GERD & HIATUS HERNIA
In GERD (Gastroesophageal Reflux Disease) the acid flows back to the food-pipe, causing irritation, inflammation.
Hiatus Hernia occurs when a portion of the stomach protrudes upward into the chest through the diaphragm.
Symptoms & Diagnosis
- Acidity & Gas
- Chest Burning or Heart Burn
- Acid Reflux - Sour Taste in Mouth
- Abdominal Discomfort & Indigestion
Assessment of patient as per following
- Upper GI endoscopy
- pH Studies
- Esophageal Manometry
- Barium Studies
Causes
- Obesity & Weight gain
- Eating Low Fiber Diet
- Processed Food
- Coffee, Tea
- Alcohol
- Carbonated Drinks
Treatment
Needed when Gastroesophageal Junction is very lax & causes severe rolling of stomach & GERD.
Stomach wall is wrapped around lower end of esophagus to increase lower esophageal pressure & reduces symptoms of Acid reflux.
It also decreases the chances of cancer formation.
- Nissens Fundoplication
- Toupet Fundoplication
Most patients do well with some medicines & precautions
- Quit Smoking
- Avoid Coffee , Tea
- Avoid Spicy & Processed Food
- Reduce Meal Portion Size
- Stop Carbonated Drinks
- Stop Smoking & Alcohol
- Weight Loss For Obese
Minimum Pain
No Big Incisions’
Less medicines
Fast Recovery time
Short Hospital Stay
