A626 Hiatal hernia repair 14 years after gastric bypass with implantation of bioabsorbable mesh

Gastric bypasses (GB) can have late complications. One of these complications is hiatal hernia with pouch migration into the mediastinum. This can cause dysphagia, reflux and even aspiration. Bariatric surgeons need to be aware of this problem, how to diagnose it, and how to treat it. This video highlights the case of a patient who underwent a laparoscopic GB in 2004. She maintained about a 45 kg weight loss but over the last 2 years had developed progressively worse symptoms of dysphagia and reflux.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research