Laparoscopic Hiatus Hernia Repair and Simultaneous Sleeve Gastrectomy: A Novel Approach in the Treatment of Gastroesophageal Reflux Disease Associated with Morbid Obesity

2009 ◽  
Vol 19 (6) ◽  
pp. 761-763 ◽  
Author(s):  
Vijay Korwar ◽  
Michael Peters ◽  
Sam Adjepong ◽  
Audun Sigurdsson
Keyword(s):  
Morbid Obesity ◽  
Sleeve Gastrectomy ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Hernia Repair ◽  
Hiatus Hernia ◽  
Reflux Disease ◽  
Novel Approach

Hiatal Hernia Repair during Laparoscopic Sleeve Gastrectomy: Systematic Review and Meta-analysis on Gastroesophageal Reflux Disease symptoms changes

2021 ◽  
Vol 93 (5) ◽  
pp. 1-5
Author(s):  
Piotr Małczak ◽  
Magdalena Pisarska-Adamczyk ◽  
Piotr Zarzycki ◽  
Michał Wysocki ◽  
Piotr Major
Keyword(s):  
Systematic Review ◽  
Sleeve Gastrectomy ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Reflux Disease ◽  
De Novo ◽  
Hiatal Hernia Repair ◽  
Gerd Symptoms

Introduction Obesity is associated with a higher prevalence of various comorbidities including gastroesophageal reflux disease. It is yet still unclear whether LSG exacerbates or alleviates GERD symptoms. Available date in the literature on LSG influence on GERD are contradictory. Material and methods Systematic review of literature comparing GERD in sleeve gastrectomy versus sleeve gastrectomy with concomtitant hiatal repair. The review was conducted in January 2021 in accordance to PRISMA guidelines. Inclusion criteria involved reporting GERD and comparison of above mentioned techniques. Primary outcome of interest were alleviation of GERD and “de-novo” GERD symptoms. Secondary outcomes were operative time and morbidity. Results Initial search yielded 831 records. After the review and full-text screening 5 studies were included in the analysis. There were no differences in terms of GERD outcomes, p=0.74 for alleviation, p=0.77 for new symptoms. Concomitant hiatal hernia repair significantly prolongs sleeve gastrectomy by 38 mins. Conclusion There are no differences in GERD between hiatal hernia repair during sleeve gastrectomy in comparison to sleeve gastrectomy alone. More high-quality studies are required to fully evaluate this subject.

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