Why a >3cm HH prevents surgery????

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Regular Member

Date Joined Mar 2008
Total Posts : 149
   Posted 4/18/2010 8:14 PM (GMT -6)   
I have a question. I have noticed that certain procedures like the Esophyx and the new Linx system Doctors will no perform the procedure if you have a Hiatel Hernia larger than 3cm. Why is that? Can someone explain? I had one doctor tell me that my HH is about 4cm. But Im seeing a new doctor on wednesday and Im getting scoped, motility test and ph being done so Im sure I will find out how big my HH is that afternoon.
Im feeling discouraged again because I'm not a big fan of the nissen. There are too many negative stories with that procedure. But my new doctor(that performs the Esophyx) told me that if my HH is larger than 3cm he will not be able to do it. Earlier today I was reading about the new procedure being developed called LINX and they say the same thing. Procedure will not be performed if a HH is larger than 3cm.

Could someone explain? Thanks.

BY the way. Not taking PPI's for 5 days because I have my mammotry exam on Wed..... this is sheer hell. I am in so much pain. I feel like taking 5 nexiums. God! I can't wait till friday after I return the monitor(for the 48 hour ph probe) to the hospital so i can take my medication.


Elite Member

Date Joined Jul 2009
Total Posts : 14475
   Posted 4/19/2010 3:42 PM (GMT -6)   
Which kind of ph test are you having done?

My surgeon said the reason your HH has to be a certain size is because the opening in your diaphragm is larger in a large HH. If the HH is larger than 3cm when they do the linX or TIF it will pull your stomach through into your chest.

I had a different option from the nissen...the Hill procedure. My surgeon took the floppy top of my stomach and wrapped it 270 degrees around my esophagus. It's worked like a charm. I can swallow and burp easy.

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