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Hiatal Hernia and Reflux Following Bariatric Surgery

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Complications in Bariatric Surgery

Abstract

There has been a boom in popularity of weight loss surgery in recent decades, and many different bariatric procedures have been developed. Current methods have demonstrated excellent weight loss and metabolic outcomes with very low major complication rates. However, all bariatric operations are associated with some degree of postoperative complications. Hiatal hernia, GERD, bile reflux, gastrogastric fistula, and band malfunction are just some of the complications that can occur following weight loss surgery. We discuss the different complication profiles associated with laparoscopic gastric banding, vertical sleeve gastrectomy, and Roux-en-y gastric bypass. Primary treatments for postoperative GERD are medical with proton pump inhibitors. Surgical and endoscopic treatment options exist for refractory cases, including conversion to gastric bypass, magnetic sphincter augmentation, and endoscopic radio-frequency ablation. Surgical revision may also be needed in cases of hiatal hernia, gastrogastric fistula, and gastric band malfunction.

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Author information

Authors and Affiliations

  1. Department of Surgery, Oregon Health and Science University, Portland, OR, USA

    Patrick J. McLaren

  2. Department of General Surgery, Swedish Medical Center, Seattle, WA, USA

    Samer G. Mattar

Authors
  1. Patrick J. McLaren
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  2. Samer G. Mattar
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Correspondence to Samer G. Mattar .

Editor information

Editors and Affiliations

  1. Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, USA

    Diego Camacho

  2. Department of General Surgery, FIU Herbert Wertheim College of Medicine, Miami, Florida, USA

    Natan Zundel

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McLaren, P.J., Mattar, S.G. (2018). Hiatal Hernia and Reflux Following Bariatric Surgery. In: Camacho, D., Zundel, N. (eds) Complications in Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-75841-1_8

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  • DOI: https://doi.org/10.1007/978-3-319-75841-1_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-75840-4

  • Online ISBN: 978-3-319-75841-1

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