Diagnosis & Treatment

Tests utilized to help diagnose paraesophageal hiatal hernia may include:

  • Barium esophagram
  • Chest and abdominal CAT scan
  • Esophagogastroduodenoscopy (EGD)

What Type of Surgery is done for a Paraesophageal Hiatal hernia?

Hiatal hernia surgical repair can be done open or laparoscopically. Minimally invasive (laparoscopic) repair are preferred by our group. Hospital stay is reduced and patients are usually able to return to their lives quicker. The laparoscope is a slim, telescope-like device having a digital camera on the end that permits the surgeon to examine the inside of the abdominal area. Using this type of surgical procedure, tiny incisions are made in the abdomen. The laparoscope and surgical devices are inserted through these incisions. During surgery, the stomach is repositioned, the diaphragm opening is closed, and a anti-reflux procedure is usually done.  Most patients only spend 1-2 nights in the hospital when the surgery can be performed in a minimally invasive manner.  Sometimes, even patients with previous abdominal surgery can be repaired using a laparoscopic technique.