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.
['Brammerloo|Y G A|YGA|0000-0003-1775-5867', 'Hol|J C|JC|', 'Theunissen|C M|CM|', 'Langenhoff|B S|BS|']
D015390:Gastric Bypass D006551:Hernia, Hiatal D059685:Herniorrhaphy D006801:Humans D009765:Obesity D012189:Retrospective Studies
Large paraesophageal hernia Laparoscopic Roux-en-Y gastric bypass LRYGB Large PEH Primary crural repair Bariatric surgery GERD Gastro-esophageal reflux disease Large hiatal hernia Primary crus closure Simultaneous LRYGB and PEH repair Type III or IV paraesophageal hernia