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Recurrence of paraesophageal hernia after 13 yrs?
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Recurrence of paraesophageal hernia after 13 yrs?

I had a thoracotomy in 1997 to repair an incarcerated huge paraesophageal hernia.  Procedure was called a Belsey Mark IV-fundoplication.  This was a horrific experience.  He took part of my stomach out of my chest and sutured it to my diaphragm.  For a year or so, I have been short of breath a lot but particularly after eating and have sharp, burning pain in my diaphragm area after eating.  This is getting worse.  I had a normal (except gastritis again) endoscopy and colonoscopy in Aug of 2008.  He said the "wrap is intact"  I am thinking of going back to my GI doc to consult on this.  The surgeon at MGH who repaired my hernia told me that if I didnt lose weight the hernia would return.  In 2006, I lost 80 pounds rapidly through crash dieting, 40 of which came right back on.  My weight is around 240.  I believe I also have gastroparesis (but do not have diabetes).  My question is what symptoms should I be looking for, for signs of this hernia returning and is the best way to diagnose this a barium swallow or endoscopy?  Thank you
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