Evaluating the feasibility of phrenoesophagopexy during hiatal hernia repair in sleeve gastrectomy patients.
Publication/Presentation Date
12-1-2017
Abstract
BACKGROUND: Both hiatal hernias (HH) and morbid obesity significantly contribute to gastroesophageal reflux disease, which increases the risk for esophagitis and esophageal cancer. Therefore, concomitant HH repair is recommended during bariatric surgery procedures. Unfortunately, recurrence of HH after repair is not uncommon and the optimal surgical technique has yet to be established.
OBJECTIVE: To evaluate the feasibility of recreating the phrenoesophageal ligaments by adding phrenoesophagopexy to HH repair during sleeve gastrectomy.
SETTING: Independent, university-affiliated teaching hospital.
METHODS: Retrospective chart review of all patients with a body mass index ≥35 kg/m
RESULTS: There were 106 patients evaluated. Mean age was 50.8 ± 12.5 years, mean body mass index was 45.8 ± 7.1 kg/m
CONCLUSION: The addition of an interrupted phrenoesophagopexy for HH repair during sleeve gastrectomy appears to be a feasible technique with low 30-day morbidity and mortality rates. Long-term follow-up is needed to evaluate the efficacy in reducing HH recurrence rates.
Volume
13
Issue
12
First Page
1952
Last Page
1956
ISSN
1878-7533
Published In/Presented At
Ellens, N. R., Simon, J. E., Kemmeter, K. D., Barreto, T. W., & Kemmeter, P. R. (2017). Evaluating the feasibility of phrenoesophagopexy during hiatal hernia repair in sleeve gastrectomy patients. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 13(12), 1952–1956. https://doi.org/10.1016/j.soard.2017.08.016
Disciplines
Medicine and Health Sciences
PubMedID
28943213
Department(s)
Department of Surgery
Document Type
Article