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Hiatal Hernia - what does that mean for my WLS?



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Hi - I had my pre-op endoscopy today and the doctor said I had a "significantly large hiatal hernia". What does that mean for my upcoming surgery? My surgeon had said I could do either the sleeve or the bypass (though I want to have bypass). Does this prevent me from having one or the other? Or both? (God, I hope not!!) I thought I had read some people had it fixed at the same time, but I don't remember which surgery they had or any of the details.

Anyone here have one and what impact did it have?

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I had a very large hiatal hernia and I had it repaired along with bypass. I am not doing well at 5 weeks post op but I am not the rule.

I think they find it quite a bit and it will not prevent you from having the surgery, they will just do both at the same time.

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I also had the hernia, it didn't stop the surgery at all. I didn't have the endoscopy, but I think some surgeons require them to that they know exactly what their facing when they start. My surgeon found mine when he went in, all he did was repair it. It didn't cause any additional time in the hospital, insurance covered it and all is good. Don't sweat it, I actually think it's something very common to overweight people.

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From reading comments over the last 18 months, it seems fairly common for people to have hernias. They can do a hernia repair during your bypass surgery. My doc found and repaired a hernia when I had my gallbladder removal in December. You should be fine. :-)

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I had a large hiatal hernia and my Dr repaired it at the time of my bypass surgery. This surgery helped me get off 8 medications and I am forever thankful for the opportunity. No more diabetes, reflux, high blood pressure, high cholesterol, and less arthritis. Also off Migraine medicine. Bypass is a wonderful surgery.

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I had a large hiatal hernia so my surgeon would only do bypass. He believes I would suffer from gerd the rest of my life. When the surgeon did the surgery, he had to pull half my stomach through the whole, and use mesh to repair it. It took longer but all is well. Good luck! It is very common!

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Just to clarify my post above, I would have gerd the rest of my life with the sleeve, so we opted for the bypass.

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I also had a very large hiatal hernia that was discovered during my bypass.. my surgeon repaired it while he was in there. I was pretty sore after surgery but other than that all went well.

Edited by ryn2bthin

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Happy to hear! I'm on day 6, and feeling great! I went on a short shopping trip with my sister and am resting now! How are you feeling!

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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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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