You may have heard of a paraesophageal hernia, but you may not fully understand the risks associated with it. At Advanced Houston Surgical, we provide paraesophageal hernia repair in Houston, TX, performed by a board-certified surgeon, Dr. Rizwan Chaudhry.
A paraesophageal hernia is a specific, more complex type of hiatal hernia. In a healthy body, the esophagus passes through an opening in the diaphragm (the hiatus) to meet the stomach.
In this condition, the connection between the esophagus and stomach may remain in its normal place. However, the upper part of the stomach (the fundus) squeezes through the hiatus and rests alongside the esophagus into the chest cavity. There are several types of this condition, such as:
Paraesophageal hernias do not usually present with typical symptoms like heartburn, as seen in GERD. Instead, patients may experience symptoms related to the physical compression of the stomach within the chest, which include:
The main goal of the operation for repairing a paraesophageal hernia is to bring the stomach back to its rightful place in the abdomen and fix the gap in the diaphragm. During the procedure, Dr. Chaudhry carefully returns the stomach and any displaced organs to their proper position within the abdomen.
The hernia sac that allows the stomach to protrude into the chest is surgically removed to help prevent recurrence. Additionally, the enlarged opening in the diaphragm (esophageal hiatus) is carefully tightened and reinforced with strong sutures.
In certain cases, this may be followed by an additional procedure involving the placement of a mesh. The surgeon might also perform a gastropexy or a fundoplication to help keep the stomach in its proper place.
When dealing with complex chest and abdominal anatomy, having an experienced surgeon is extremely important. We use minimally invasive laparoscopic and robotic techniques to treat paraesophageal hernias.
Dr. Chaudhry serves as the Medical Director of an accredited surgical program. As part of his practice, he prioritizes patient safety and optimal outcomes, employing cutting-edge diagnostics and providing clear and transparent communication about every step of the procedure.
Although many patients may have lived with one for years, paraesophageal hernias are seen as dangerous since there is always a risk that the stomach could become incarcerated (trapped) or strangulated (have its blood supply cut off).
With modern laparoscopic techniques and the use of reinforcement mesh when necessary, the success rate for these repairs is very high. Following post-operative restrictions on lifting is the best way to ensure the longevity of the repair.
Yes. After the initial healing period (typically 4–6 weeks), most patients return to a full, varied diet without the discomfort or fullness they felt prior to the surgery.
Evaluation is recommended, as untreated paraesophageal hernias may lead to complications in some patients. Therefore, we offer skilled paraesophageal hernia repair in Houston, TX, for long-lasting comfort. Call us at (713) 263 3900 today!
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