Augmentation of Hiatal Repair with the Ligamentum Teres Hepatis for Intrathoracic Gastric Migration After Bariatric Surgery.
GERD
Hiatal hernia
Intrathoracic gastric migration
Ligamentum teres hepatis
Obesity surgery
One anastomosis gastric bypass
Round ligament
Roux-en-Y gastric bypass
Sleeve gastrectomy
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
25
08
2020
accepted:
02
12
2020
revised:
17
11
2020
pubmed:
8
1
2021
medline:
20
4
2021
entrez:
7
1
2021
Statut:
ppublish
Résumé
The augmentation of hiatoplasty (HP) with the ligamentum teres hepatis (LTA) is a new concept for intrathoracic migration of a gastric sleeve or pouch (ITGM). We retrospectively analyzed all cases of hiatal hernia repair in a single center between 2015 and 2019. A total of 171 patients underwent 307 hiatal hernia repairs after sleeve gastrectomy (SG) (n = 79), Roux-en-Y gastric bypass (RYGB) (n = 129), and one anastomosis gastric bypass (OAGB) (n = 99). Each hiatal hernia repair was defined as a "case" and assigned to the LTA group or the non-LTA group. The primary outcome was the recurrence of ITGM as detected by endoscopy or CT. The basic characteristics in the LTA group (78 cases) and the non-LTA group (229 cases) were comparable with the exception of the rate of revisional HP (72% vs. 21%), the rate of prior conversion to RYGB (33% vs. 17%), the initial BMI (45.9 ± 8.2 kg/m LTA reduces the risk of early ITGM recurrence. The long-term durability, however, needs to be further investigated.
Identifiants
pubmed: 33409977
doi: 10.1007/s11695-020-05153-4
pii: 10.1007/s11695-020-05153-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1422-1430Références
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