Laparoscopic Fundoplication
What is a Hiatus Hernia?
A hiatus hernia occurs when the stomach protrudes up through the diaphragm which, is a thin plate of muscle separating the abdominal cavity containing stomach and bowel from the thoracic cavity containing the heart and lungs
What causes a hiatus hernia?
Some people are born with a naturally weak sphincter. For others, however fatty and spicy foods, certain types of medications, tight clothing, smoking, drinking alcohol, vigorous exercise or changes in body position (bending over or lying down) may cause the lower oesophageal sphincter to relax, causing reflux, or the accidental backup of acid
What are the signs and symptoms of a hiatus hernia?
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acid reflux thereby causing heartburn
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fluid regurgitation
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nausea
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vomiting
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bloating
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pain on swallowing and "choking" or blockage of food
What is the treatment for a hiatus hernia?
Hiatus hernias are generally treated in three (3) progressive steps:
Life Style Changes: In many cases, changing
diet and taking antacids can reduce how often and how harsh your
symptoms are. Losing weight, reducing smoking and alcohol consumption
and altering eating and sleeping patterns can also help.
Drug Therapy: Antacids neutralise stomach acids and other drugs
reduce the amount of stomach acid produced. Both may be effective in
relieving symptoms. Prescription drugs may be more effective in healing
irritation of the oesophagus and relieving symptoms. This therapy needs
to be discussed with your general practitioner or surgeon.
Surgery: Patients who do not respond to lifestyle changes or drug
therapy, or who continually require medications to control their
symptoms, may have an option of undergoing surgery. This should be
discussed with your doctor.
The laparoscopic anti-reflux surgery (commonly known as Laparoscopic Fundoplication) involves reinforcing the "valve" between the oesophagus and the stomach by wrapping the upper portion of the stomach around the lowest portion of the oesophagus. Surgeons use several small incisions to enter the abdomen through external skin.
After surgery you will see a dietitian to advise you on the foods you are allowed to eat such as small frequent meals and snacks rather than large meals. A dietitian will supply you with a detailed dietary sheet outlining the recommended diet you should follow.
Useful Contacts and Further Information
Contact your General Practitioner
Concord Hospital Department of Surgery 9767 6835
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