Abstract:
:Gastroesophageal reflux disease (GERD) and/or hiatus hernia (HH) are one of the most common disorders of the upper gastrointestinal tract. Despite the positive effect of sleeve gastrectomy (SG) regarding weight loss and improvement in obesity co-morbidities, there are concerns about the development of de novo gastroesophageal reflux disease or worsening the existing GERD after this bariatric operation. Furthermore, controversy exists on the consequences of SG in lower esophageal sphincter function and about the ideal procedure when a hiatus hernia is preoperatively diagnosed or discovered during the laparoscopic SG. This review systematically investigates the incidence, the pathophysiology of GERD and/or HH in morbidly obese individuals before and after SG, and the treatment options for concomitant HH repair during laparoscopic sleeve gastrectomy.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Melissas J,Braghetto I,Molina JC,Silecchia G,Iossa A,Iannelli A,Foletto Mdoi
10.1007/s11695-015-1906-1subject
Has Abstractpub_date
2015-12-01 00:00:00pages
2430-5issue
12eissn
0960-8923issn
1708-0428pii
10.1007/s11695-015-1906-1journal_volume
25pub_type
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