Reflux Surgery and Hiatus Hernia Repair in Sydney
If you experience persistent heartburn, acid regurgitation or have been diagnosed with a hiatus hernia, you may benefit from an assessment by a surgeon specialising in upper gastrointestinal conditions.
Dr Roy Hopkins is an Australian-trained Upper GI, Bariatric and General Surgeon providing assessment and surgical treatment for reflux and hiatus hernia across Sydney, Wollongong and Nowra.
Reflux surgery and hiatus hernia repair aim to address the underlying problems contributing to symptoms. The most appropriate treatment depends on your symptoms, anatomy, investigation results and individual circumstances.
Arrange a consultation with Dr Roy Hopkins to discuss your symptoms and understand which treatment options may be appropriate for you.
What Is Reflux Surgery (Fundoplication)?
Gastro-oesophageal reflux disease (GORD) occurs when stomach contents flow backwards into the oesophagus, causing symptoms such as heartburn and regurgitation.
For some patients with persistent or troublesome reflux, surgery may be an option. Anti-reflux surgery aims to improve the barrier between the stomach and oesophagus to reduce the backward flow of stomach contents.
One commonly performed operation is called a fundoplication. It involves wrapping part of the upper stomach around the lower oesophagus to strengthen this barrier.
The type of operation considered depends on the patient's symptoms, oesophageal function, anatomy and clinical assessment.
Learn more: Surgery for GORD and reflux
What Is Hiatus Hernia Surgery?
A hiatus hernia occurs when part of the stomach moves upwards through an opening in the diaphragm into the chest.
Some hiatus hernias cause no significant symptoms, while others may be associated with reflux, regurgitation, difficulty swallowing, chest discomfort, chronic cough or other problems.
When surgery is appropriate, the operation generally involves returning the stomach to its normal position in the abdomen and repairing the opening in the diaphragm. A fundoplication may also be performed to help reduce reflux.
Not every hiatus hernia requires surgery. The appropriate approach depends on the type and size of the hernia, symptoms and individual clinical findings.
Dr Roy Hopkins assesses patients with hiatus hernias to determine whether surgical repair may be appropriate and to discuss the available options.
Learn more: Hiatus Hernia Repair
Research and Expertise in Reflux Surgery
Choosing a surgeon for reflux or hiatus hernia surgery is an important decision. Understanding a surgeon's relevant training, clinical interests and involvement in research can help patients make informed decisions about their care.
Dr Roy Hopkins has a clinical and research interest in anti-reflux surgery and was a co-author of a publication in the British Journal of Surgery examining the long-term outcomes of two types of fundoplication.
The study followed patients for 10 years and compared Nissen fundoplication with anterior 90-degree partial fundoplication.
A Nissen fundoplication involves wrapping the upper part of the stomach completely around the lower oesophagus. An anterior 90-degree partial fundoplication involves creating a smaller wrap around the front of the lower oesophagus.
The researchers assessed heartburn symptoms, swallowing difficulties and overall patient satisfaction. Patients who underwent Nissen fundoplication reported lower heartburn symptom scores, while those who underwent anterior partial fundoplication reported fewer swallowing difficulties. Overall satisfaction was similar between the groups.
These findings highlight differences between surgical techniques and the importance of considering their potential benefits and limitations when planning treatment. The most appropriate procedure depends on the patient's individual circumstances.
Read more about the study: Reflux Surgery and Fundoplication: What Does Research Tell Us?
Assessment Before Reflux or Hiatus Hernia Surgery
Before deciding whether surgery is appropriate, it is important to establish the cause of your symptoms and understand the anatomy and function of your oesophagus and stomach.
Depending on your circumstances, assessment may include:
A review of your symptoms, medical history and previous treatment.
Gastroscopy to examine the oesophagus and stomach.
Oesophageal function testing (pH and Manometry Studies) or other investigations where indicated.
Review of any existing imaging or investigation results.
Not every patient requires the same investigations. The appropriate assessment depends on the clinical question and your individual circumstances.
Following assessment, Dr Hopkins can discuss the findings, whether surgery may be suitable, the available surgical options and the potential risks and benefits.
What Are the Potential Benefits and Risks of Surgery?
Reflux surgery aims to reduce reflux symptoms, while hiatus hernia repair aims to correct the abnormal position of the stomach and address problems associated with the hernia.
However, outcomes vary between individuals, and surgery cannot guarantee complete relief of symptoms.
Potential risks and complications depend on the procedure and the patient's circumstances. These may include difficulty swallowing, bloating, recurrence of the hernia or reflux symptoms, and complications associated with anaesthesia or surgery.
Your surgeon can explain the relevant risks, expected recovery and follow-up requirements as part of the decision-making process.
Considering Reflux or Hiatus Hernia Surgery?
If persistent reflux symptoms or a hiatus hernia are affecting your quality of life, a specialist assessment can help you understand the cause of your symptoms and explore your treatment options.
Dr Roy Hopkins provides assessment and surgical care for reflux and hiatus hernia across Sydney, Wollongong and Nowra.
Arrange a consultation with Dr Roy Hopkins to discuss your symptoms, review your investigation results and find out whether reflux surgery or hiatus hernia repair may be appropriate for you.
Related Information
The information provided on this website is of a general nature and should not be considered a substitute for individualised medical advice. It is essential to consult a qualified medical practitioner for personalised advice regarding your health, diagnosis, and management. The content on this site is for general informational purposes only and does not establish a doctor-patient relationship.