Letter to the Editor|Articles in Press

The Importance of Concurrent Posterior Hiatal Hernia Repair During Laparoscopic Sleeve Gastrectomy

      Thank you to Dr. Dalkılıç for his letter to the editor regarding our article “Impact of concurrent hiatal hernia repair during laparoscopic sleeve gastrectomy on patient-reported gastroesophageal reflux symptoms: a state-wide analysis.” Your expressed interest in our work and your thoughtful feedback on our manuscript continues to move the conversation regarding this important topic forward. To summarize, our study looked to contribute to an area that has great debate in laparoscopic sleeve gastrectomy (LSG), and which still remains under active investigation: the identification of, and repair of, hiatal hernia at the time of sleeve gastrectomy.
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        • Antiporda M
        • Veenstra B
        • Jackson C
        • Kandel P
        • Daniel Smith C
        • Bowers SP
        Laparoscopic repair of giant paraesophageal hernia: are there factors associated with anatomic recurrence?.
        Surg Endosc. 2018 Feb; 32 (Epub 2017 Jul 21. PMID: 28733735): 945-954
        • Varban OA
        • Niemann A
        • Stricklen A
        • Ross R
        • Ghaferi AA
        • Finks JF
        • Dimick JB
        Far from Standardized: Using Surgical Videos to Identify Variation in Technique for Laparoscopic Sleeve Gastrectomy.
        J Laparoendosc Adv Surg Tech A. 2017 Aug; 27 (Epub 2017 Jul 7. PMID: 28686537): 761-767

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      • Comment on: Bariatric revisional surgery for gastrogastric fistula following Roux-en-Y gastric bypass positively impacts weight loss
        Surgery for Obesity and Related Diseases
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          Since the adoption of stapled Roux-en-Y gastric bypass (RYGB), the incidence of gastrogastric fistula (GGF) has decreased to 1.2%, but it remains a dreadful complication and an important cause of weight loss failure [1]. The main purpose of this study by Pina et al. [2] was weight loss outcome after revisional surgery for GGF, which was unique, and the authors investigated the largest sample size with 105 patients [2]. It is worth knowing about GGF while reading this paper, although the analyzed data were derived from retrospective observation because the results comprehensively covered the etiology of GGF and perioperative and weight loss outcomes following revisional surgery with 18 years of follow-up of 105 patients.
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