Gastroesophageal reflux disease is a widespread condition presenting with heartburn, regurgitation, hoarseness, and pain or difficulty with swallowing food. It is a result of dysfunction of the normal valve mechanism at the junction of the esophagus and stomach. It is often associated with hiatal hernia of variable degrees. When the stomach is displaced into the chest it can cause nausea, vomiting, pain after eating, regurgitation of food, or progressive inability to swallow food. Additionally, 10-15% of bariatric patients suffer from reflux symptoms frequently associated with hiatal hernia that was not addressed during their initial bariatric procedure, recurred, or developed after weight loss. These reflux symptoms can affect the quality of life and do not always respond to medical therapy with antacids. Depending on the clinical situation, the reflux can be addressed with a few different procedures.
The most common surgery designed to repair the valve mechanism is called a Fundoplication and is combined with a hiatal hernia repair. This procedure consists of reduction of the herniated junction of the esophagus and stomach into the abdomen with the closure of diaphragm muscle defect to keep the stomach in the abdomen. The top of the stomach is then wrapped around the esophagus to recreate the valve. We perform a partial or toupet fundoplication which has fewer significant side effects compared to the more widely known complete Nissen fundoplication.
Hiatal hernia surgery success rate, on average, is between 90 and 95 percent. This rate does not include recurrences that happen years after surgery. Many factors impact the success rate of hiatal hernia surgery. We ask that if you have any concerns, schedule a consultation with us.
For more than 150 years, Ascension Saint Agnes Hospital has been dedicated to the art of healing by providing exceptional care to the greater Baltimore area. Built on a strong foundation of excellent medical care and compassion, Ascension Saint Agnes is committed to providing the best care for our patients for many years to come.