Laparoscopic Sleeve Gastrectomy: Symptoms of Gastroesophageal Reflux can be Reduced by Changes in Surgical Technique

Daes, Jorge; Jiménez, Manuel E.; Said, Nadin; Daza, Juan Carlos; Dennis, Rodolfo

doi:10.1007/s11695-012-0746-5

Cited by 175 publications

(99 citation statements)

References 19 publications

(27 reference statements)

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“…There are studies in the literature reporting that reflux symptoms got worse after surgery in patients not treated for an existing hiatal hernia during SG [16]. In a study of Daes et al, it was found that hiatal hernia was intraoperatively detected in 25% of patients undergoing SG and that reflux symptoms decreased significantly after HHR [17]. In our study, this rate was found to be 80%.…”

Section: Discussionsupporting

confidence: 49%

Does concomitant laparoscopic sleeve gastrectomy and hiatal hernia repair increase morbidity?

Dincer¹,

Dogan²

2018

Arch Med Sci Civil Dis

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A b s t r a c tIntroduction: Obesity not only leads to susceptibility to gastroesophageal reflux disease but also is itself an important independent risk factor for the development of hiatal hernia. A coexisting hiatal hernia is found in half of obese patients with gastroesophageal reflux disease symptoms. Sleeve gastrectomy is the most commonly used restrictive method in obesity surgery. In obese patients who are scheduled to undergo sleeve gastrectomy (SG) and have a hiatal hernia, hiatal hernia repair (HHR) can be combined with SG. Material and methods: Patients who underwent SG due to morbid obesity were retrospectively evaluated. Patients who had a body mass index of > 40 kg/ m² and who were diagnosed with hiatal hernia by preoperative endoscopy or intraoperatively were included in the study. Results: A total of 30 patients who underwent SG and hiatal hernia repair were included in the study. Six patients were diagnosed with hiatal hernia by preoperative endoscopy. Twenty-four patients were intraoperatively diagnosed with hiatal hernia. The hiatal defect was repaired by suturing both anteriorly and posteriorly. There were no intraoperative or postoperative complications in any patient. The mean hospital length of stay was 3.46 days (range: 3-6). The mean follow-up time was 11.9 months (range: 4-21). Thirteen patients received medication due to acid reflux symptoms in the preoperative period. Twelve patients received no medication after surgery. One patient received low-dose medication. Conclusions: In bariatric surgery patients with hiatal hernia, HHR should also be performed. Sleeve gastrectomy + HHR is a safe and effective method for morbidly obese patients with hiatal hernia.

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Section: Discussionsupporting

confidence: 49%

Does concomitant laparoscopic sleeve gastrectomy and hiatal hernia repair increase morbidity?

Dincer¹,

Dogan²

2018

Arch Med Sci Civil Dis

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“…Other patients develop de novo GERD after surgery [42,43]. In a concurrent cohort study carried out by Daes et al [44], 134 patients with (49.2%) or without preexisting GERD (50.8%) received LSG and were followed for 12 months. Only 1.5% had symptoms of GERD after one year.…”

Section: Long-term Resultsmentioning

confidence: 99%

State of the Art: Sleeve Gastrectomy

Wölnerhanssen¹,

Peterli

2014

Dig Surg

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In the biliopancreatic diversion (BPD) type duodenal switch, sleeve gastrectomy was applied as the restrictive part instead of a horizontal gastrectomy in the original Scopinaro type BPD. Laparoscopic sleeve gastrectomy (LSG) was used as a first step in a staged concept for high-risk patients undergoing bariatric surgery. However, it is now being increasingly favored as a stand-alone procedure. This article discusses the history, surgical technique, early results, metabolic effects, mid- to long-term results regarding weight loss, improvement of comorbidities and quality of life, management of complications and indications. LSG is a safe and effective bariatric procedure with satisfying weight loss results and effects on comorbidities. Further data are required to assess long-term effectiveness and safety of LSG. In patients with very high initial BMI, LSG can be used in a staged concept. Other indications are: in cases with dense adhesions of the small bowel, patients with inflammatory bowel disease and patients where repeated endoscopy of the duodenum is necessary.

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“…Bei Kravetz et al [11] [15,26]. Die Torsion des Schlauches infolge einer Variation des Abstands zwischen kleiner Magenkurvatur und Klammernahtreihe kann zu einer Long-segment-Stenose führen [3]. Weitere Ursachen für Spätstenosen sind narbig ausgeheilte Leckagen und Fistelungen (.…”

Section: Epidemiologieunclassified