Hiatal Hernia Repair after Sleeve Gastrectomy: A case series

Redondo, Raquel; Albertson, Heather; Gandsas, Alejandro

doi:10.1016/j.soard.2017.09.410

Cited by 5 publications

(5 citation statements)

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“…However, SG patients were twice more likely to undergo concurrent HHR compared to their RYGB counterparts. This finding can be explained considering current studies support HHR in SG patients as a safe and effective measure to relieve GERD symptoms [9]. Additionally, studies have shown that SG may worsen or induce de novo GERD symptoms in patients undergoing this procedure, possibly due to increased intragastric pressure [9].…”

Section: Discussionmentioning

confidence: 85%

“…This finding can be explained considering current studies support HHR in SG patients as a safe and effective measure to relieve GERD symptoms [9]. Additionally, studies have shown that SG may worsen or induce de novo GERD symptoms in patients undergoing this procedure, possibly due to increased intragastric pressure [9]. As a result, HHR may be done in an effort to reduce this known risk of GERD in SG patients.…”

Section: Discussionmentioning

confidence: 86%

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Concomitant Hiatal Hernia Repair Is more Common in Laparoscopic Sleeve Gastrectomy than During Laparoscopic Roux-en-Y Gastric Bypass: an Analysis of 130,772 Cases

et al. 2018

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Obesity is associated with the development of gastroesophageal reflux disease (GERD) and hiatal hernia (HH). This study aimed to assess practice patterns regarding concomitant HH repair (HHR) during laparoscopic sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). The incidence of concomitant HHR with LSG or LRYGB was analyzed using the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database. One hundred thirty thousand, seven hundred seventy-two patients underwent RYGB (30.5%) and LSG (69.5%). Concomitant HHR was more common, despite less GERD, in SG patients compared to RYGB (21.0% vs 10.8%, p < 0.0001; adjusted OR 2.14, 95% CI 2.06-2.22). This marked difference in the intraoperative management of HH during bariatric surgeries may hinder our ability to evaluate the long-term effects of bariatric surgery on GERD.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 86%

Concomitant Hiatal Hernia Repair Is more Common in Laparoscopic Sleeve Gastrectomy than During Laparoscopic Roux-en-Y Gastric Bypass: an Analysis of 130,772 Cases

et al. 2018

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“…49 All patients reported some degree of symptom improvement following the procedure with 57.1% remaining symptom free at 4.7-month follow-up. 49 A larger study retrospectively reviewed 28 patients who underwent HH repair as well as gastropexy in an attempt to treat refractory GERD after SG with no major complications reported. 50 During a 2-year follow-up, 26% of patients were able to stop PPIs and 11% of patients had worsening symptoms requiring conversion to RYGB.…”

Section: Surgical Management Of Gerd Post-sleeve Gastrectomy Hiatal Hernia Repairmentioning

confidence: 84%

“…48 Similar results were reported by Redondo et al who looked at 14 patients who developed new refractory GERD symptoms following SG and thus underwent HH repair. 49 Repair was performed in a standard fashion without mesh with one patient undergoing anterior cruroplasty. 49 All patients reported some degree of symptom improvement following the procedure with 57.1% remaining symptom free at 4.7-month follow-up.…”

Section: Surgical Management Of Gerd Post-sleeve Gastrectomy Hiatal Hernia Repairmentioning

confidence: 99%

“…49 Repair was performed in a standard fashion without mesh with one patient undergoing anterior cruroplasty. 49 All patients reported some degree of symptom improvement following the procedure with 57.1% remaining symptom free at 4.7-month follow-up. 49 A larger study retrospectively reviewed 28 patients who underwent HH repair as well as gastropexy in an attempt to treat refractory GERD after SG with no major complications reported.…”

Section: Surgical Management Of Gerd Post-sleeve Gastrectomy Hiatal Hernia Repairmentioning

confidence: 99%

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Interventions for the Management of Post–Sleeve GERD

Jain-Spangler

Chumakova-Orin

2021

Digestive Disease Interventions

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Over the last decade, sleeve gastrectomy (SG) has steadily gained popularity and has now become the most commonly performed bariatric procedure in the United States. It is technically less complex than Roux-en-Y gastric bypass (RYGB) or biliopancreatic diversion with duodenal switch and has relatively good weight loss results in addition to comorbidity resolution. The long-term complication profile is appealing to patients and surgeons alike, save one issue, gastroesophageal reflux disease (GERD). GERD is frequently seen in bariatric surgery patients; thus, proper patient selection for SG is paramount. However, SG effects on GERD remain controversial in the literature. Thus, patients are intensively cautioned of the possibility of de novo GERD or worsening of already existing GERD following SG. Therefore, it is imperative that the discussion also occurs regarding potential treatment options if GERD does occur. GERD management following SG consists of a multitude of options. While lifestyle modifications and proton pump inhibitors remain the initial treatment of choice, some will have persistent symptoms needing additional interventions, which may range from a variety of endoscopic techniques (lower esophageal sphincter [LES], radiofrequency ablation, magnetic LES augmentation, and antireflux mucosectomy) to ReSleeve and ultimately conversion to RYGB.

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Sleeve Gastrectomy Complications

Matharoo

Lepis

2019

Revisional Foregut Surgery

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Hiatal Hernia Repair after Sleeve Gastrectomy: A case series

Cited by 5 publications

References 0 publications

Concomitant Hiatal Hernia Repair Is more Common in Laparoscopic Sleeve Gastrectomy than During Laparoscopic Roux-en-Y Gastric Bypass: an Analysis of 130,772 Cases

Concomitant Hiatal Hernia Repair Is more Common in Laparoscopic Sleeve Gastrectomy than During Laparoscopic Roux-en-Y Gastric Bypass: an Analysis of 130,772 Cases

Interventions for the Management of Post–Sleeve GERD

Sleeve Gastrectomy Complications

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