Presentation
A patient with 10+ years of heartburn and regurgitation, dependent on daily acid-suppressing tablets with declining relief.
Investigations
Endoscopy and contrast study showed a large hiatus hernia with the stomach sliding into the chest, driving the reflux.
Operative Findings
A sizeable hiatus hernia had widened the diaphragm opening, so medication could never fix the underlying mechanical problem.
Surgical Strategy
A laparoscopic repair with fundoplication was planned to restore normal anatomy and rebuild the anti-reflux barrier.
The Procedure
The hernia was reduced, the diaphragm opening repaired, and a wrap created — all by key-hole through small incisions.
Outcome
Reflux resolved; the patient came off daily acid medication and could eat and sleep normally again.
Follow-up
Reviewed with a graded diet plan; symptom-free at follow-up. Similar cases of large hiatus hernia and reflux are treated by Dr. Avinash Tank at Dwarika Hospital, Ahmedabad — book a consultation for a personalised opinion.
When reflux is driven by a hiatus hernia, key-hole surgery can offer a lasting cure where tablets only mask symptoms.
Super-specialist GI, bariatric & cancer surgeon. SGPGIMS (India's premier GI centre) + advanced training in Japan & South Korea. Read full profile →
Last reviewed: June 2026Have a similar problem?
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