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Question
Doctor, I am 31 years old this year, I have been choking and reflux oesophagitis for 10 years. I had heart surgery once but it didn't help. Currently, I went to the doctor and was diagnosed with a 36.43mm esophageal hiatus hernia. Will I have to have surgery, doctor? Thank you doctor!
Hoang Thi Hang (1989)
Reply
Hello! Thank you for sending your question to Vinmec Health System. Esophageal hiatus hernias are of two types: Sliding hernia, in which the center of the stomach is herniated into the thorax, or rolling hernia, in which the hernia remains in its normal position in the abdominal cavity and only fundus is herniated to the thorax. There are also mixed hernias, which combine sliding and rolling hernias. Up to 99% of acquired esophageal hiatus hernias are sliding hernias. The most common consequence of a sliding hernia is esophageal reflux. My case has been treated for cardiac surgery due to swallowing choking and reflux, currently I still have symptoms of gastroesophageal reflux disease, which is caused by a slipped hernia of the esophageal slit. First of all, I need medical treatment, against gastroesophageal reflux. The anti-reflux treatment includes: lifestyle changes, reduction of acid secretion and enhancement of esophageal and gastric emptying. Therefore, I need to see a specialist in Gastroenterology so that the doctors can assess my specific condition and control the symptoms. If the condition does not improve, consider surgery when medical treatment fails. I wish you health!
Master, Doctor Ta Que Phuong - Gastroenterologist - Endoscopy - Department of General Internal Medicine - Vinmec Times City International General Hospital.
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