Simultaneous Large Paraesophageal Hernia Repair and Laparoscopic Roux-en-Y Gastric Bypass: a Single Institution’s Experience
This study reviews a single institution’s experience with simultaneous (redo) laparoscopic Roux-en-Y gastric bypass (LRYGB) and primary large paraesophageal hernia (PEH) repair. A retrospective review was done of all 13 patients who underwent simultaneous LRYGB and large PEH repair between February 2014 and December 2017 at our institution. All patients had a large type III or IV PEH. All patients underwent primary crural repair, without the use of a reinforcing mesh. No patients underwent additional surgery for obstruction of the gastric pouch or for symptomatic recurrence of PEH. No mortality was reported. Our study highlights that simultaneous primary large PEH repair and primary or redo LRYGB is safe and feasible.
KeywordsLaparoscopic Roux-en-Y gastric bypass LRYGB Bariatric surgery Large paraesophageal hernia Large PEH Type III or IV paraesophageal hernia Primary crural repair Primary crus closure Simultaneous LRYGB and PEH repair Gastro-esophageal reflux disease GERD Large hiatal hernia
Compliance with Ethical Standards
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Conflict of Interest
All authors declare that they have no competing interests.
Human and Animal Rights and Informed Consent
For this type of study, formal consent is not required.
- 1.World Health Organization [Internet]. Obesity and overweight fact sheet; Oct 2017. Available from: http://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight.