If the patient has too much gastric pressure from a hiatal hernia, we have to repair that wall by performing a fundoplication. To do a fundoplication, we have to wrap around the entire stomach. Gastric bypass is considered an anti-reflux surgery. Instead of thinking about a fundoplication, you can think about a roux-en-y from the beginning instead of gastric sleeve surgery, which typically worsens acid reflux/GERD. When patients have a previous fundoplication, we have to undo the fundoplication in order to get the gastric sleeve done correctly before redoing the fundoplication.
- How common are hiatal hernias?
- If I have a hiatal hernia, why must it be repaired during the procedure?
- Will the doctor always be able to see a hiatal hernia?
- Hiatal Hernia Repair, Symptoms, and Treatment – Paraesophageal PEH
- Bariatric Meal Plan to Assist with Acid Reflux
- Undergoing Bariatric Surgery with a Hiatal Hernia Repair