Hiatus hernia surgery: Difference between revisions
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The surgical procedure used is called [[Nissen fundoplication]]. In fundoplication, the [[Fundus (stomach)|gastric fundus]] (upper part) of the stomach is wrapped, or plicated, around the inferior part of the esophagus, preventing herniation of the stomach through the hiatus in the diaphragm and the reflux of [[gastric acid]]. The procedure is now commonly performed [[Laparoscopic surgery|laparoscopically]]. With proper patient selection, laparoscopic fundoplication has low complication rates and a quick recovery.<ref name="Lange">Lange CMDT 2006</ref> | The surgical procedure used is called [[Nissen fundoplication]]. In fundoplication, the [[Fundus (stomach)|gastric fundus]] (upper part) of the stomach is wrapped, or plicated, around the inferior part of the esophagus, preventing herniation of the stomach through the hiatus in the diaphragm and the reflux of [[gastric acid]]. The procedure is now commonly performed [[Laparoscopic surgery|laparoscopically]]. With proper patient selection, laparoscopic fundoplication has low complication rates and a quick recovery.<ref name="Lange">Lange CMDT 2006</ref> | ||
Complications include [[Nissen fundoplication|gas bloat syndrome]], [[dysphagia]] (trouble swallowing), [[Gastric dumping syndrome|dumping syndrome]], excessive scarring, and rarely, [[achalasia]]. The procedure sometimes fails over time, requiring a second surgery to make repairs. | |||
==References== | ==References== | ||
Revision as of 18:51, 27 November 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Surgery
Where hernia symptoms are severe and chronic acid reflux is involved, surgery is sometimes recommended, as chronic reflux can severely injure the esophagus and even lead to esophageal cancer.
The surgical procedure used is called Nissen fundoplication. In fundoplication, the gastric fundus (upper part) of the stomach is wrapped, or plicated, around the inferior part of the esophagus, preventing herniation of the stomach through the hiatus in the diaphragm and the reflux of gastric acid. The procedure is now commonly performed laparoscopically. With proper patient selection, laparoscopic fundoplication has low complication rates and a quick recovery.[1]
Complications include gas bloat syndrome, dysphagia (trouble swallowing), dumping syndrome, excessive scarring, and rarely, achalasia. The procedure sometimes fails over time, requiring a second surgery to make repairs.
References
- ↑ Lange CMDT 2006