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Hiatal Hernia AFTER sleeve



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So I have been having a lot of problems with GERD, now more than ever. I have been taking PPIs with no relief, in fact, it's so bad when I sleep, I have a huge spasm and I have acid spewing into my mouth, or worse, into my nose! (That's the most terrible thing!) I went to see my PMD, thinking that I needed an adjustment in my PPI, but she was concerned that it might be something deeper than just reflux... and she's right. I had an upper GI study done and I have a hiatal hernia, which was not there when I had a GI study 4 weeks after surgery. I've done a lot of research and it looks like I might be in for more surgery to correct it, and most people have a Nissen Fundoplication with the hernia repair, but I don't think that's possible after I have had the sleeve.

1) Has anyone had experience with this?

2) What are the outcomes?

3) What's the healing time?

Thanks!

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So I have been having a lot of problems with GERD, now more than ever. I have been taking PPIs with no relief, in fact, it's so bad when I sleep, I have a huge spasm and I have acid spewing into my mouth, or worse, into my nose! (That's the most terrible thing!) I went to see my PMD, thinking that I needed an adjustment in my PPI, but she was concerned that it might be something deeper than just reflux... and she's right. I had an upper GI study done and I have a hiatal hernia, which was not there when I had a GI study 4 weeks after surgery. I've done a lot of research and it looks like I might be in for more surgery to correct it, and most people have a Nissen Fundoplication with the hernia repair, but I don't think that's possible after I have had the sleeve. 1) Has anyone had experience with this? 2) What are the outcomes? 3) What's the healing time? Thanks!

The fundoplication is to correct chronic GERD that doesn't go away with hernia repair. It's not the first step and it only lasts 10 years or so. Hernia surgery is easy. Most of us have a hiatal hernia when we are obese because our fat actually can push up on our abdomen and cause strain. Lots of us have it repaired at surgery. I did and it was no drama. Apparently I have a slight one either still or again, but not enough to have more surgery. My GERD is controlled with the lowest dose of nexium every day. If it gets worse I will have the hernia repaired again.

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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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