Hiatal hernia and GERD (Gastroesophageal Reflux Disease) often occur together and can cause significant discomfort. Surgery may be considered when lifestyle changes and medications do not sufficiently alleviate symptoms.
This is the most common surgery for GERD and hiatal hernias. The procedure involves wrapping the upper part of the stomach around the lower end of the esophagus. This strengthens the esophageal sphincter, preventing acid from flowing back up. It can be performed laparoscopically, which is minimally invasive and generally has a faster recovery time.
A newer option, involves placing a ring of tiny magnetic titanium beads around the lower end of the esophagus. The magnetic attraction between the beads helps keep the junction between the stomach and esophagus closed to refluxing acid, but can still expand to allow food to pass through. This can be an effective alternative for patients who prefer a less invasive option than Nissen Fundoplication.
For those with a hiatal hernia, this procedure can be done at the same time as a GERD surgery. The hernia repair involves pulling the stomach back into the abdomen, reconstructing the weakened diaphragm, and sometimes reinforcing it with synthetic mesh. This not only helps reduce the hernia but also aids in alleviating GERD symptoms by correcting the anatomy.
Similar to the Nissen Fundoplication, but less comprehensive, this procedure involves wrapping the stomach around the esophagus only partially (about 270 degrees). This
