Reflux & Hiatus Hernia Treatment

Hiatus Hernia and Acid Reflux Treatment at Ross Hall Hospital

Specialist consultant-led assessment, investigation and treatment for acid reflux, GORD/GERD and hiatus hernia, including laparoscopic anti-reflux surgery, hiatus hernia repair and Nissen Fundoplication.

Led by Mr Donald McArthur FRCS, Consultant Upper GI Surgeon, with consultations and treatment available at Ross Hall Hospital, Glasgow.

Fixed price guide from £6,471
For laparoscopic hiatus hernia repair and fundoplication. Final pricing is confirmed after consultation and required tests.

Consultant-led care from initial consultation to follow-up

Mr Donald McArthur FRCS is a Consultant Upper GI Surgeon and chairs the regional benign Upper GI Multi Disciplinary Team. With over 20 years’ experience of complex and revisional hiatal surgery he supports and mentors fellow consultants in the West of Scotland. He provides expert private assessment, investigation and treatment with consideration of laparoscopic “keyhole” anti-reflux surgery where appropriate.

Glasgow Surgery Ltd supports insured patients and self-pay patients. A GP referral is not required. Patients receive consultant-led care from the first consultation through to treatment and follow-up, with a focus on clear advice, safe treatment and improved quality of life.

At a glance

Private appointments available
No GP referral required
Insured and self-pay patients welcome
Ross Hall Hospital and Ross Hall Clinic Braehead
Minimally invasive “keyhole” surgery
Focus on improving reflux symptoms and quality of life

Understanding the condition

Hiatus Hernia and Acid Reflux

Hiatus hernia and acid reflux (also known as GORD/GERD) are common conditions that can significantly impact your quality of life. Symptoms such as persistent heartburn, regurgitation and chest discomfort can interfere with sleep, eating and daily activities.

What is a Hiatus Hernia?

A hiatus hernia occurs when part of the stomach pushes up through the diaphragm into the chest. This can weaken the valve between the oesophagus and stomach, allowing acid to flow back upwards and leading to reflux symptoms. Hiatus hernias vary in size and severity. Some cause no symptoms, while others are closely associated with chronic acid reflux and may require specialist treatment.

What is Acid Reflux (GORD/GERD)?

Acid reflux occurs when stomach acid flows back into the oesophagus, causing irritation. When this happens frequently, it is known as gastro-oesophageal reflux disease (GORD). Without appropriate treatment, long-term reflux can lead to complications such as inflammation, narrowing of the oesophagus or Barrett’s oesophagus.

Common Symptoms

You may benefit from specialist assessment if you experience:

Persistent heartburn
Acid regurgitation
Difficulty swallowing
Chest or upper abdominal discomfort
Chronic cough or hoarseness
Symptoms worsening when lying down

When Should you see a Specialist

You should consider a consultation if:

Symptoms persist despite medication
You require long-term acid suppression therapy
Symptoms are affecting your quality of life
You have complications such as swallowing difficulties

Early specialist input ensures accurate diagnosis and access to the most effective treatment options.

Treatment options

Treatment Options for Reflux and Hiatus Hernia

Treatment is tailored to your symptoms, diagnosis, investigation results and personal circumstances.

Non-Surgical Management

Many patients can initially be managed with:

Lifestyle and dietary modification
Weight management
Acid-suppressing medication such as proton pump inhibitors

However, these approaches do not correct the underlying anatomical problem.

Laparoscopic Fundoplication

This is the most common procedure for treating reflux. It involves wrapping the upper part of the stomach around the lower oesophagus to strengthen the valve and prevent acid reflux. This operation is often called a Nissen Fundoplication, involving wrapping the gastric fundus 360 degrees around the oesophagus.

Key benefits include:

Minimally invasive keyhole surgery
Short hospital stay
Long-term symptom relief
Reduced dependence on medication

Hiatus Hernia Repair

If a hiatus hernia is present, it is repaired during the same procedure by returning the stomach to its normal position and tightening the diaphragm opening.

This is commonly combined with anti-reflux surgery when clinically appropriate.

What to Expect from Surgery

Performed using keyhole techniques
Typically requires a short hospital stay
Most patients return to normal activities within a few weeks
Significant improvement in reflux symptoms
A personalised treatment plan will be discussed during your consultation

Why Choose Glasgow Surgery?

Consultant-led care from initial consultation to follow-up
Extensive experience in reflux and hernia surgery
Access to modern, minimally invasive techniques
Focus on patient safety, outcomes and recovery
Tailored care for patients across Glasgow and Scotland

Frequently Asked Questions

Is reflux surgery permanent?

Surgery provides long-term relief for most patients, although outcomes can depend on individual factors.

How long is recovery after surgery?

Most patients return to normal daily activities within 1–2 weeks.

Will I need tests before surgery?

Yes, investigations such as endoscopy, pH monitoring and manometry may be required to confirm the diagnosis and guide treatment.

Is surgery safe?

Laparoscopic reflux surgery is a well-established and commonly performed procedure with a strong safety profile.

Book a Consultation

If you are experiencing ongoing reflux symptoms or have been diagnosed with a hiatus hernia, specialist assessment can help determine the most appropriate treatment.