hiatus or hiatal hernia surgery
Posted , 4 users are following.
I have been taking prevacid/lansopresol for over 10 years(GERD). About 6 years ago an upper GI endoscopy discovered a large hiatal hernia. I want to have my hiatal hernia repaired.
Anybody with similar situations?
0 likes, 5 replies
rex_44766 bobfr636
Posted
gillian50653 rex_44766
Posted
I agree with other posts about the involvement of the vagus nerve.
Thanks.
Glennie68 bobfr636
Posted
I am going down the surgery route - it's not an easy path to choose - and you will have to go through a few tests beforehand. As it is sometime since your last endoscopy they would do that again to see if there's any damage to your oesophogus and also to measure the hiatus hernia. I went from this stage to seeing GI doctor who sent me to see dietitian and to have manometry and 24hr PH test. Some docs do a barium swallow too - but not where I am! I also saw surgeon - who was to tell me pros & cons of surgery - but he took my case on as my reflux is severe - as well as having a hiatus hernia. The top of my stomach just doesn't seal at all - so that's why I am having surgery! I would say with the doctors meds are their first choice and surgery saved for only the most severe cases or long term cases. Depending where in the world you are - if you have decided on surgery, you may have to argue your case!
bobfr636
Posted
I am in USA : San Diego CA. My dr required me to have a 7 day no antacid/medication for GERD. I tried it but I just couldn't do it. It seemed to be a "destructive" test. That is not the way I operate (not my modus of operandi). I stopped and I will only give them a 3-4 day peroid. "To check my impedance"???!!!
It would adversly affect the condition of my esophagus. I only obey those instructions that makes sense. The whole idea of any procedure is to be applied for my benefit not for any "required" or "standard" procedural requirement. I will tell the test administrators that I did the required time period test. I will only inform the doctor that I deviated from the standard period. We both have to make decisions at that time and let's face it I may end up not doing it not because of his decision but of mine. I am 80 yo and had a triple bypass 2 years ago. I will also look at my own endoscopy pictures as well as the probabilities of possible problem areas and go from there.
Any further insights?
Glennie68 bobfr636
Posted
The reason they ask you to give up the meds for 7 days is because it takes some of the PPI's 3-4 days to leave your system - and for you to get symptoms back for them to test. If you're on something like ranitidine - then that only takes 2 days to get out of your system. It's difficult to do this - I used gaviscon advance for the days leading up to my test - 24 hours before the test I didn't take anything - and it was 2 days of hell - but I got the test results needed for surgery. I am in the UK - so they probably do things a little different here.