What Is Hiatus Hernia?

Protrusion of the stomach through the diaphragmatic hiatus into the chest, often causing reflux.

Why Do I Need Treatment?

Symptoms include heartburn, regurgitation, chest pain, and dysphagia.

How Should I Prepare?

  • Evaluation: Endoscopy, contrast swallow, or manometry.
  • Medications: Trial of PPIs and lifestyle modification first.

Treatment Options

  • Medical: PPIs, H2 blockers, prokinetics.
  • Surgical: Laparoscopic fundoplication (Nissen) for refractory or large hernias.

What Can I Expect Afterwards?

  • Medical: Symptom relief within days.
  • Post-Fundoplication: 1–2 day hospital stay; gradual diet progression.

Risks & Possible Complications

  • Dysphagia (10–15%)
  • Gas-bloat syndrome (10%)
  • Wrap migration or loosening (<5%)

Follow-Up

  • Endoscopy if symptoms recur.
  • PPI taper after surgery per surgeon’s advice.