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Hiatal Hernia



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Hi Everyone-

I just had a visit with my surgeon who told me that I have a small hiatal hernia. He said that it shouldn't be a problem b/c it's so small but he will cancel the lap band surgery if he needs to fix it. We won't know for sure until he is in there.

I used the search feature and found that most ppl had the hernia fixed and then the band was placed the same day. He told me that it raises the chances of slippage??? I don't have a problem if he errs on the side of caution but I guess I am just nervous about doing the 2 week fast, going under for lap band and then coming out w/o it done.

I have no symptoms at all from this- wouldn't I have heartburn at the very least?

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I had hernia repair done at the same time, but mine was not located anywhere near the stomach where the band is located. I just read the following about your hernia:

Hernias occur when one part of the body protrudes through a gap or opening into another part. And although a hernia can theoretically develop almost anywhere, most are in the abdominal area. This includes hiatal hernias — also known as diaphragmatic hernias — which form at the opening in your diaphragm where your food pipe joins your stomach.

I'm no docotor, but it would make sense that he wants to avoid doing both at the same time because of the additional swelling below the band. While I can certainly understand how disappointing it would be to wake up without the band, I would say trust your surgeon, he knows what he's doing.. that's why he gets paid the big bucks! And, the two week pre-op diet is to shrink that liver so he can safely get to your stomach, that will be important even if he does only end up repairing the hernia.

Best of luck to you. I sincerely hope all goes smoothly and youre banded without a hitch.

*hugs*

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My doctor said he will fix my hiatal hernia and place the band at the same time. He didn't mention anything about possible slippage though.

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Thanks so much for all of the replies. I am going to call him tomorrow and ask him why some surgeons fix them and others (like him) would make a person go through 2 different surgeries.

I am just hoping that when I go in for the lapband surgery the hernia will be too small to worry about.

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I have the the same problem, but my surgeon is going to fix it when he bands me. But he also said what your doc said and it does increase the chance of slippage.

I would hate to have to undergo anestesia twice though.

I am also looking forward to getting it fixed, it causes me pain and GERD.

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I had one too, but the pain stopped after I was banded. My Mexican surgeon's English could never translate whether he fixed it, or if the band placed over it pushed it back down. But I just posted on another thread that it's starting to hurt again (a little) after having my band removed. I asked my removal surgeon what he was going to do about the hernia, but in all the misery of band removal surgery, I forgot to ask him.

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I just had my band done this week; after the surgery the doc told me he had found one when he got in there and just repaired it while he was in there. I'll ask him when I go back for my 1-week checkup if that increased slippage possibility. It'll be interesting to hear his viewpoint, since it sounds like opposite opinions from equally qualified experts!

Emily

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I knew I had the hernia and forgot about it until the doc told me he fixed it during surgery. I do think that I had some additional pain from this repair.

He told me that slippage wasn't a problem because he stitched my band in the front and the back to the stomach.

This is just me. I think if you trust your doctor, you need to go with what he says.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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