Treatment of morbid obesity and gastroesophageal reflux with hiatal hernia by Lap-Band

被引：62

作者：

Angrisani, L ^{[1
]}

Iovino, P ^{[1
]}

Lorenzo, M ^{[1
]}

Santoro, T ^{[1
]}

Sabbatini, F ^{[1
]}

Claar, E ^{[1
]}

Nicodemi, O ^{[1
]}

Persico, G ^{[1
]}

Tesauro, B ^{[1
]}

机构：

[1] Univ Naples Federico II, Sch Med, Dept Surg 1, Naples, Italy

来源：

OBESITY SURGERY | 1999年 / 9卷 / 04期

关键词：

morbid obesity; gastroesophageal reflux; laparoscopy;

D O I：

10.1381/096089299765553007

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: Esophageal reflux is common in obese patients. Hiatal hernia is considered a potential contraindication to placement of a Lap-Band. Methods: Esophageal investigation in patients who were candidates for a Lap-Band included clinical evaluation of symptoms (scoring system), endoscopic and radiologic evaluation, 24-h pH test, and stationary manometry. Patients with gastroesophageal reflux (GER) with or without hiatal hernia underwent the Lap-Band procedure. Results: GER was diagnosed in 12/40 morbidly obese patients, 11 of whom received a standard Lap-Band (3 patients were radiologically diagnosed with transient hiatal hernia). One patient with a large hiatal hernia underwent closure of the diaphragmatic esophageal hiatus, and the Lap-Band was positioned similarly to an Angelchik prosthesis. AII but 1 patient who was lost at follow-up were symptom-free (range 1-24 months). Conclusion: GER with or without hiatal hernia is not a contraindication for obese patients undergoing a Lap-Band procedure. It accomplishes by a single operation satisfactory treatment of these two disturbing diseases.

引用

页码：396 / 398

页数：3