hiatal hernia and bariatric surgery together

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Regular Member

Date Joined Jul 2012
Total Posts : 35
   Posted 10/25/2012 7:00 PM (GMT -6)   
I have run across some articles and research on bariatric surgeons finding hiatal hernias and large paraesophageal hernias (like I have), in their surgical patients. They are doing the hernia repair along with the gastric sleeve bariatric procedure, with positive results. Has anyone ever heard of this before, or has anyone gone through this dual type surgery? Granted, the patients they referred to in the articles were morbidly obese, yet I wondered if this would work for a patient with a lower, though still obese, BMI? Apparently they do not do the nissen fundoplication, with this surgery, and they have found no re-herniation of the stomach. Interesting!


Veteran Member

Date Joined Dec 2008
Total Posts : 4961
   Posted 10/26/2012 12:22 AM (GMT -6)   
Yep, have heard of this. Some surgeons seem to prefer this way vs. nissen. I have heard of surgeons doing this when a nissen needs redone also.

Take care,
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

Veteran Member

Date Joined Oct 2009
Total Posts : 5028
   Posted 10/26/2012 8:51 AM (GMT -6)   
Paraesophageal hernias need special procedures all their own. If the valve isn't working now it won't when a sleeve is put on either.

A Nissen will reduce the size of the stomach a lot, and you have to be on a liquid diet, then soft and so on. Most people lose weight just from that. I didn't feel hungry after mine. I made a special effort to eat as often as possible so I wouldn't lose, but it would have been easy not to eat then.

It's critically important to have a thoracic surgeon for paraesophagela hernias. It's a lot harder procedure, usually taking 2 surgeons. You want a team that does hundreds of these things, not just regular Nissens or weight loss surgery. This is a university-class procedure.

Get second and third opinions if you are thinking of going this route - from surgeons who have done paras, not just who have done bariatrics.
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