healthier and happier life. […] Call Cape Surgical Clinic at (573) 334-3074 today to schedule a consultation and take the first step towards a better future.

• #1 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. […] Three major types of surgical procedures correct gastroesophageal reflux and repair the hernia in the process. […] In most cases, the procedure of choice is the one with which the surgeon is most familiar.

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

  https://www.hoag.org/specialties-services/digestive-health/diseases-conditions/hiatal-hernia/

  In severe cases or those that dont respond to medication, surgery may be required to fix a hiatal hernia. Surgery for hiatal hernia most often involves pulling the stomach back into the abdomen, then making the hiatus through the diaphragm smaller to prevent the hiatal hernia from recurring. Surgery may also involve repairing or strengthening the lower esophageal sphincter to keep acid from being regurgitated into the esophagus. […] At Hoag, hiatal hernia surgery is done laparoscopically, with the surgeon inserting instruments and a camera through small incisions in the abdomen. […] Were committed to finding the latest and most advanced treatment options for conditions involving the esophagus and stomach. At Hoag, options for the treatment of GERD include: LINX Reflux Management System, which is an implantable, FDA-approved device that treats GERD symptoms and stops reflux. Hoag is one of only a handful of centers in California to offer this life-changing technology. Nissen Fundoplication, which is a surgery to reinforce and strengthen the lower esophageal sphincter. Toupet Fundoplication: Anti-Reflux Surgery, which a type of anti-reflux surgery that is most often used in cases where the patient has difficulty swallowing in addition to traditional reflux symptoms. Transoral Incisionless Fundoplication (TIF), which is a minimally invasive, non-surgical procedure that corrects a weakened esophageal sphincter, which causes chronic gastroesophageal reflux disease (GERD). The TIF procedure is performed entirely within the stomach, using an endoscope passed down the throat, and requires no incisions.

• #1 Hiatal Hernia (Paraesophageal Hernia) – UChicago Medicine

  https://www.uchicagomedicine.org/conditions-services/esophageal-diseases/hiatal-hernia-paraesophageal-hernia

  At UChicago Medicine, surgeons use minimally invasive procedures and robotic surgery to repair hiatal and paraesophageal hernias. After surgery, most people can go home the same day or the following day. Most patients find relief from their symptoms within a few weeks. […] Our expert surgical team performs a high volume of surgeries to treat hiatal hernias as well as serious paraesophageal hernias. Our team was also the first in the world to advance a new technique to treat paraesophageal hernias called a posterior rectus sheath flap hiatal augmentation (PoRSHA). PoRSHA eliminates the need for the use of mesh. […] During a posterior rectus sheath flap hiatal augmentation (PoRSHA), the surgeon uses the patients own muscle to repair the diaphragm, so a mesh implant is not necessary. Specifically, the surgeon takes part of the muscle attached to the liver and creates a flap that helps support the diaphragm. The surgery is completely „meshless” no synthetic or artificial materials are used. We perform it using robotic and minimally invasive surgery techniques for a quicker recovery.

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

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

  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 hernias 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.

• #1 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.

• #1 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. […] The NHS estimates that 80%85% of people will continue to have relief from symptoms 10 years after surgery. […] However, the risk with laparoscopic procedures is lower than with open 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. […] 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.

• #1 Hernia: What it is, Symptoms, Types, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/15757-hernia

  Most hernias will need surgical repair, but not necessarily right away. […] Hernia repair surgery is common and generally a minor procedure unless there are complications. […] A hiatal hernia often won’t need repair, but it may if it causes chronic acid reflux. Your provider may recommend a Nissen fundoplication to repair this problem. It involves wrapping the upper stomach around the lower esophagus and stitching them together. […] The surgery is usually a simple outpatient procedure with a short recovery. It’s almost always successful, but there is a 10% chance of the hernia returning sometime later, especially if the conditions that caused it continue.

• #1 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.

• #1 Hiatal Hernias | University of Michigan Health

  https://www.uofmhealth.org/conditions-treatments/surgery/hiatal-hernia

  Hiatal hernias dont always require treatment beyond regular monitoring and medications. Under certain conditions, however, treatment will be necessary. Those conditions include: chronic anemia; chronic pain; complications by gastroesophageal reflux disease; complications by esophagitis; danger of strangulation; inability to vomit; recurrent pneumonia or other infections. The following treatments are available for those with hiatal hernias. […] Minimally invasive surgery can effectively diminish the size of a hernia, as well as reduce the opening in the diaphragm, thereby preventing strangulation. During this procedure, surgeons will insert a tiny video camera into your abdomen. Theyll be able to view images projected onto a monitor, which will allow them to complete the procedure with greater control and finesse. The purpose of this surgery is to restore the stomach into your abdomen and close down the hole in the diaphragm. Minimally invasive surgery is associated with a quicker recovery and faster return to function than traditional open repair. Your doctor will determine if you are a candidate for this approach. […] Your surgeons may also perform a fundoplication, which will help to prevent acid from rising through the stomach.

• #1 Hiatus Hernia: Causes, Symptoms, and Treatment | Doctor

  https://patient.info/doctor/hiatus-hernia-pro

  Currently the usual surgical procedure is a laparoscopic fundoplication. Open surgery may also be used. A laparoscopic approach is preferable, as it is equally effective and associated with reduced morbidity and mortality, especially in the case of large para-oesophageal hernias. The procedure involves mobilisation of the distal oesophagus, reduction of the associated hiatus hernia, and either complete (Nissen’s) or partial (modified) wrapping of the fundus of the stomach around the oesophagus (fundoplication). Risks include: Side-effects of bloating and dysphagia. 1-2% risk of major complications or death. High recurrence rate which increases with obesity and larger-sized hernias. […] Gastropexy (suturing of the stomach to the abdominal wall) is sometimes used in addition to hiatus hernia repair or may be used as the sole procedure in high-risk patients. In patients with proven GORD, laparoscopic fundoplication and magnetic sphincter augmentation are effective surgical options, and transoral incisionless fundoplication is an effective endoscopic option in carefully selected patients.

• #1 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

  Despite the low modern rates of morbidity and mortality, surgical intervention is not without complications. […] This is both for optimization and for the informed consent discussion. […] Management of the recurrent hiatal hernia is also important, given the high overall recurrence rates. […] They advocated for repair of all symptomatic recurrent hernias greater than 2 cm. […] Because type I hiatal hernias are very rarely associated with emergency complications, the literature supports only repairing those hernias which are symptomatic. For type II-IV hiatal hernias, the literature also supports repair of those hernias which are symptomatic. […] Patients should be optimized for surgery with careful attention to their modifiable risk factors. Age is not a contraindication to surgery.

• #1 Hiatal Hernia Treatment Manhasset NY | Long Island

  https://newyorksurgicalpartners.com/services/hernia-institute/hernia-conditions/hiatal-hernia

  Depending on the approach used, a hospital stay of 2 to 6 days may be required following hiatal hernia repair surgery. Full recovery takes up to 3 months; during this time you may experience bloating after meals or difficulty swallowing, but these usually pass. To minimize discomfort during the recovery period, be sure to follow your surgeon’s directions regarding diet and physical activity. […] As with all surgical procedures, there is a slight risk of complications from the general anesthesia. Other risks include bleeding and infection, but these rarely occur. Your surgeon will discuss all the risks and benefits of hiatal hernia repair surgery with you beforehand, allowing you to make an educated decision.

• #1

  https://www.iowaclinic.com/specialties/surgery/general-surgery/hiatal-hernia-diagnosis-and-treatment/

  After surgery, patients are admitted for the night to undergo observation. […] At the two-week checkup, we re-discuss longer term recovery guidelines. Patients are instructed not to lift more than 20 pounds for six weeks after surgery to reduce abdominal pressure and decrease the risk of recurrence. […] Beyond the six-week point, patients should try to adopt a healthier lifestyle to avoid a recurrence of the hernia. Patients should aim to maintain a healthy weight and refrain from smoking. This gives the tissue the best chance at healing properly and retaining strength.

• #1 Hiatal Hernia Specialist – Dallas, Plano, & Tyler, TX: Center for Advanced Surgery: Gastro-Esophageal and Endoscopic Surgeons

  https://www.texasadvancedsurgery.com/services/hiatal-hernia

  Minimally invasive hiatal hernia surgery is often an outpatient procedure. Laparoscopic techniques often minimize recovery time, complications, and use of pain medications. You can typically return to your regular activities within a couple of weeks. […] If you need hiatal hernia surgery, call the Center for Advanced Surgery, or make an appointment online today.

• #1 Hiatal or Paraesophageal Hernia | Symptoms, Causes & Treatments | MedStar Health

  https://www.medstarhealth.org/services/hiatal-or-paraesophageal-hernia

  Hiatal hernias may place individuals at an increased risk of gastroesophageal reflux disease, or GERD. […] Hiatal hernias that do not cause symptoms do not require immediate treatment. However, symptom-producing hiatal hernias may need to be treated. They do not heal on their own and require surgical intervention. […] The majority of paraesophageal hernias can be successfully repaired using laparoscopic techniques. […] During a laparoscopic hiatal hernia repair, the surgeon will make five small incisions in the abdomen. […] The nature of laparoscopic repair as a minimally invasive, minimal incision surgery allows patients to return to work and daily activities sooner than with open surgical procedures. […] Patients may need to stay in the hospital for one to two days after the procedure. […] It is important to follow all postoperative instructions given by the surgeon as well as scheduling and attending all follow-up visits.

• #1 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:

• #1 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. […] 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). […] 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.

• #2 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.

• #2 25+ Effective Treatments for Hiatal Hernia – Dr. Adam S. Harris, M.D.

  https://surgeonadamharris.com/25-plus-effective-treatment-for-hiatal-hernia-doctor/

  According to every hiatal hernia doctor, hiatal hernias are a relatively common ailment that affects a significant number of individuals. […] However, fear not, for there are effective treatments available that can alleviate the symptoms and provide relief. From lifestyle modifications to medication options and surgical interventions, this article aims to explore the different avenues that patients can take to effectively manage hiatal hernia and regain their quality of life. […] Antacids are commonly used to relieve the symptoms of hiatal hernia, such as heartburn and acid reflux. […] H2 blockers, also known as histamine-2 receptor antagonists, are another type of medication commonly used to treat symptoms of hiatal hernia. […] Proton pump inhibitors (PPIs) are a more potent type of medication commonly used to treat hiatal hernia symptoms.

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

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

  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.

• #2 Top 10 Natural Remedies for Hiatal Hernia Treatment – Dr. Adam S. Harris, M.D.

  https://surgeonadamharris.com/top-10-natural-remedies-for-hiatal-hernia-treatment/

  So youve been diagnosed with a hiatal hernia, and youre tired of relying on medication to soothe the discomfort? Look no further! In this article, well explore a variety of natural remedies that you can incorporate into your daily routine to help alleviate the symptoms of a hiatal hernia. From lifestyle changes to herbal remedies, weve got you covered. Say goodbye to the constant discomfort and hello to a more natural approach to hiatal hernia treatment. […] Living with a hiatal hernia can be challenging, but making some lifestyle changes can help alleviate symptoms and improve your overall well-being. There are various modifications you can make, including dietary changes, weight management, and posture correction, that can have a positive impact on your condition. […] Maintaining a healthy weight is crucial for managing a hiatal hernia. Excess weight can put pressure on your abdomen and increase the risk of acid reflux. If youre overweight, losing even a small amount of weight can make a significant difference in reducing symptoms.

• #2 Hiatal hernia | Health Library | Memorial Health System

  https://www.mhsystem.org/health-library/con-20373360/

  Making a few lifestyle changes may help control the symptoms caused by a hiatal hernia. Try to: Eat several smaller meals throughout the day rather than a few large meals. […] If youve been diagnosed with a hiatal hernia and your problems persist after you make lifestyle changes and start medicine, you might be referred to a doctor who specializes in digestive diseases, called a gastroenterologist.

• #2 Hiatal Hernia Symptoms, Location, Causes, Diet & Treatment

  https://www.medicinenet.com/hiatal_hernia_overview/article.htm

  People with paraesophageal hernias often have no symptoms, and surgery is required only if the hernias become trapped in the chest and become stuck in the diaphragmatic hiatus or rotate to cause a volvulus. […] If treated, a hiatal hernia is appropriate and lifestyle changes are made, you can minimize the effects of a hiatal hernia. […] A strangulated hernia is a medical emergency. If you have any of these symptoms call 911 or go to your nearest Emergency Department. […] Foods, drinks, and home changes that treat hiatal hernia symptoms include: […] Elevating the head of the bed when sleeping allows gravity to prevent acid from refluxing into the esophagus. […] Eating small frequent meals may help instead of eating two or three larger meals a day. […] Some foods that trigger hiatal symptoms should be avoided, which include:

• #2 Hiatal Hernia Treatment in Cape Girardeau | Cape Surgical

  https://www.capesurgicalclinic.com/services/hiatal-hernia/

  1. Medication and Lifestyle Modifications: Mild cases of GERD caused by a hiatal hernia can often be managed with over-the-counter or prescription medications to reduce acid production. Additionally, simple lifestyle changes such as weight management, dietary adjustments, and avoiding trigger foods can greatly improve symptoms. […] 2. Minimally Invasive Surgery: For patients who do not respond well to medication or lifestyle changes, surgical intervention may be necessary. At Cape Surgical Clinic, we specialize in minimally invasive procedures, such as laparoscopic fundoplication with hernia repair. LINX repair using a magnetic ring is also offered as a minimally invasive approach in select patients. These procedures involve small incisions, reduced scarring, and a faster recovery period compared to traditional open surgery.

• #2 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.

• #2 25+ Effective Treatments for Hiatal Hernia – Dr. Adam S. Harris, M.D.

  https://surgeonadamharris.com/25-plus-effective-treatment-for-hiatal-hernia-doctor/

  Making changes to your diet can help manage the symptoms of hiatal hernia. […] Maintaining a healthy weight is important in managing hiatal hernia symptoms. […] Smoking can worsen symptoms of hiatal hernia by irritating the lining of the esophagus and increasing stomach acid production. […] Ginger has been used for centuries as a natural remedy for digestive disorders, including acid reflux. […] Marshmallow root is an herb that has been traditionally used to soothe and protect the lining of the esophagus and stomach. […] Slippery elm is another herbal remedy that can help manage the symptoms of hiatal hernia. […] Acupuncture, an ancient practice originating from Traditional Chinese Medicine, can be used to manage the symptoms of hiatal hernia. […] Chiropractic care can help alleviate the symptoms of hiatal hernia by focusing on the alignment and mobility of the spine.

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

  https://www.hoag.org/specialties-services/digestive-health/diseases-conditions/hiatal-hernia/

  Need treatment for hiatal hernia in Orange County? Trust the Hoag Digestive Health Institute to help you heal. Hoags comprehensive, fully-integrated Foregut Program is the areas recognized leader in the treatment of chronic conditions of the esophagus, stomach and lower esophageal sphincter. Our program offers a patient-centered approach, drawing on the latest advancements in techniques and technology to help patients find lasting, life-changing treatment options they just cant get anywhere else. […] Many people with hiatal hernia experience no symptoms, and will never need treatment. However, if a person is experiencing bothersome or painful symptoms of hiatal hernia, like GERD or recurring chest pain, treatment may be required through lifestyle changes, medication or surgery. […] Over-the-counter and prescription medicines may be used to treat some of the symptoms of hiatal hernia. Medications include: Antacids, H2 receptor-blockers that reduce acid production in the stomach. Over-the-counter versions of these medicines include Tagamet HB, Pepcid AC and Axid AR. Stronger H2 blockers are available by persecution. Proton pump inhibitors, which are another form or medication that blocks acid production in the stomach, allowing damage to the esophagus to heal. Over-the-counter versions of these drugs including Prevacid, Prilosec and Zegerid.

• #2 Hiatal Hernia Symptoms, Location, Causes, Diet & Treatment

  https://www.medicinenet.com/hiatal_hernia_overview/article.htm

  What is the treatment for hiatal hernias? […] The treatment for hiatal hernia is actually the treatment for GERD and minimizing acid reflux, such as: […] Decreasing acid secretion in the stomach […] Avoiding substances that are irritating to the stomach lining […] Mechanical means to keep the remaining acid in the stomach where it belongs. […] What medications treat hiatal hernias? […] Proton pump inhibitor (PPI) medications are commonly used to decrease acid production, which include: […] When is surgery for a hiatal hernia necessary? […] Most often, the surgery is done as a minimally invasive procedure using a laparoscope. […] With the development of proton pump inhibitor medications, medical therapy has decreased the necessity of surgery for sliding hiatal hernias, and it is often only recommended for people who have failed aggressive drug treatment or who have developed complications of GERD including:

• #2 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.

• #2 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. […] 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.

• #2 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 order to determine the risk versus benefits of elective repair versus emergency surgery, a thorough understanding of the outcomes associated with emergency repair is also necessary. […] These results suggest that non-elective surgery leads to poor outcomes in terms of morbidity and mortality, attributable to increased age and comorbid conditions. […] As the literature indicates, preventing emergency surgery for the individual patient is ideal. However, it is still unclear the best time to intervene electively. […] Therefore, without level one evidence, it is difficult to confidently derive conclusions about watchful waiting versus routine repair of asymptomatic PEHs. As such, we agree with the 2013 SAGES guidelines that decision-making for the asymptomatic patient should be conducted on a case-by-case basis after discussion of the risks and benefits with the patient.

• #2 Hiatal Hernia

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

  If you only experience mild symptoms caused by the hernia, then your provider will likely only recommend medication and lifestyle changes. Some treatment options include: […] Antacids will help neutralize stomach acid. […] Proton pump inhibitors will help block acid production and heal the esophagus. […] Hiatal hernia repair with fundoplication.

• #2 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. […] 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.

• #2 Hiatal Hernia – StatPearls – NCBI Bookshelf

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

  The indications for surgical therapy have changed since the advent of PPIs. Individuals with evidence of severe esophageal injury, such as an ulcer, stricture, or Barrett mucosa, should be considered for surgical treatment. Other patients, such as those with a long duration or incomplete resolution of symptoms while on medical therapy, should also be considered for surgical intervention. […] Current recommendations are for operative repair of all symptomatic paraesophageal hernias and completely asymptomatic large hernias in patients younger than 60 and otherwise healthy. […] The Nissen fundoplication (360 wrap) involves completely wrapping the GEJ using the stomach fundus. […] A partial fundoplication is typically the procedure of choice when esophageal motility is poor. […] Advances in minimally invasive surgery have led to the widespread acceptance of laparoscopic hernia repair. Yet, a high recurrence rate remains despite this progress, particularly with large hernias repaired using primary sutures. To address this issue, mesh has become common in surgical practice.

• #2 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. […] Three major types of surgical procedures correct gastroesophageal reflux and repair the hernia in the process. […] In most cases, the procedure of choice is the one with which the surgeon is most familiar.

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

  https://www.hoag.org/specialties-services/digestive-health/diseases-conditions/hiatal-hernia/

  In severe cases or those that dont respond to medication, surgery may be required to fix a hiatal hernia. Surgery for hiatal hernia most often involves pulling the stomach back into the abdomen, then making the hiatus through the diaphragm smaller to prevent the hiatal hernia from recurring. Surgery may also involve repairing or strengthening the lower esophageal sphincter to keep acid from being regurgitated into the esophagus. […] At Hoag, hiatal hernia surgery is done laparoscopically, with the surgeon inserting instruments and a camera through small incisions in the abdomen. […] Were committed to finding the latest and most advanced treatment options for conditions involving the esophagus and stomach. At Hoag, options for the treatment of GERD include: LINX Reflux Management System, which is an implantable, FDA-approved device that treats GERD symptoms and stops reflux. Hoag is one of only a handful of centers in California to offer this life-changing technology. Nissen Fundoplication, which is a surgery to reinforce and strengthen the lower esophageal sphincter. Toupet Fundoplication: Anti-Reflux Surgery, which a type of anti-reflux surgery that is most often used in cases where the patient has difficulty swallowing in addition to traditional reflux symptoms. Transoral Incisionless Fundoplication (TIF), which is a minimally invasive, non-surgical procedure that corrects a weakened esophageal sphincter, which causes chronic gastroesophageal reflux disease (GERD). The TIF procedure is performed entirely within the stomach, using an endoscope passed down the throat, and requires no incisions.

• #2 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.

• #2 Hiatal Hernia Treatment in Appleton, WI | Peter Janu, MD

  https://peterjanumd.com/heartburn-treatment-hiatal-hernia-treatment/

  Hiatal hernia means that the passageway enlarges. […] There is no pill that can fix a hiatal hernia. Typically treatment involves a surgery that is done laparoscopically or robotically. The hernia is repaired with stitches to reduce the size of the hole back to its normal size, snug around the esophagus. […] Depending on the defect, sometimes the repair is reinforced with mesh. […] To complete the repair, the valve mechanism is also addressed at the time of hernia repair. This is accomplished with a traditional fundoplication approach, Nissen (complete) or Toupet (partial) fundoplication, or alternatively with a magnetic sphincter augmentation implant or even an endoscopic reconstruction approach. […] Dr. Janu has received national recognition for minimally invasive procedures for the treatment of heartburn and reflux. With many different options, Dr. Janu’s goal is to try to match each patient with the treatment that offers the most effective results with the least amount of risk and side effects.

• #2 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. […] The NHS estimates that 80%85% of people will continue to have relief from symptoms 10 years after surgery. […] However, the risk with laparoscopic procedures is lower than with open 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. […] 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.

• #2 Hiatal hernia – UF Health Jacksonville

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

  Surgery is usually recommended if you experience severe or persistent symptoms that do not respond to or only partially respond to medications. The most common type of surgery for hiatal hernia is a fundoplication. Surgery is performed laparoscopically or robotically with small incisions and involves reducing the stomach back into the abdominal cavity and wrapping the top portion of the stomach around the esophagus to stop GERD. Recovery from hiatal hernia surgery can vary depending on the individual patient, hernia size and the specific procedure performed, but typically requires one to two nights in the hospital and some dietary modifications.

• #2 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. […] 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: […] Medications cant 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. […] Healthcare providers recommend hernia repair surgery when: Your hernia causes symptoms or complications that medications cant prevent.

• #2

  https://www.aurorahealthcare.org/services/gastroenterology-colorectal-surgery/hiatus-hernia-hiatal-hernia

  A hiatal hernia is a problem with the muscles at the top of your stomach that keep it working properly. […] Your Aurora Health Care specialist will diagnose your condition and help you manage any symptoms. […] You may need hiatal hernia treatments. […] Schedule an appointment with your doctor if you have these possible hiatal hernia symptoms and they are causing you concern. […] Hiatal hernias don’t go away by themselves. The only way to move the top of your stomach back beneath your diaphragm is by having surgery. […] Consult with your doctor about what would be best for you. […] Some prescriptions and over-the-counter medicines can be recommended as hiatal hernia medications. Your doctor may suggest them to treat your hiatal hernia symptoms. […] Sometimes your doctor’s suggestion to treat hiatal hernia may include surgery.

• #3 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. […] Three major types of surgical procedures correct gastroesophageal reflux and repair the hernia in the process. […] In most cases, the procedure of choice is the one with which the surgeon is most familiar.

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