Comment on “Sleeve gastrectomy with concomitant hiatal hernia repair in obese patients: long-term results on gastroesophageal reflux disease”

In the paper by Angrisani et al, the authors tackle an important question, namely; what are the long term outcomes regarding gastroesophageal reflux disease (GERD) in patients undergoing sleeve gastrectomy (SG) [1]? Many surgeons consider GERD to be the Achilles heel of the SG, and it is one of the main reasons for conversion of the SG to other procedures such as the gastric bypass [2]. The last International Consensus Conference on SG demonstrated that over 50% of surgeons considered GERD to be a relative contrindication to the SG, and also that hiatal hernias (HH) should be repaired when encountered [3].
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research

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Conclusions Analysis of ASC and HOR claims demonstrates significant differences and several common sources of liability. These include improving strategies for thorough screening, preoperative assessment and risk stratifying of patients, incorporating routine dental and airway assessment and documentation, diagnosing and treating perioperative pain adequately, and improving the efficacy of communication between patients and care providers.
Source: Journal of Patient Safety - Category: Health Management Tags: The Health Care Manager Source Type: research
Lucid is focused on patients with gastroesophageal reflux disease, also known as chronic heartburn or acid reflux, who are at risk of developing esophageal cancer.
Source: bizjournals.com Health Care News Headlines - Category: Health Management Authors: Source Type: news
Lucid is focused on patients with gastroesophageal reflux disease, also known as chronic heartburn or acid reflux, who are at risk of developing esophageal cancer.
Source: bizjournals.com Health Care:Pharmaceuticals headlines - Category: Pharmaceuticals Authors: Source Type: news
The objectives  of this study are to assess trainee preference for silicone-based synthetic skin compared with porcine skin as a surgical training medium and to assess the ability of trainees to successfully demonstrate basic surgical skills using the simulated skin model. Participants were a convenience sample o f dermatology residents from the greater Chicago area, who were asked to perform an elliptical excision and bilayered repair on a silicone-based synthetic skin model. Residents were then surveyed regarding their satisfaction with the model. Four blinded dermatologist raters evaluated digital photogr aphs obta...
Source: Archives of Dermatological Research - Category: Dermatology Source Type: research
In the paper by Angrisani et  al. [1], the authors tackle an important question, namely, what are the long-term outcomes regarding gastroesophageal reflux disease (GERD) in patients undergoing sleeve gastrectomy (SG)? Many surgeons consider GERD to be the Achilles’ heel of the SG, and it is one of the main reasons for conver sion of the SG to other procedures, such as the gastric bypass [2]. The last International Consensus Conference on SG demonstrated>50% of surgeons considered GERD to be a relative contraindication to the SG, and also hiatal hernias (HH) should be repaired when encountered [3].
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Editorial comment Source Type: research
Gastroesophageal reflux disease (GERD) is common in the morbidly obese population, and hiatal hernias are encountered in 20% to 52% of patients. Primary surgical repair of hiatal hernias, in particular the paraesophageal type, is associated with a higher recurrence rate in obese patients. Concomitant weight loss surgery may be advisable. Combined sleeve gastrectomy and paraesophageal hiatal hernia repair is feasible but can induce or worsen preexisting GERD. A Roux-en-Y gastric bypass offers advantages of more pronounced excess weight loss and better symptom control, albeit with a potentially higher rate of morbidity compa...
Source: Thoracic Surgery Clinics - Category: Cardiovascular & Thoracic Surgery Authors: Source Type: research
Both hiatal hernias (HH) and morbid obesity significantly contribute to gastroesophageal reflux disease which increases the risk for esophagitis and esophageal cancer. Therefore, concomitant HH repair is recommended during bariatric surgery procedures. Unfortunately, recurrence of HH following repair is not uncommon and the optimal surgical technique has yet to be established.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
Obesity is known to be an independent risk factor for gastroesophageal reflux disease (GERD), as well as a contributing cause of hiatal hernias (HH). Laparoscopic sleeve gastrectomy (LSG) is considered a viable surgical option for weight loss; however, some surgeons suggest avoiding this procedure in patients with preexisting gastroesophageal reflux disease symptoms (GERDS) because of concern for worsening of these symptoms. The effect of LSG on GERDS is unclear, with studies reporting conflicting results.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
Obesity is a major risk factor for hiatal hernias. High recurrence rates are reported following Nissen fundoplication in morbidly obese patients. Following a failed fundoplication, an acid diverting procedure (i.e. RYGB) is highly successful in reflux remission and weight loss.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
We report mid-term results from a larger series with combining laparoscopic giant PEH repair with sleeve gastrectomy (SG). Methods We reviewed all combined cases of PEH repairs with SG done at a single institution from 2008 to 2013. The surgical technique was standardized and absorbable bio-prosthetic buttress crural closure reinforcement was used selectively. Yearly upper gastrointestinal radiographic (UGI) studies and postoperative Gastroesophageal Reflux Disease Health-Related Quality of Life questionnaires were completed. 33 patients were enrolled; 18 patients (55 %) com...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
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