I am a 45 y/o female who had a Roux-en-Y gastric bypass in 2004 with no complications. I also have my gall bladder and took Actigall for two years following bypass surgery, where I was tested every 6 months to ensure I had no gallbladder complications following surgery. After the two years, I was taken off Actigall and given a clean bill of health concerning my gallbladder. However, I was recently in the Emergency Room with extreme abdominal pain directly above my belly button and extreme swelling of my abdomen, concerned that I had developed some gallbladder complications. After a CTscan with contrast dye was performed, it showed no gallbladder complications but did reveal a 2cm Hiatal Hernia tear. I had an edoscopy in 2007 and no Hiatal Hernia was present at that time. In addition, I have had no signs or symptoms of acid reflux.

My concern is this: with only an egg-sized pouch for a stomach and a 2cm Hiatal Hernia, should I be concerned that there could be complications with the stomach pouch bulging through the tear to the point of causing extreme digestive complications, not to mention possible blockage? Should I contact a Bariatric surgeon to initiate repairing the tear to avoid any complication with my pouch or should I wait until I begin having other related sympoms such as acid reflux?

Respectfully,

N. Beck