Hiatal Hernia: Symptoms, Diagnosis, and Surgery

Do You Suffer from Heartburn, Reflux, or Persistent Pain? It Could Be a Hiatal Hernia.

A hiatal hernia occurs when part of the stomach moves upward through the diaphragm and into the chest cavity. This condition is often associated with gastroesophageal reflux disease (GERD), leading to symptoms such as:

🔹 Heartburn and a burning sensation in the chest.
🔹 Acid regurgitation or reflux after eating.
🔹 Difficulty swallowing or a feeling of pressure in the throat.
🔹 Abdominal discomfort or pain that worsens after meals.

In some cases, hiatal hernias may not cause symptoms, but if they become severe or complications arise, surgical treatment may be necessary.

When Is Surgery Recommended?

Surgery for a hiatal hernia is considered in the following cases:

🔹 Reflux that does not improve with medication or lifestyle changes.
🔹 Complications such as esophagitis, esophageal narrowing, or ulcers.
🔹 Large hernias that cause difficulty swallowing or persistent pain.

The goal of surgery is to repair the hernia and strengthen the esophageal sphincter to prevent acid from flowing back into the esophagus.

Diagnosis and Preoperative Tests

Before recommending surgery, a comprehensive evaluation is performed, including:

🔹 Upper endoscopy: Examines the esophagus and stomach for signs of inflammation or damage.
🔹 Esophageal pH monitoring: Measures acid levels in the esophagus to confirm reflux.
🔹 Esophageal manometry: Assesses the muscle function of the esophagus and its ability to move food properly.

These tests help ensure an accurate diagnosis and a personalized treatment plan.

Surgical Treatment Options 

When surgery is the best option, techniques are used to repair the hernia and improve reflux control. One of the most common procedures is the Nissen fundoplication, where the upper part of the stomach is wrapped around the esophagus to prevent acid from rising. This technique significantly reduces reflux symptoms.

Another alternative is the Toupet fundoplication, a less restrictive approach that also enhances sphincter function and relieves symptoms. Both procedures are performed using laparoscopic surgery, allowing for a faster recovery, less postoperative pain, and minimal scarring.

The surgeon will evaluate each case to determine the most suitable technique for every patient, ensuring a tailored treatment plan.

Recovery and Expected Results

Recovery after surgery is generally quick, especially with minimally invasive techniques. Patients often experience:

🔹 Reduced reflux and heartburn.
🔹 Improved ability to swallow.
🔹 Less abdominal discomfort and a better quality of life.

Most patients can resume their normal activities within a few weeks, following medical recommendations.

Your Health, Our Priority

If reflux and discomfort are affecting your daily life, it’s time to find a long-term solution. We use advanced technology and a specialized team in hiatal hernia surgery to provide safe and effective treatment tailored to your needs.

📩 Don’t let symptoms control your life. Schedule a consultation and discover the best treatment option for you.