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Hiatal Hernia Repair

Many patients are told they have a “Hiatal hernia” during a diagnostic endoscopy for stomach complaints or acid reflux. This creates a lot of uncertainty and questions in most patients. At MIB Surgery we have all the answers for this problem. We treat hundreds of patients each year with the condition. Whether it is a small or a very large hernia, we can help you identify and understand the symptoms and manifestations caused by the hernia and it is problem that we can correct with excellent results!

What is a Hiatal hernia

A hiatal hernia is what doctors call it when a part of the stomach moves up into the chest area. Normally, the stomach sits below the diaphragm, the layer of muscle that separates the organs in the chest from the organs in the belly. The esophagus, the tube that carries food from the mouth to the stomach, passes through a hole in the diaphragm. In people with a hiatal hernia, the stomach pushes up through that hole, too.

Are there different types ?

Yes. A sliding hiatal hernia happens when the top of the stomach and the lower part of the esophagus squeeze up into the space above the diaphragm. This is the most common type of hiatal hernia. In many patients may go unnoticed, while in other patient is a source of significant symptoms, specially acid reflux. A paraesophageal hiatal hernia happens when the top of the stomach squeezes up into the space above the diaphragm. It can be serious if the stomach folds up on itself. It can also cause bleeding from the stomach, difficulty swallowing, chest pain or trouble breathing.

One the most common symptoms in some cases cause stomach acid to leak into the esophagus. This is called acid reflux or gastroesophageal reflux, and it can cause symptoms such as


  • Burning in the chest, known as heartburn

  • Burning in the throat or an acid taste in the throat

  • Regurgitation of food into the chest and throat

  • Stomach or chest pain

  • Trouble swallowing

  • A raspy voice or a sore throat

  • Unexplained cough

  • In other rarer instances is associated with Asthma, Sinusitis and upper respiratory complaints.

Is there a test ?

Yes. Most people learn they have a hiatal hernia when they are having tests to find the cause of stomach symptoms, or for other reasons. For instance, some people find out they have a hiatal hernia when they have an X-ray. Others find out when their doctor puts a tube with a tiny camera down their throat (called an endoscopy).

How are they treated ?

People who have symptoms caused by a hiatal hernia can get treated for their symptoms. Treatment for symptoms involves taking the medicines. People with hiatal hernia may need surgery when the symptoms are too bothersome and not controlled with medications. For this surgery, the surgeon pulls the stomach back down and repairs the hole in the diaphragm, so the stomach does not slide up again.

At MIB Surgery we perform this procedure for repair of hiatal hernia with Minimally Invasive Surgical Techniques and in many cases as an outpatient procedure with a very quick recovery and return to baseline.


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