Hill repair

Hill repair is a surgical procedure used to treat gastroesophageal reflux disease (GERD). Named after Dr. Lucius Hill, the procedure involves wrapping the upper part of the stomach around the lower end of the esophagus to strengthen the lower esophageal sphincter (LES). This helps prevent the backflow of stomach acid into the esophagus, which is the primary cause of GERD symptoms.

Indications

Hill repair is typically recommended for patients with severe GERD symptoms that have not responded to other treatments, such as lifestyle changes or medications. It may also be used in cases where the LES is significantly weakened or damaged.

Procedure

During a Hill repair, the surgeon makes an incision in the abdomen to access the stomach and esophagus. The upper part of the stomach is then wrapped around the lower end of the esophagus and sutured in place. This creates a sort of "valve" that strengthens the LES and helps prevent stomach acid from flowing back into the esophagus.

Risks and Complications

As with any surgical procedure, Hill repair carries some risks. These may include infection, bleeding, and damage to nearby organs. There is also a risk of complications related to anesthesia. In some cases, patients may experience difficulty swallowing or persistent heartburn after the procedure.

Recovery

Recovery from Hill repair typically involves a stay in the hospital for a few days. Patients are usually able to return to normal activities within a few weeks. A special diet may be recommended to help the esophagus heal.

See Also

• Gastroesophageal reflux disease
• Lower esophageal sphincter
• Surgical procedures

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