Unit:
ΠΜΣ Ελάχιστα Επεμβατική Χειρουργική, Ρομποτική Χειρουργική & ΤηλεχειρουργικήLibrary of the School of Health Sciences
Author:
Κυραμαργιός Φώτιος
Supervisors info:
Ιωάννης Γκρινιάτσος, Αναπλ. Καθηγητής Χειρουργικής
Original Title:
Laparoscopic hiatal hernioplasty and sleeve gastrectomy as a combine procedure for morbid obesity complicated with gerd. Review of the literature
Summary:
Laparoscopic Sleeve Gastrectomy (L.S.G.) has increased in popularity as both a
definitive and a staged procedure for morbid obesity. Gastroesophageal reflux
disease
(GERD) with or without hiatal hernia (HH) is now recognized as an
obesity-related
co-morbidity.
Roux en Y gastric by-pass has been proved to be the most effective bariatric
procedure for the treatment of morbidly obese patients with GERD and hiatal
hernia.
The effect of L.S.G. and hiatal hernioplasty on GERD has not been well studied
and is still unclear.
Our objective was to report the review of the literature, and our experience
(165
obese patients) in patients who underwent L.S.G and hernia repair (HHR) on GERD
symptoms pre e post surgery.
In this review of the literature over 2900 patients who underwent to LSG or LSG
+
HHR, were studied. The results are debated and different from a surgical center
to
another or from a surgeon to another. This conflicting data can be explained by
the
different mechanisms that can promote or impair the competence of the antireflux
barrier in patients who undergo LSG or LSG + HHR and possibly by the different
technical details when performing LSG.
Technical details as: the repair of the hiatal hernia, the size of bugie, the
suture
stapling line, the angle of His and the remnant fundus seems to be the answer on
GERD symptoms.
Laparoscopic Sleeve Gastrectomy and Hiatal Hernia Repair are feasible and safe
as a combine procedure for the obese patient complicated with GERD.
Keywords:
Laparoscopic procedure, Sleeve gastrectomy, Gastroesophageal reflux , Hiatal hernia, Morbid obesity
