Treatment at Mayo Clinic

By Mayo Clinic Staff

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Aside from the treatment information featured on this page, Mayo Clinic provides all standard treatment options for this condition.

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In most cases, small hernias do not cause symptoms or require treatment. For people with a large hiatal hernia, repair surgery is sometimes the best option when medications and lifestyle changes have been ineffective.

Repair surgery initially involves pulling your stomach down into your abdomen (reduction). This surgery may be combined with other surgeries, such as those for gastroesophageal reflux disease (GERD) or weight-loss (bariatric).

Based on the cause of your symptoms, your doctor may recommend one of the following additional surgical options:

  • Fundoplication. The top part of the stomach is wrapped around the bottom part of the esophagus to strengthen it. The defect in the diaphragm also is closed.
  • Gastropexy. The stomach is attached to the ligament of the diaphragm, if it moves around easily after reduction.
Feb. 03, 2015