Two other types of hernias can impact the elderly but are no more likely to occur later in life than at a younger age. Inguinal hernias. These hernias occur in the groin and are more common in men.
They are typically associated with heavy lifting, constipation and prostate issues that cause urination difficulty or increases in abdominal pressure.
They can help you return to regular activity levels a lot quicker. Ventral hernias. Ventral hernias occur in the abdomen and also exhibit a bulge and pain.
These hernias are more common in people who are obese or have diabetes or chronic smoking habits, but being in good health reduces the chances of those complications. Learn more about vaccine availability. Advertising Policy. You have successfully subscribed to our newsletter.
The same results are not seen in less experienced centers, where satisfaction rates are lower and complications ocurr more often. The most common complications are difficulty swallowing, abdominal bloating, diarrhea, and nausea.
There are some special situations that deserve mention. It appears that the ideal candidate for the operation is the patient with heartburn that responds nicely to medical therapy. Patients with a poor response to medical therapy may not do as well either. The main reason for this is that these patients may have problems besides GERD that are causing these symptoms that are unresponsive to treatment refractory symptoms. Some patients develop a stricture, which is a narrowing of the esophagus caused by severe acid reflux.
Having surgery for a stricture is still controversial, but it is my belief that most patients with this problem are better off not having surgery. This is a situation where the lining of the esophagus changes to a potentially pre-malignant tissue. Some surgeons feel strongly that surgery will decrease the risk of developing cancer, and will so inform their patients.
Unfortunately, there is no compelling scientific evidence that this is true. Most experts in this area believe that surgery should not be performed for the sole purpose of preventing esophageal cancer. There are some people with a very large hiatal hernia, where one-half of the stomach or more is actually in the chest. The currently available medical therapy rarely works in these people and surgery is usually necessary.
It must be pointed out that the few patients who do poorly with this operation have a life-altering experience. They often have difficulty with swallowing, nausea, chest pain, or abdominal pain that is refractory to all medical and surgical therapies and occurs with every meal for the rest of their lives. If these criteria are met, the chances are favorable for a good, long-term response to surgical therapy for GERD. IFFGD is a nonprofit education and research organization.
Our mission is to inform, assist, and support people affected by gastrointestinal disorders. Our original content is authored specifically for IFFGD readers, in response to your questions and concerns.
If you found this article helpful, please consider supporting IFFGD with a small tax-deductible donation. IFFGD is a leader in the fight for more research to improve diagnostic and treatment options for gastrointestinal GI disorders. With donations from people like. Do I Need Another Endoscopy? Question I underwent an endoscopic exam about 1 year ago and was diagnosed with gastroesophageal reflux disease GERD. This information is in no way intended to replace the guidance of your doctor.
All Rights Reserved. About GERD. What is GERD? Can you please explain the surgery? Will my GERD be resolved? What are the potential risks related to the surgery? Open surgery will usually require a lengthier stay in the hospital and an extended recovery time. Nissen fundoplication is very effective for relieving symptoms of GERD. A study estimates that this surgery achieves a success rate of 90 to 95 percent. The same study also suggests that even when the laparoscopic surgery has to be carried out again to control reflux symptoms further, the success rate is 86 percent.
The NHS in the UK estimate that 80 to 85 percent of people will continue to have relief from symptoms 10 years after surgery. However, the risk with laparoscopic procedures is lower than with open surgery. It is estimated that laparoscopic repair carries a mortality rate of just 0.
While surgery is an effective treatment for a hiatal hernia that causes severe symptoms, people with mild symptoms may find relief using medications or home treatments. Hiatal hernias usually do not cause symptoms. If they do, symptoms may be treated with medications or lifestyle changes, though if these do not work, surgery may give long-term relief from acid reflux and GERD.
Even when hiatal hernia surgery is necessary, the procedure is usually minimally invasive and has a high success rate. Most people make a full recovery in just a few weeks. Epigastric pain is felt in the upper abdomen, below the ribcage but above the intestines. Learn about the possible causes, including GERD and…. More than 60 million Americans are said to have acid reflux regularly, and it causes numerous hospital admissions.
Read about risk factors, including…. A hiatal hernia occurs when part of the stomach pushes through the diaphragm. Possible causes include injury, obesity, pregnancy, and older age. Gastroesophageal reflux disease GERD is the long-term, regular occurrence of acid reflux. This can cause heartburn and tissue damage, among other…. In this article, we look at the types of hernia repair herniorrhaphy, hernioplasty , including when to see a doctor, and the risk factors involved.
What to know about hiatal hernia surgery. Medically reviewed by Saurabh Sethi, M. When is surgery required? Types of surgery Recovery time Effectiveness Complications Alternatives Takeaway We include products we think are useful for our readers. Share on Pinterest Hiatal hernias can often be treated with medication or lifestyle changes, but some may require surgery. What types of surgery are there?
0コメント