Outcomes of Laparoscopic Hiatal Hernia Repair in Nine Bariatric Patients with Prior Sleeve Gastrectomy

Macedo, Francisco Igor B.; Mowzoon, Mia; Mittal, Vijay K.; Sabir, Mubashir

doi:10.1007/s11695-017-2880-6

Cited by 14 publications

(5 citation statements)

References 19 publications

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“…Gore and Associates Inc.) in 66.7% of repairs and posterior cruroplasty in 33.3% of patients. 48 During 1-year follow-up, 78% reported symptomatic relief with heartburn being significantly decreased (1.4 AE 0.9 vs. 2.6 AE 0.9, p ¼ 0.03). 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.…”

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

confidence: 92%

“…48 During 1-year follow-up, 78% reported symptomatic relief with heartburn being significantly decreased (1.4 AE 0.9 vs. 2.6 AE 0.9, p ¼ 0.03). 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.…”

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

confidence: 92%

“…Macedo et al described their experience with nine patients with prior SG who had persistent GERD excluding those who had a prior HH repair. 48 HH repair was performed utilizing Bio-A Gore mesh (W.L. Gore and Associates Inc.) in 66.7% of repairs and posterior cruroplasty in 33.3% of patients.…”

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

confidence: 92%

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

confidence: 92%

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

confidence: 99%

See 1 more Smart Citation

Interventions for the Management of Post–Sleeve GERD

Jain-Spangler

Chumakova-Orin

2021

Digestive Disease Interventions

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“…72 An experts' panel in a recently published guideline regarding reinterventions after LSG 73 unanimously agreed with LRYGB being the best treatment option, as in straight contrast with hiatal hernia repair alone or associated with either modified hill gastropexy or teres ligamentum antireflux procedure as surgical options, which present high failure rates. 74,75 Reported data from case series show excellent symptomatic results after conversion to LRYGB. 69,70,[76][77][78] In line with this, Felsenreich et al 79 studied 10 patients with de novo GERD and Barrett's Esophagus after LSG.…”

Section: Gerd After Lsgmentioning

confidence: 99%

“…72 An experts’ panel in a recently published guideline regarding reinterventions after LSG 73 unanimously agreed with LRYGB being the best treatment option, as in straight contrast with hiatal hernia repair alone or associated with either modified hill gastropexy or teres ligamentum antireflux procedure as surgical options, which present high failure rates. 74,75…”

Section: Revisional Surgery For Gerd After Bariatric Surgerymentioning

confidence: 99%

Surgical Management of Gastroesophageal Reflux in Patients With Obesity

Mazzini

Campos

2021

Foregut: The Journal of the American Foregut Society

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With the growing prevalence of obesity and its association with gastro-esophageal reflux disease (GERD), the thoracic, foregut, and bariatric surgeons will be ever more commonly facing the challenge to treat GERD in patients with obesity, albeit having the opportunity to treat GERD and obesity simultaneously. In this review, we outline the outcomes of laparoscopic antireflux surgery (LARS) in patients with Class 1, 2, and 3 obesity, as well as GERD outcomes of Roux-en-Y gastric bypass (LRYGB) and sleeve gastrectomy (LSG). We also discuss the revisional surgical options for patients with obesity and failed LARS, or with GERD after LRYGB and LSG.

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