A hietal hernia is problematic in those who have a Lap Band as it limits the effectiveness of the device. It is possible (and likely) that part of the reason I have not had success with the band is due to the presence of the hernia. My current understanding of the issue is that when I eat, the food has been extending into the esophageal area (which the hernia is allowing), thus allowing a greater intake of food and reduced feeling of fullness. Thats the best way I can explain it.
Like I mentioned, a great many individuals that have hietal hernia experience negative symptoms including acid reflux, GERD, etc. I have been fortunate not to have experienced this thus far.

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