Management of Paraesophageal Hernia in the Morbidly Obese Patient

被引：23

作者：

Bakhos, Charles T. ^{[1
]}

Patel, Shrey P. ^{[2
]}

Petrov, Roman, V ^{[1
,2
]}

Abbas, Abbas El-Sayed ^{[1
,2
]}

机构：

[1] Temple Univ Hosp & Med Sch, Lewis Katz Sch Med, Dept Thorac Med & Surg, 3401 North Broad St,C501,5th Floor, Philadelphia, PA 19140 USA

[2] Temple Univ Hosp & Med Sch, Lewis Katz Sch Med, Dept Surg, 3401 North Broad St,C501,5th Floor, Philadelphia, PA 19140 USA

来源：

THORACIC SURGERY CLINICS | 2019年 / 29卷 / 04期

关键词：

Hiatal hernia; Bariatric surgery; Reflux; Lower esophageal sphincter; GASTROESOPHAGEAL-REFLUX DISEASE; LAPAROSCOPIC SLEEVE GASTRECTOMY; LOWER ESOPHAGEAL SPHINCTER; Y GASTRIC BYPASS; BARIATRIC SURGERY; HIATAL-HERNIA; EROSIVE ESOPHAGITIS; REPAIR; SYMPTOMS; RISK;

D O I：

10.1016/j.thorsurg.2019.07.003

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Gastroesophageal reflux disease (GERD) is common in the morbidly obese population, and hiatal hernias are encountered in 20% to 52% of patients. Primary surgical repair of hiatal hernias, in particular the paraesophageal type, is associated with a higher recurrence rate in obese patients. Concomitant weight loss surgery may be advisable. Combined sleeve gastrectomy and paraesophageal hiatal hernia repair is feasible but can induce or worsen preexisting GERD. A Roux-en-Y gastric bypass offers advantages of more pronounced excess weight loss and better symptom control, albeit with a potentially higher rate of morbidity compared with paraesophageal hernia repair alone or sleeve gastrectomy.

引用

页码：379 / +

页数：10

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