Hiatus hernia secondary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]


Effective measures for the secondary prevention of a hiatus hernia include preventing and treating gastroesophageal reflux disease(GERD) that includes lifestyle modifications, management of GERD by using proton pump inhibitors and surgery to prevent recurrence.

Secondary Prevention

  • Effective measures for the secondary prevention of a hiatus hernia include preventing and treating gastroesophageal reflux disease:[1][2]
    • Lifestyle modifications:
      • Weight loss
      • Exercise
      • Balanced diet
      • Avoiding large meals, meals just before bedtime, alcohol, and acidic foods.
      • Avoiding caffeine, chocolate, carbonated beverages and foods with high fat content.
    • Management by using proton pump inhibitors.
    • Repairing the hernia to prevent recurrence.[3]


  1. Pandolfino JE (2007). "Hiatal hernia and the treatment of Acid-related disorders". Gastroenterol Hepatol (N Y). 3 (2): 92–4. PMC 3099358. PMID 21960816.
  2. Ang D, How CH, Ang TL (2016). "Persistent gastro-oesophageal reflux symptoms despite proton pump inhibitor therapy". Singapore Med J. 57 (10): 546–551. doi:10.11622/smedj.2016167. PMC 5075954. PMID 27779277.
  3. Sheff SR, Kothari SN (2010). "Repair of the giant hiatal hernia". J Long Term Eff Med Implants. 20 (2): 139–48. PMID 21342088.

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