scholarly journals Intrathoracic sleeve gastrectomy migration with gastric volvulus treated with laparoscopic repair and conversion to gastric bypass

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Yahya Alwatari ◽  
Renato Roriz-Silva ◽  
Roel Bolckmans ◽  
Guilherme M Campos
Keyword(s):  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Gastric Volvulus ◽  
Hiatal Hernia Repair ◽  
Upper Endoscopy ◽  
Technical Standards ◽  
Upper Gastrointestinal

Abstract A 43 years old female with laparoscopic sleeve gastrectomy (SG) and an ‘anterior’ hiatal hernia repair 11 years ago, presented with 3 years history dysphagia and heartburn. Upper gastrointestinal barium showed an almost complete intrathoracic migration of the SG with a partial organoaxial volvulus. Upper endoscopy revealed a 10 cm hiatal hernia with grade B esophagitis. Laparoscopic revision surgery with reduction of the gastric sleeve, standard posterior hiatal hernia repair, resection of the narrowed remnant of the SG and conversion to a gastric bypass was performed. No postoperative complications occurred. The patient is asymptomatic at 2 years of follow-up. We present the technical standards for the management and discuss the suspected pathophysiology of this rare but challenging condition.

Ligamentum Teres Cardiopexy as a Late Alternative for Gastroesophageal Reflux Disease in a Patient with Previous Reversal of Gastric Bypass to Sleeve Gastrectomy and Hiatal Hernia Repair

2019 ◽  
Vol 29 (11) ◽  
pp. 3765-3768 ◽  
Author(s):  
Ramon Vilallonga ◽  
Sergi Sanchez-Cordero ◽  
Piero Alberti ◽  
Ruth Blanco-Colino ◽  
Amador Garcia Ruiz de Gordejuela ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Reflux Disease ◽  
Ligamentum Teres ◽  
Hiatal Hernia Repair

scholarly journals Concurrent hiatal hernia repair and bariatric surgery: outcomes after sleeve gastrectomy and Roux-en-Y gastric bypass

2021 ◽  
Vol 17 (1) ◽  
pp. 72-80
Author(s):  
Kristina H. Lewis ◽  
Katherine Callaway ◽  
Stephanie Argetsinger ◽  
Jamie Wallace ◽  
David E. Arterburn ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair ◽  
Surgery Outcomes

Concomitant Hiatal Hernia Repair Is more Common in Laparoscopic Sleeve Gastrectomy than During Laparoscopic Roux-en-Y Gastric Bypass: an Analysis of 130,772 Cases

2018 ◽  
Vol 29 (2) ◽  
pp. 744-746 ◽  
Author(s):  
Salvatore Docimo ◽  
Uzma Rahmana ◽  
Andrew Bates ◽  
Mark Talamini ◽  
Aurora Pryor ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Hernia Repair ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair

Concomitant Hiatal Hernia Repair Is More Common in Sleeve Gastrectomy than During Laparoscopic Roux-en-Y Gastric Bypass: An Analysis of 130,772 Cases

2017 ◽  
Vol 225 (4) ◽  
pp. e1 ◽  
Author(s):  
Salvatore Docimo ◽  
Andrew Bates ◽  
Mark A. Talamini ◽  
Aurora D. Pryor ◽  
Konstantinos Spaniolas
Keyword(s):  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Hiatal Hernia Repair

Outcomes of Bariatric Surgery With Concomitant Hiatal Hernia Repair Using an Absorbable Tissue Matrix

2021 ◽  
pp. 000313482110234
Author(s):  
Michael W. Love ◽  
Daniel F. Verna ◽  
Shanu N. Kothari ◽  
John D. Scott
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Hernia Repair ◽  
Hiatal Hernia ◽  
Medical Center ◽  
Academic Medical Center ◽  
Common Finding ◽  
Hiatal Hernia Repair ◽  
Tissue Matrix

Background Hiatal hernias are a common finding in patients who undergo bariatric surgery with an incidence of about 20% of all bariatric patients. Controversy exists on the utility of a biosynthetic tissue matrix (BTM) usage in combination with crural repair. This study was designed to explore the safety and benefits of the use of a BTM during concomitant hiatal hernia repair with bariatric surgical procedures. Methods This was a retrospective chart review of bariatric surgical patients who underwent a concomitant hiatal hernia repair at a single practice at a tertiary academic medical center from January 2014 to February 2019. Results A total of 420 patients were reviewed. Hiatal BTM reinforcement, recurrence, and postoperative proton pump inhibitor use were reported by type of operation. Recurrence was higher in gastric bypass patients who underwent hiatal hernia repair with suture cruroplasty alone vs. those who also underwent hiatal BTM reinforcement (7.1% vs. 3.7%, P = .52) and significantly higher in gastric sleeve patients who underwent hiatal hernia repair with suture cruroplasty alone vs. those who also underwent hiatal BTM reinforcement (7.1% vs. .5%, P = .01). No patient required reoperation for hiatal hernia recurrence. Discussion Performing Roux-en-Y gastric bypass or vertical sleeve gastrectomy with concomitant hiatal hernia repair is safe and durable. Employing crural reinforcement with BTM may be of benefit in reducing recurrence rates of hiatal hernia, particularly in sleeve gastrectomy patients.

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