HIATAL HERNIA & GERD SURGERY

Drs. Clark, Lee, and Sigley are not only specially trained bariatric surgeons, but also experts in general surgery.

HIATIAL Hernia surgery at anchorage bariatrics

A hiatal hernia is a common yet often overlooked condition that can contribute to chronic acid reflux, also known as GERD (gastroesophageal reflux disease). While many people experience occasional heartburn, a hiatal hernia can make symptoms more frequent and severe. At Anchorage Bariatrics, our expert surgeons specialize in minimally invasive procedures to correct hiatal hernias and relieve GERD symptoms, helping you regain comfort and quality of life.

WHAT IS A HIATAL HERNIA?

A hiatal hernia occurs when a portion of the stomach pushes up through the diaphragm into the chest cavity. The diaphragm is a muscle that separates the chest from the abdomen and plays a key role in breathing. Normally, the esophagus passes through a small opening in the diaphragm (the hiatus) before connecting to the stomach. However, when this opening becomes weakened or enlarged, part of the stomach can slip upward, causing a hiatal hernia.


There are two main types:



  • Sliding Hiatal Hernia – The most common type, where the stomach and lower esophagus move up and down through the diaphragm.
  • Paraesophageal Hiatal Hernia – A less common but potentially serious condition where the stomach pushes up alongside the esophagus and can become trapped, leading to complications.

WHAT CAUSES A HIATAL HERNIA?

Several factors can contribute to the development of a hiatal hernia, including:



  • Increased pressure on the abdomen – Obesity, pregnancy, heavy lifting, or chronic coughing
  • Age-related changes – Weakening of the diaphragm muscles over time
  • Genetic predisposition – Some individuals are born with a larger hiatus
  • Injury or surgery – Trauma to the diaphragm area

HOW DOES A HIATAL HERNIA CAUSE GERD?

The positioning of the stomach below the diaphragm normally helps to limit the flow of acidic stomach fluid upwards into the esophagus. When a hiatal hernia is present, this barrier is weakened, allowing stomach acid to move up more easily, leading to GERD symptoms such as:



  • Chronic heartburn
  • Regurgitation of food or sour liquid
  • Chest pain or discomfort
  • Difficulty swallowing
  • Chronic cough or hoarseness


Over time, untreated GERD can cause esophageal damage, ulcers, and even a higher risk of esophageal cancer.

CAN I HAVE GERD WITHOUT A HERNIA?

It is possible to have GERD (gastroesophageal reflux disease) without a hiatal hernia. GERD occurs when stomach acid frequently flows back into the esophagus, causing symptoms like heartburn, regurgitation, and chest discomfort—even in patients without any structural abnormalities like a hiatal hernia. At Anchorage Bariatrics, our team can help you manage GERD through medical treatment, lifestyle adjustments, and if necessary, surgical options.


For those wondering if food choices may be playing a role, personalized dietary changes can make a big difference—Dietitians of Alaska are a great resource for expert guidance on nutrition strategies that reduce reflux and improve overall gut health.

HOW DOES SURGERY FIX A HIATAL HERNIA & GERD?

At Anchorage Bariatrics, our surgeons use minimally invasive laparoscopic and robotic techniques to repair hiatal hernias and restore normal function to your digestive system.

Hernia Repair: The stomach is gently repositioned, and the opening in the diaphragm is tightened to prevent future herniation.


Fundoplication: If GERD is severe, the upper part of the stomach may be wrapped around the esophagus to strengthen the anti-reflux barrier, preventing acid from backing up.

Minimally Invasive Approach: Small incisions, less pain, faster recovery. Most patients return home the same or next day.


Contact us today at 907-644-8446 for more information and to schedule a consultation.