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Concomitant Hiatal Hernia Repair Is more Common in Laparoscopic Sleeve Gastrectomy than During Laparoscopic Roux-en-Y Gastric Bypass: an Analysis of 130,772 Cases

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Abstract

Obesity is associated with the development of gastroesophageal reflux disease (GERD) and hiatal hernia (HH). This study aimed to assess practice patterns regarding concomitant HH repair (HHR) during laparoscopic sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). The incidence of concomitant HHR with LSG or LRYGB was analyzed using the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database. One hundred thirty thousand, seven hundred seventy-two patients underwent RYGB (30.5%) and LSG (69.5%). Concomitant HHR was more common, despite less GERD, in SG patients compared to RYGB (21.0% vs 10.8%, p < 0.0001; adjusted OR 2.14, 95% CI 2.06–2.22). This marked difference in the intraoperative management of HH during bariatric surgeries may hinder our ability to evaluate the long-term effects of bariatric surgery on GERD.

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Authors and Affiliations

  1. Division of Foregut, Bariatric and Advanced GI Surgery, Department of Surgery, Stony Brook University Medical Center, Stony Brook, NY, 11794, USA

    Salvatore Docimo Jr, Uzma Rahmana, Andrew Bates, Mark Talamini, Aurora Pryor & Konstantinos Spaniolas

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  1. Salvatore Docimo Jr
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  2. Uzma Rahmana
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  3. Andrew Bates
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  4. Mark Talamini
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  5. Aurora Pryor
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  6. Konstantinos Spaniolas
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Correspondence to Salvatore Docimo Jr.

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For this retrospective study, formal consent is not required.

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Does not apply to this retrospective study.

Conflicts of Interest

Dr. Docimo reports non-financial support from Boston Scientific, from null, outside the submitted work; Dr. Spaniolas reports non-financial support from Mallincktodt, grants from Merck, outside the submitted work; Dr. Pryor reports personal fees from Ethicon, personal fees from Medtronic, personal fees from Stryker, and from Gore, and grants from Baranova and from Obalon, outside the submitted work; Drs. Bates and Talamini have no conflicts of interest. Uzma Rahmana has no conflicts of interest.

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Docimo, S., Rahmana, U., Bates, A. et al. Concomitant Hiatal Hernia Repair Is more Common in Laparoscopic Sleeve Gastrectomy than During Laparoscopic Roux-en-Y Gastric Bypass: an Analysis of 130,772 Cases. OBES SURG 29, 744–746 (2019). https://doi.org/10.1007/s11695-018-3594-0

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  • DOI: https://doi.org/10.1007/s11695-018-3594-0

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