Durai The Surgeon

Hiatus Hernia & GERD

What is a hiatal hernia?
A hiatal hernia occurs when the upper part of the stomach pushes through an opening in the diaphragm and into the chest cavity. The diaphragm is the thin muscle wall that separates the chest cavity from the abdomen. The opening in the diaphragm is where the oesophagus and stomach join.

Who is at risk for developing a hiatal hernia?                             
Both sexes

Hiatal Hernia Dr Durai Ravi Apollo Surgeon


Causes of Hiatus-Hernia
Symptoms of Hiatus Hernia


Gastroesophageal reflex disease (GERD): Digestive juices move from the stomach back into the oesophagus. GERD can occur with or without Hiatal hernia and the vice versa.

hiatus-hernia-diagnosis and test

Diagnosis And Test


Most hiatal hernias do not cause problems and rarely need treatment. However, since some patients with a hiatal hernia have symptoms of GERD, treatment starts with methods used to manage GERD. These include making such lifestyle changes as:

Surgery for Hiatal Hernia

  • Surgery will be needed in people with Hiatal hernia associated with severe, long-lasting (chronic) oesophageal reflux whose symptoms are not relieved by medical treatments.
  • If left untreated, chronic gastroesophageal reflux can cause complications such as esophagitis (inflammation), oesophageal ulcers, bleeding or scarring of the oesophagus.

Surgical Procedure: Laparoscopic Hiatal Hernia Repair with Fundoplication
Three components of the surgery:

During surgery, your surgeon will wrap the upper part of the stomach (called the fundus) around the lower portion of the oesophagus. This creates a permanently tight sphincter (the valve) so that stomach contents will not move back (reflux) into the oesophagus called a fundoplication.

Hiatus Hernia Surgery in Chennai


A laparoscopic repair of hiatal hernia and reflux, called Nissen Fundoplication, is highly effective in most patients. This surgery requires general anaesthesia and a short stay in the hospital. If you need to have an open surgical procedure, the recovery time will be longer, and you may need to stay in the hospital for several days. After surgery, most patients no longer require long-term treatment with prescription or over-the-counter antacid medications.