Gastritis and a mini hiatal hernia

[lexy43 3]

I was truly unaware of my gastritis my doctor prescribed Nexium before my surgery i'm already on day four of my liquid diet I have surgery December 13 my question is, anyone else with the same predicament I really want my post-op to go smoothy I've been approved for surgery I want to make sure I will have no complications I'm worried

[Creekimp13 5,840]

Don't worry. I had an endoscopy and found out I had gastritis, too. I'm on Famotidine for it. I never had any symptoms, either. All gastritis is...is irritation of your stomach lining. Mine was likely causes by too much ibuprofen for my athritis.

I learned that Chronic gastritis is EXTREMELY COMMON in morbidly obese people...and something like a third of women who have bypass...have Chronic gastritis (many don't know it, and it's only discovered upon examining the discarded portion of stomach).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4768929/ <---read this, it'll help.

From the article:

"The mean operative time was one hour and 20 minutes for all cases, including the gastritis cases, and the mean hospital stay was 2–3 days for all of the patients. Five cases developed post-operative complications (three with leaks, two with strictures), but none of them was found to have gastritis. "

It shouldn't be a complication. And the medication you're taking for it will help aid in the healing of your new stomach. Seriously....no worries.

[Mhy12784 423]

I guess the real question is how do they define a mini hiatal hernia, because I dont think thats a technical term.

From experience the majority of hiatal hernias (in patients that have them) are 2cm, and I think they notice a fair amount of improvement. With 3cm id say youre probably in the same ballpark. (mine was 3cm and I felt much better after it was repaired)

Greater than 3cm and youre at even greater risk for a reoccurance (around 1/3rd of hiatial hernias come back in Sleeve patients) which is why if you have bad GERD and a >3cm HH you should have a thorough conversation with your surgeon about whether he thinks the Sleeve is truly your best option.

Less than 2cm and I think some/many surgeons don't or cannot successfully repair them.

[Creekimp13 5,840]

In this gastric sleeve surgery, the surgeon fixes the hiatal hernia with a couple of stitches (go to 7:50). My doctor said he'd be evaluating us for hernia and fixing it if he found anything.

[Kate D 41]

I had a small hernia, about 4 cm’s and I also suffered from gastritis. My surgeon told me that he always fixes a hernia, no matter what the size, when he is performing the vsg. I am 2 weeks post op now. Other than some extreme nausea the first 24 hours I am doing well. Good luck!

[Mhy12784 423]

11 minutes ago, Kate D said:

I had a small hernia, about 4 cm’s and I also suffered from gastritis. My surgeon told me that he always fixes a hernia, no matter what the size, when he is performing the vsg. I am 2 weeks post op now. Other than some extreme nausea the first 24 hours I am doing well. Good luck!

A 4 cm hiatial hernia is huge.

[Kate D 41]

Sorry! Meant 4 mm