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Sleeve and hiatal hernia



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I had sleeve with a hiatal hernia. I had to take PPI meds for two months but have been fine since. I am three years out.

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I had both done at the same time and my acid reflux has improved and I am a month post op.

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Hernia found, and repaired, during my sleeve surgery. I haven't experienced any side effects.

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My surgeon and actually every surgeon in our hospital does routinely does hernia repair when they do a sleev. However there is an exception with some locations and size. If you trust your on do advised if you're not sure get a second opinion.

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I had a Very Large hernia (about the size of a plum), and was 200 pounds overweight. As a result, the decision was to wait until I got to my 2nd Milestone (250 lbs.) and then make the hernia surgery a 1-time fix. The surgery team, and a lot of , stated that hernias often recur when there is too much pressure on the mesh insert (a REAL risk for a large hernia, like mine).

After 100 pounds gone, however, I developed an intestinal block, and the hernia was removed as emergency surgery. The only downside has been that even though I feel fine, I can't return to training or bike riding until January. I was advised to give the scar tissue about 6 months to fully seal in the mesh patch.

Remember that my experience is based on a LARGE hernia. If yours is small, the wait may not be necessary.

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GERD is pretty much universal for sleeve patients, but it's tolerable for those who didn't have it before.

Hiatal hernia is more or less synonymous with GERD. If you already have bad GERD, I'd think carefully about a sleeve. Could make it much worse.

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I had a hernia repair as well as a banded sleeve at the the same time.

I didn't even know I had a hiatus hernia until 2 days after the op lol..

Now I have reflux as before the op I never ever did!!... bugger me lol

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GERD is pretty much universal for sleeve patients, but it's tolerable for those who didn't have it before.

Hiatal hernia is more or less synonymous with GERD. If you already have bad GERD, I'd think carefully about a sleeve. Could make it much worse.

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I had heard that too but here's the funny thing for me. I have had acid reflux for at least a decade. When prepping for my sleeve surgery, it was discovered that I had a hiatal hernia. My surgeon and I talked about how a sleeve can often increase acid reflux. But I wasn't comfortable with any other option so we decided to go forward with the sleeve. And my acid reflux is gone! It's been 3 months and anything can happen, but for now it's gone. Surgeon thinks my reflux might have been due to the hernia. I'm keeping my fingers crossed.

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My surgeon did my sleeve and (small) hernia repair at the same time. Tomorrow is my 6 month surgiversary and reflux is way better than it was.

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    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

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        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

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        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

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        Thank you ❤️

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      Hey guys new to the process looking forward to this new life. 
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