Comment on: Concurrent bariatric surgery and paraesophageal hernia repair: Comparison of sleeve gastrectomy and roux-en-y gastric bypass

Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Paired papers Source Type: research

Related Links:

Authors: Boru CE, Termine P, Antypas P, Iossa A, Ciccioriccio MC, De Angelis F, Micalizzi A, Silecchia G Abstract BACKGROUND: Hiatal hernia repair (HHR) is still controversial during bariatric procedures, especially in case of laparoscopic sleeve gastrectomy (LSG). AIMS: to report the long-term results of concomitant HHR, evaluating the safety and efficacy of posterior cruroplasty (PC), simple or reinforced with biosynthetic, absorbable Bio-A® mesh (Gore, USA). Primary endpoint: PC's failure, defined as symptomatic HH recurrence, nonresponding to medical treatment and requiring revisional surgery. METHO...
Source: Minerva Chirurgica - Category: Surgery Tags: Minerva Chir Source Type: research
Hiatal hernias are often repaired concurrently with bariatric surgery to reduce risk of GERD-related complications.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
ConclusionSynchronous VHR and BS in a bariatric unit is feasible with low recurrence rate. Laparoscopic VHR has lower complication rates than open, apart from seroma formation. Patients with diabetes have higher risk of infection.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
This study aimed to assess practice patterns regarding concomitant HH repair (HHR) during laparoscopic sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). The incidence of concomitant HHR with LSG or LRYGB was analyzed using the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database. One hundred thirty thousand, seven hundred seventy-two patients underwent RYGB (30.5%) and LSG (69.5%). Concomitant HHR was more common, despite less GERD, in SG patients compared to RYGB (21.0% vs 10.8%,p 
Source: Obesity Surgery - Category: Surgery Source Type: research
ConclusionsRYGB may increase the risk of CDI hospitalization when compared to VSG and VHR controls. This data suggest VSG may be a better bariatric choice when post-surgical CDI risk is a concern.
Source: Obesity Surgery - Category: Surgery Source Type: research
Morbidly obese patients are predisposed to developing ventral hernias. Although the optimal timing of ventral hernia repair (VHR) and bariatric surgery is unclear, concurrent management remains common. The aim of this study was to assess the incidence of wound site occurrence in the setting of VHR during bariatric surgery.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
This study aims to assess differences in practice patterns regarding concomitant HH repair during laparoscopic sleeve gastrectomy (LSG) and Roux-en-Y gastric bypass (LRYGB).
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Scientific forum Source Type: research
laparoscopic Sleeve Gastrectomy (LSG) is now the most commonly performed procedure in the US according to the most recent ASMBS estimates with excellent short and long term outcomes. However, long term complications following LSG, including refractory GERD, intrathoracic sleeve migration and weight regain are commonly encountered in high volume bariatric centers. In our center we developed an algorithm for managing GERD following LSG that include aggresive dietary and lifestyle modifications, medications, STRETTA procedure and conversion to Roux en Y Gastric Bypass (RYGB) in patients with refractory GERD.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
Laparoscopic Sleeve Gastrectomy (LSG) is now the most commonly performed procedure in the US according to the most recent ASMBS estimates with excellent short and long term outcomes.  However, long term complications following LSG, including refractory GERD, weight gain and intrathoracic sleeve migration are commonly encountered in high volume bariatric centers. Intra-thoracic sleeve migration can result in gastric strangulation and should be repaired immediately. In our center we have developed an aggressive approach in identifying and repairing hiatal ernias intraoperatively  in combination with sleeve gastrect...
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
Paraesophageal hernia (PEH) is a common condition that bariatric surgeons encounter. Expert opinion is split on whether bariatric surgery and PEH repair should be completed concurrently or sequentially. We hypothesized that concurrent bariatric surgery and PEH repair is safe.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
More News: Bariatric Surgery | Eating Disorders & Weight Management | Gastrectomy | Gastric Bypass | Gastroenterology | Gastroschisis Repair | Hernia Repair | Obesity | Surgery