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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hiatal Hernia Since A Long Time, Symptoms Of LPR. Would I Be A Candidate Of Surgery Without Incision?

I ve had a hiatal hernia since I was 28 yrs. old with no symptoms. I am now 67 yrs. old and I have the symptoms of LPR. Would I be a candidate for the new susrgery without incision and via the mouth that creates a one way valve to keep stomach acid out. I am in good health. And is this surgery available in Pennsylvania, preferably Philadelphia?
Mon, 25 Nov 2013
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Nephrologist,  's  Response
Hello

Thanks for the query

The indications for surgery in hiatus hernia are as follows

1. have failed medical management (inadequate symptom control, severe regurgitation not controlled with acid suppression, or medication side effects)
2. opt for surgery despite successful medical management (due to quality of life considerations, lifelong need for medication intake, expense of medications, etc.)
3. have complications of GERD

Since you are symptoms of LPR you can first discuss with your doctor if you can be managed conservatively if not you can be operated.

I hope I was of help

Regards
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Hiatal Hernia Since A Long Time, Symptoms Of LPR. Would I Be A Candidate Of Surgery Without Incision?

Hello Thanks for the query The indications for surgery in hiatus hernia are as follows 1. have failed medical management (inadequate symptom control, severe regurgitation not controlled with acid suppression, or medication side effects) 2. opt for surgery despite successful medical management (due to quality of life considerations, lifelong need for medication intake, expense of medications, etc.) 3. have complications of GERD Since you are symptoms of LPR you can first discuss with your doctor if you can be managed conservatively if not you can be operated. I hope I was of help Regards