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Here is a video I found of a surgeon performing the procedure if anyone wants to see it : https://www.youtube.com/watch?v=t_SbDqhueRU
I desperately want to avoid getting an RNY (if I could go back in time, I never would have had bariatric surgery at all to avoid the risk of ending up with an RNY), so I am hoping that this is actually a viable option.
I just recently found out that there is a surgical procedure that might be helpful for those of us who have a hiatal hernia and GERD after the sleeve to repair the problem without having to convert to an RNY. It is called "Cardiopexy with Ligamentum Teres" (basically they wrap part of a ligament from your liver around the esophagus to reinforce the lower esophageal sphincter)
Here is a recent article that discusses this technique if any of you want to show it to your doctor and get their thoughts.
https://www.americanjournalofsurgery.com/article/S0002-9610(20)30814-X/fulltext#gr2
Have any of you had this done, or at least been able to talk to your surgeon about it? It seems like this is not yet being done widely, so I would welcome any info any of you have about it. Thanks!
Hi. I know this is an old post, but if you are still here: can I ask, what did you end up deciding to do about your hiatal hernia? I am a post-VSG patient who now has a hiatal hernia and I am trying to find out as much as I can about what my options are. I am like you in that I am worried I will be told that I need to do yet another bariatric surgery to fix this. That really is not what I want, so I want to know if it is possible to fix this without resorting to that.
Hi. If you are still reading this forum, do you mind if I ask how you are doing since you had your 2nd hiatal hernia repair? I am probably going to end up needing a hiatal hernia repair myself and it seems really hard to find people who have had hiatal hernia repairs after they had the VSG. It seems like there are a ton of people who have it repaired at the time of the initial surgery but little info on what outcomes are for those who develop them later on.
Right now, I hate to say it, but I regret my VSG.
I had my VSG back in 2016 and I am now dealing with some unpleasant symptoms that seem to be from a hiatal hernia. I am still waiting to find out what my surgeon will say about how to deal with this, but I am very worried that I might end up being told that the only way to fix this is to switch to an RNY (based on some of the initial research I've done indicating that is frequently what surgeons will tell people in this situation).
That is the main issue I have with the VSG - that some of the complications you may have from it (the other big one being intractable GERD) could end up forcing you to get an RNY to fix the problem. For me, ending up with an RNY that I never wanted would be worse than never having bariatric surgery at all. If you go into knowing you might need to switch to an RNY later and you are okay with that, then great! However, for me, the fear of having poor quality of life from an RNY complication is much worse than just staying fat. I would rather just have my old stomach back.
I am so sorry that you are facing this problem, but I am glad you posted because I have been having symptoms that I am pretty sure are from a hiatal hernia. I've been reading up trying to figure out if it's possible to fix this without resorting to doing an RNY.
Do you mind if I ask, did Dr. Jossart tell you anything about the success rate for a post-VSG hiatal hernia repair? Did he tell you anything about why so many people advise another bariatric procedure to fix this and why he doesn't? I am asking just because it seems really hard to find much info about dealing with a hiatal hernia after VSG except to just convert to an RNY. I absolutely do not want an RNY and I am afraid that I am going to be told it is the only option to fix this.
Love an ironic drop in post.
The few VSGers who stuck around hang out on the RNY group now
Dr A is an awesome resource here.
Proud Feminist, Atheist, LGBT friend, and Democratic Socialist
Dr A posts because he is the one of the premier surgeons for performing VSG, and he makes a point of continually reaching out to the VSG community to provide information for new and post-op patients. His videos are awesome and very informative, they helped me a lot in the first couple of years.
activity has dropped a lot in the six years I've been on here. It's too bad because I like this site much better than the other major bariatric forums, which seem to be mostly pre-ops and newbies (not that there's anything wrong with pre-ops and newbies, but that's not where I'm at anymore, and haven't been in quite awhile). This one has always had a nice mix of people at all different phases. I guess a lot of people are joining Facebook groups now, unfortunately ("unfortunately" because there are a lot of terrible ones out there...)
Haven't been on in a while... Where are all the posts from members. Looks like they have updated the web site. And why does that one Dr. post so many topics? Am I missing something?
I guess that's what happens when you haven't been on in a while...
