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Hiatus hernia -how bad before surgical correction needed?

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Posted 1/7/2022 3:37 PM (GMT 0)
I have a 3 cm hiatus hernia and am having a lot of reflux issues even with PPI's and H2's. As the situation is gradually worsening I have another scope next week. I can probably do more on the diet side of things to help, but long ago I gave up tomato, citrus, coffee, bacon, eggs etc. Does anyone know how 'bad' a 3cm hiatus hernia is, and when surgery might be preferable to the use of increasingly high doses of PPI/H2 medications?
Posted 1/7/2022 4:46 PM (GMT 0)
I did not have a Hiatal Hernia, but I had a 360 Fundoplication. My surgeon sutured the hiatus anyway. Hernia or not, he said it’s better practice to close the Hiatus in order to hinder any possible hernia in the future. In my opinion if you are having continual issues with reflux even with diet restrictions and medicines, the next logical steps would be endoscopy, Manometry, and Bravo PH test. Find a good bariatric surgeon and get things fixed. Nissen Fundoplication surgery does help a high percentage of people, especially those suffering with a hernia. The recovery is challenging, but better than the alternatives.

Blessings,
JD

Post Edited (JD Michael) : 1/7/2022 10:08:01 AM (GMT-7)

Posted 1/7/2022 5:07 PM (GMT 0)
Anything under 6 cm is considered a small hernia. I would follow a more strict GERD-friendly diet first, and keep a food diary to try and pinpoint your potential trigger foods. I always tell people that surgery should be a last resort. It's good that you are having another scope done. You might want to consider switching medications if you aren't getting good results with the one that you are currently taking. JD is correct about the next steps prior to surgery consideration.

Good Luck, Sharon
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