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Heartburn / Reflux Disease (GERD / Hiatus Hernia)

Heartburn that keeps returning is more than just “acidity.”

When acid from the stomach repeatedly flows back into the food pipe (esophagus), it can lead to irritation, inflammation, sleep disturbance, swallowing difficulty, and long-term complications. This condition is known as Gastroesophageal Reflux Disease (GERD).

In many patients, the root cause is a Hiatus Hernia, where a portion of the stomach moves upward through the diaphragm into the chest cavity. This weakens the natural anti-reflux barrier and allows acid to travel upward more easily.

With Dr. Nishant Kurian, patients receive advanced evaluation and minimally invasive treatment for chronic acid reflux, GERD, and hiatal hernia conditions with a focus on long-term relief and improved quality of life.

What is GERD?

Gastroesophageal Reflux Disease (GERD) occurs when stomach acid frequently flows back into the esophagus due to weakness of the lower esophageal sphincter (LES), the valve between the food pipe and stomach.

Chronic untreated reflux can damage the lining of the esophagus and may lead to complications such as ulcers, narrowing of the food pipe, Barrett’s esophagus, or even esophageal cancer in severe long-standing cases. Patients searching for GERD treatment, acid reflux specialist, or a doctor for chronic heartburn treatment often experience symptoms that persist despite medications and lifestyle changes.

What is a Hiatus Hernia?

A Hiatus Hernia develops when the upper part of the stomach slips through the diaphragm into the thorax (chest cavity). The diaphragm normally helps support the anti-reflux mechanism. When a hiatal hernia is present, the protective barrier weakens, making acid reflux more frequent and severe.

Many patients searching for Hiatus hernia treatment or Hiatal hernia surgery are diagnosed with GERD associated with a hiatal hernia.

Common Symptoms of GERD & Hiatus Hernia

Symptoms may vary from mild discomfort to severe chronic reflux disease. Common symptoms include:

Patients with persistent reflux symptoms despite medications should consult Dr. Kurian, an experienced acid reflux specialist doctor in Delhi.

Causes & Risk Factors

Several factors can contribute to GERD and hiatal hernia:

Diagnosis of GERD & Hiatus Hernia

Accurate diagnosis is important before deciding the best GERD treatment plan. Investigations may include:

  • Upper GI Endoscopy: Helps identify inflammation, ulcers, Barrett’s esophagus, or hiatal hernia.
  • Esophageal pH Monitoring: Measures acid exposure inside the food pipe over a period of time.
  • Esophageal Manometry: Evaluates esophageal muscle function (strength and contractions) and LES pressure.
  • Barium Swallow Study: Helps assess anatomy and detect shape and size of hiatal hernia.

These tests help determine the required course of treatment, whether lifestyle changes, medicines, or surgery would provide the best long-term outcome.

Treatment Options for GERD & Hiatus Hernia

Treatment depends on symptom severity, duration, response to medications and the presence of structural defects like hiatal hernia.

Lifestyle & Dietary Modifications: Early or mild reflux symptoms may improve with:

Medications

Acid-suppressing medicines such as antacids, H2 blockers, and proton pump inhibitors (PPIs) can help reduce symptoms temporarily.

However, many patients continue to experience recurrent reflux despite long-term medication use. Medicines control acid production but may not correct the underlying anatomical problem causing reflux.

Laparoscopic GERD Surgery & Hiatal Hernia Repair

For patients with severe reflux, persistent symptoms, large hiatal hernia, or long-term dependence on medications, surgery may offer lasting relief.

Dr. Nishant Kurian performs advanced minimally invasive procedures for GERD and hiatus hernia using laparoscopic and robotic techniques.

Laparoscopic Nissen Fundoplication

Laparoscopic Nissen Fundoplication is one of the most advanced and effective surgical treatments for chronic GERD and hiatal hernia.

In this minimally invasive procedure:

  • The hiatal hernia is repaired
  • The stomach is repositioned correctly
  • The opening in the diaphragm is tightened
  • The upper portion of the stomach (fundus) is wrapped around the lower esophagus to strengthen the anti-reflux valve

This helps prevent acid from flowing back into the esophagus and restores the natural barrier against reflux. Patients looking for laparoscopic GERD surgery often choose this procedure for durable symptom relief and improved quality of life.

Benefits of Laparoscopic / Robotic GERD Surgery

Compared to traditional open surgery, minimally invasive GERD surgery offers:
  • Smaller incisions and minimal scarring
  • Faster recovery
  • Reduced postoperative pain
  • Shorter hospital stay
  • Long-term relief from reflux symptoms
  • Reduced dependence on lifelong medications

Who May Need Surgery?

Surgery may be recommended if:
  • Symptoms persist despite medications
  • Hiatal hernia is severe to provide serious consequences
  • Severe regurgitation affects daily life
  • Long-term medication dependence is required
  • Barrett’s esophagus is present
  • GERD affects sleep and quality of life

Why Choose Dr. Nishant Kurian?

Dr. Nishant Kurian is an advanced laparoscopic and GI surgeon with expertise in minimally invasive gastrointestinal procedures, including anti-reflux surgery and hiatal hernia repair. His approach focuses on precise diagnosis, individualized treatment planning, and enhanced recovery using modern laparoscopic and robotic surgical techniques.

Patients seeking GERD treatment, hiatus hernia treatment, or an acid reflux specialist doctor in Delhi can benefit from comprehensive evaluation and advanced surgical care.

Frequently Asked Questions

1

When should I consult a GERD surgery specialist?

You should seek specialist consultation if reflux symptoms persist despite medications, interfere with sleep or eating, or if you have a diagnosed hiatal hernia.

2

Is GERD the same as acidity?

No. Occasional acidity is common, but GERD is a chronic condition where acid repeatedly flows back into the esophagus and may require long-term treatment.

3

Can a hiatal hernia heal without surgery?

Small hiatal hernias may sometimes be managed with medications and lifestyle modifications, but larger or symptomatic hernias often require surgical repair.

4

What is Laparoscopic Nissen Fundoplication?

It is a minimally invasive anti-reflux surgery where the upper part of the stomach is wrapped around the lower esophagus to strengthen the valve and prevent acid reflux.

5

Is GERD surgery permanent?

Laparoscopic fundoplication provides long-term symptom relief in most patients, especially when combined with lifestyle modifications.

6

How long is recovery after laparoscopic GERD surgery?

Most patients recover quickly and return to normal routine activities within a few days to weeks depending on the procedure and individual recovery.

Don’t ignore persistent pain, digestive discomfort, or hernia-related symptoms

Experience advanced laparoscopic, robotic, and gastrointestinal surgical care with Dr. Nishant Kurian, focused on precision treatment, faster recovery, and better patient outcomes.

Book An Appointment

Advanced Onco, GI Laparoscopic and Robotic Surgery in Delhi

PSRI HOSPITAL, SHEIKH SARAI PHASE 2, SAKET, NEW DELHI

drnishantkurian85@gmail.com

+91-9220878969

© 2026 www.drnishantkurian.com






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