The New Interest of Bariatric Surgeons in the Old Ligamentum Teres Hepatis.

Bariatric surgery GERD Hiatal hernia Intrathoracic gastric migration Ligamentum teres hepatis Round ligament Sleeve gastrectomy

Journal

Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714

Informations de publication

Date de publication:
11 2020
Historique:
received: 26 03 2020
accepted: 09 06 2020
revised: 07 06 2020
pubmed: 19 8 2020
medline: 15 4 2021
entrez: 19 8 2020
Statut: ppublish

Résumé

The search for an operation that effectively prevents and treats intrathoracic gastric migration (ITGM) after bariatric surgery has revived a long-forgotten technique: ligamentum teres cardiopexy (LTC) by which a vascularized flap of the teres ligament is wrapped around the distal esophagus. The systematic search of publications in the English language revealed 4 studies (total number of patients 53) in the non-bariatric literature with an unsatisfactory resolution of GERD. There were 5 reports from the bariatric literature with small patient numbers (total 64) and a short follow-up (6-36 months). There were no objective signs of gastric remigration in 93% of investigated patients. Acknowledging the limitations of these preliminary reports, bariatric surgeons are encouraged to further investigate the potentials of LTC in their patients.

Identifiants

pubmed: 32808167
doi: 10.1007/s11695-020-04918-1
pii: 10.1007/s11695-020-04918-1
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

4592-4598

Références

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Auteurs

Alexander Runkel (A)

Department of Plastic and Hand Surgery, University of Freiburg Medical Centre, Freiburg, Germany.

Oliver Scheffel (O)

Department of Obesity and Metabolic Surgery, German Centre of Excellence, Sana-Klinikum Offenbach, Starkenburgring 66, 63069, Offenbach, Germany.

Goran Marjanovic (G)

Centre for Obesity and Metabolic Surgery, Department of General and Visceral Surgery, University of Freiburg Medical Centre, Freiburg, Germany.

Norbert Runkel (N)

Department of Obesity and Metabolic Surgery, German Centre of Excellence, Sana-Klinikum Offenbach, Starkenburgring 66, 63069, Offenbach, Germany. norbert.runkel@icloud.com.

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