A Hiatal Hernia is a herniation of the upper part of the stomach into the thorax through the esophageal hiatus the most common cause is obesity and is cause by a tear or weakness in the diaphragm often is related to heartburn but may also cause chest pain or pain with eating
A Hiatal Hernia may be treated with lifestyle changes such as raising the head of the bed, weight loss, and adjusting eating habits. Medications such as proton pump inhibitors may help. The diagnosis is often by endoscopy. Usually is related to weight loss surgery and bariatric surgeons from the area we work for a surgeon is easy to detect and is the best time to work and fix it. It is important to mention on the medical history it has been proven that Gastric Sleeve surgery worsen the reflux and hurt burn then been gastric bypass surgery a best choice over the sleeve.
The surgery repair is performed on the same surgical even that the weight loss procedure and involves closing up the diaphragm and pillars. The results are significant to prevent complications due to reflux.