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Simultaneous Sleeve Gastrectomy and Hiatus Hernia Repair: a Systematic Review

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Abstract

Sleeve gastrectomy can exacerbate gastro-oesophageal reflux disease in some patients and cause de novo reflux in others. Some surgeons believe Roux-en-Y gastric bypass is the best bariatric surgical procedure for obese patients with hiatus hernia. Others believe that even patients with hiatus hernia can also be safely offered sleeve gastrectomy if combined with a simultaneous hiatus hernia repair. Still, others will offer these patients sleeve gastrectomy without any attempt to diagnose or repair hiatus hernia repair. The effectiveness of concurrent hiatal hernia repair in reducing the incidence of postoperative reflux after sleeve gastrectomy is unclear. This review systematically investigates the results and techniques of simultaneous sleeve gastrectomy and hiatus hernia repair for the treatment of obesity in accordance with PRISMA guidelines.

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Abbreviations

RYGB:

Roux-en-Y gastric bypass

GORD:

Gastro-oesophageal reflux disease

SG:

Sleeve gastrectomy

HH:

Hiatus hernia

PRISMA:

Preferred reporting items for systematic reviews and meta-analyses

PPI:

Proton pump inhibitor

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The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department and Institute: Bariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK

    Kamal K. Mahawar, William R. J. Carr, Neil Jennings, Shlok Balupuri & Peter K. Small

Authors
  1. Kamal K. Mahawar
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  2. William R. J. Carr
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  3. Neil Jennings
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  4. Shlok Balupuri
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  5. Peter K. Small
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Correspondence to Kamal K. Mahawar.

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Mahawar, K.K., Carr, W.R.J., Jennings, N. et al. Simultaneous Sleeve Gastrectomy and Hiatus Hernia Repair: a Systematic Review. OBES SURG 25, 159–166 (2015). https://doi.org/10.1007/s11695-014-1470-0

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  • DOI: https://doi.org/10.1007/s11695-014-1470-0

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