I began to have super acid reflux prior to going to Vietnam in 1968. I was diagnosed with a possible hiatal hernia at that time and an operation was mentioned but the state of the art was relatively primitive. So they prescribed Donatol and antiacids.
Jumping ahead 40 years, my recent barium swallow showed a large hiatal hernia above the diaphragm. The Radiologist X-rayed me and watched on the fluroscope in the verticle position. When he reclined me to the horizontal he could see the barium refluxing into my esophagus. His written diagnosis said that he noted a moderate hiatal hernia and he recommended surgery. However, during the endoscope it appeared to be much larger.
The General surgeon then personally performed the Endopscopic exam and took pictures of the inside of the hernia. It looks huge to me but.....I had to have two Esophagael Manometrys because they got false readings on the first one. The catheter apparently went down and when it hit the curve of the hernia it doubled back. During the second test, the GI Doctor personally did it and whe it happened again he was able to correct the problem.
The general surgeon is an Air Force Captain and he says that he has performed lots of Nisan Fundiplications. The other day I told him that I was getting cold feet due to some of the horror stories that I had read on the internet. I asked if he could do the hiatal hernia repair without the fundiplication. He said he could but wouldn't recommend it. He still didn't have the detailed reading from my manometry but would be guided by that as to whether he would do the full wrap or the Toupet.
I appreciate your comments and observations.
Post Edited (Retired Seabee) : 3/4/2013 3:59:06 PM (GMT-7)