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Hiatal hernia after already having the sleeve?

Have any of you dealt with a hiatal hernia AFTER getting sleeved? What ended up happening?

I am currently dealing with this. I haven’t yet found out what my surgeon wants to do, but I am afraid that I will be told the only option is to convert to RNY, and I absolutely do not want that. Have any of you had luck with simply repairing the hernia and keeping the sleeve instead of converting to RNY?
Do any of you have suggestions on doctors who may be experienced at dealing with this problem?
i appreciate any advice since it is hard to find info on this problem. It seems like tons of people have hernia repairs at the time they have the sleeve done but it seems less common to have it come up later.

  • Replies 40
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  • KateinMichigan
    KateinMichigan

    Cont.. the new stomach is lighter and thinner, slides into the esophageal area because the new shape allows it to. The seasoned docs now realize that the sleeve surgery actually causes this,

  • HI! My surgeon is a GREAT bariatric surgeon, as far as doing the surgery, but she isn't on top of much regarding the nutritional aspects of the program. I finally called one of the nutritionists

  • Still doing OK, in fact, better than OK. No more vomiting, and as long as I follow mindful eating, no more pain. Having the HH repair, instead of revision, has been amazing! I lost the 7 pounds I gain

Featured Replies

On 7/20/2021 at 5:35 PM, leebick said:

Hi Lee - just doing my weekly check in - how’d it go this week? Is the pain better? Is it easier to eat?

Just now, KateinMichigan said:

Hi Lee - just doing my weekly check in - how’d it go this week? Is the pain better? Is it easier to eat?

Hi, thanks for checking in. Yes, it is getting easier, better. I just have to be mindful when eating- chew a lot, eat slowly, pay attention. Yesterday we went with friends to celebrate my birthday (I'm 65 today) and I was able to slowly sip a beer and carefully eat some nachos- it was GREAT, and makes me feel like finally I am going to get back to life! (5 weeks post-surgery, if anyone's keeping score!)

Happy Birthday!!! Nachos and a beer without a side of Acid - lol. Sounds glorious.

Edited by KateinMichigan

  • 1 month later...
  • Author

Just wanted to bump this thread to check on how both of you are doing. Kate, any update about getting your surgery date? Lee, are you still doing okay with your recovery?
My own plans for surgery were put on the back burner for a few reasons (some other family members with health issues that took priority, plus I felt like my symptoms had calmed down enough to be tolerable) but tonight I am having some terrible burning sensations that are making me think I need to do something sooner rather than later. It helps a lot to hear the experiences of others!

Edited by SleevedK

7 hours ago, SleevedK said:

Just wanted to bump this thread to check on how both of you are doing. Kate, any update about getting your surgery date? Lee, are you still doing okay with your recovery?
My own plans for surgery were put on the back burner for a few reasons (some other family members with health issues that took priority, plus I felt like my symptoms had calmed down enough to be tolerable) but tonight I am having some terrible burning sensations that are making me think I need to do something sooner rather than later. It helps a lot to hear the experiences of others!

Hi! I just thought about checking this thread yesterday, to see how everyone's doing. I am doing GREAT! It is SO NICE to be able to eat without vomiting, lie down/sleep without being awash in stomach acid, and to basically live like a normal person again. My daughter (she's almost 28) and I took a quick trip to Disney before she started grad school and it was wonderful! I could eat and drink in all our favorite places and not be sick! I'm eating less than I had been and slowly losing weight, too. I guess the surgery was enough of a change to my insides that it was like a "reset" or something- but I have that obvious "full" feeling again and am doing better with my weight management. NOW I have to get back into the gym regularly, something that ended when Covid hit and I just haven't re-established the habit yet. Hope you all are doing well!

  • 2 weeks later...

Hi Leebick. You still doing ok? My brother needs this surgery after his sleeve surgery as well. He is totally against being the bypass so hopefully his doc can do the HH repair with mesh as well.

Still doing OK, in fact, better than OK. No more vomiting, and as long as I follow mindful eating, no more pain. Having the HH repair, instead of revision, has been amazing! I lost the 7 pounds I gained (and a few more) due to covid and am right back where I was, weight-wise, following my original surgery (FIVE years ago). I cannot imagine having had revision surgery, with the loss of the pyloric valve and risk of dumping. I am good.

  • 3 months later...

Hello all,

Has anyone here had a hiatal hernia repair after already having the sleeve?

I was sleeved in 2014 and all was going well ( uneventful recovery, Good weight loss and maintenance) until I got pregnant with my second child last year. I started to have some bad acid reflux in my third trimester ( burning pain, shortness of breath) and found out during a barium swallow and endoscopy that I have a ‘small sliding hiatal hernia’ but have not been told how exactly how big/ small the defect is.

I have dysphagia which is better some days but the most persistent symptom is shortness of breathe/ a ‘tickle’ in my chest that does not want to go away.

I stopped my PPI a few weeks ago for the manometry test after weaning for a little while and the rebound hyperacidity has been awful ( thank heavens for gaviscon)

In any case, i’m supposed to be meeting with my surgeon later this month to discuss results and like some of you, I would prefer not to convert to rny if I can have this addressed some other way.

I would love to hear your stories!

  • 3 years later...
On 6/25/2021 at 11:43 AM, leebick said:

I am 5 years post-op from my sleeve surgery and 3 days post-op from my hernia repair. All my surgeon did was hernia repair with a dissolving mesh. The surgery notes said that >50% of my sleeve was residing in my esophagus, so I don't think it was a trivial repair- and she was able to do it laparoscopically, so win-win!!

Did you feel this helped with additional weight loss? im also 5 years post op and need this surgery my Dr said this would be like a "sleeve restart"

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