Peter M. Denk

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Peter M. Denk
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MD
Naples
Weight Managment
Florida Incisionless, PLLC
4857 Palm Beach Blvd., #3
Fort Myers,
FL
33905

I have gastroesophageal reflux disease and and a hiatal hernia. Can this be fixed?

Smoking cessation and losing weight should always be the first line of management of gastroesophageal reflux disease, or GERD. If this fails to reduce the symptoms, a hiatal hernia may be present which destroys the shape of your natural anti-reflux valve. A minimally invasive (five button-hole incisions) hiatal hernia repair and fundoplication (wrap) of the gastroesophageal junction creates a new 'valve' that prevents stomach acid from moving up your esophagus. All insurances cover this surgery which only requires an overnight stay, and two weeks of a modified diet.

What is a hiatal hernia?

A hiatal hernia is what happens when the opening of the diaphragm that allows the esophagus to pass through from the chest to the abdomen is too large and allows the top part of the stomach to slide up into the chest. It distorts the shape of the natural anti-reflux valve at the top of the stomach and causes heartburn, reflux, GERD, trouble swallowing, and even regurgitation of food. It can be fixed and reflux cured with a minimally invasive surgery that is an overnight stay. Please visit our website www.floridaincisionless.com for more information.

What is the recovery time for gallbladder surgery?

Gallbladder surgery is usually done as an outpatient procedure meaning you go home a couple hours after the surgery. It's most commonly done laparoscopically with 1-4 tiny incisions. Most people take a week off work then feel up to going back to work with no heavy lifting for 4 weeks.  Many patients are candidates for single incision gallbladder removal. Single incision surgery uses the belly button as the only access site into the abdomen to perform the operation.  This provides excellent cosmetic results with no scars. Please visit our website www.floridaincisionless.com for more information.

What is a hernia?

A hernia is a defect in the abdominal wall that occurs when an internal organ protrudes through a weakened area of muscle, triggering pain and discomfort. Hernias develop for a number of reasons. While for some a hernia is a birth defect as a result of a weakened abdominal muscle, others may develop a hernia due to obesity, heavy lifting, chronic coughing, or prior surgery.  Hernias enlarge with time and may cause unsafe blockage of the intestines or even strangulate a piece of intestine. Minimally invasive hernia surgery is available and provides quicker return to work and faster recovery.

How many kinds of hernias are there?

There are four types of hernias: Hiatal Hernia: A hiatal hernia occurs when the top part of the stomach passes through the diaphragm. Inguinal Hernia: An inguinal hernia occurs when a part of the intestine or internal body fat pushes through the opening in the abdominal wall of the groin, or inguinal canal.  Umbilical Hernia: This type of abdominal hernia occurs when part of the intestine pushes through the abdominal wall below the belly button. Incisional Hernia: An incisional hernia develops as a result of a past surgical procedure. All hernias may potentially be repaired with minimally invasive techniques.

I have pain in my chest and my doc says it is achalasia. How is this treated?

Achalasia develops when the muscles of the valve between the esophagus and stomach called the lower esophageal sphincter (LES) fail to relax properly. Usually, the condition results from damaged nerves in the esophagus. There is no cure for achalasia, so treatment is aimed at opening the valve between the esophagus and stomach to let food to pass through. Balloon dilation is ok, but usually requires multiple times. Laparoscopic surgery (Heller myotomy) is very effective, but slightly more invasive. The newest advance is endoscopic surgery (POEM procedure).

Peter M. Denk
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Peter M. Denk
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