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Comment on: Impact of concurrent hiatal hernia repair during laparoscopic sleeve gastrectomy on patient-reported gastroesophageal reflux symptoms

Published:January 19, 2023DOI:https://doi.org/10.1016/j.soard.2023.01.008
      As laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric surgery in the US, much attention has been on better understanding the technical conduct of the operation and patient selection. Since its widespread adoption, changes in technique have focused on important aspects of sleeve construction, including proximity to the antrum, luminal diameter, attention to fundus resection, staple heights, and staple-line reinforcement, among other considerations. One particular area of the operation that still remains under active investigation is the identification of, and repair of, hiatal hernia at the time of the operation.
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