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

Matthew Kroh

doi:10.1016/j.soard.2023.01.008

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

Matthew Kroh, MD, FACS, FASGE, FASMBS
Matthew Kroh
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Vice Chair, Innovation and Technology, Professor of Surgery, Cleveland Clinic Lerner College of Medicine
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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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References

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Effect of laparoscopic sleeve gastrectomy vs laparoscopic Roux en-Y gastric bypass on weight loss in patients with morbid obesity: the SM-BOSS randomized trial.
JAMA. 2018 Jan 16; 319: 255-265
View in Article
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View in Article
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Impact of concurrent hiatal hernia repair during laparoscopic sleeve gastrectomy on patient-reported gastroesophageal reflux symptoms: a statewide analysis.
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View in Article

Article info

Publication history

Accepted: January 15, 2023

Received: January 8, 2023

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Matthew Kroh does not have any conflicts to be reported.

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DOI: https://doi.org/10.1016/j.soard.2023.01.008

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Impact of concurrent hiatal hernia repair during laparoscopic sleeve gastrectomy on patient-reported gastroesophageal reflux symptoms: a state-wide analysis
Surgery for Obesity and Related Diseases
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  Concurrent hiatal hernia repair (HHR) during laparoscopic sleeve gastrectomy (LSG) may improve gastroesophageal reflux disease (GERD) symptoms. However, patient-reported outcomes are limited, and the influence of surgeon technique remains unclear.
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Comment on: Impact of concurrent hiatal hernia repair during laparoscopic sleeve gastrectomy on patient-reported gastroesophageal reflux symptoms

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