Management of Paraesophageal Hernia in the Morbidly Obese Patient

被引：24

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

共 50 条

[41] Positioning the morbidly obese patient for anesthesia [J].

Brodsky, JB .

OBESITY SURGERY, 2002, 12 (06) :751-758

[42] Improvement in results in paraesophageal hernia [J].

Torres-Villalobos, Gonzalo ;

Alfonso Martin-del Campo, Luis ;

Vasquez-Sanchez, Lucia ;

Carranza-Martinez, Ixchel ;

Santiago-Andrade, Rafael ;

Santillan-Doherty, Patricio .

CIRUGIA Y CIRUJANOS, 2011, 79 (04) :351-355

[43] Role of the gastroenterologist in the management of the obese patient [J].

Lopez-Serrano, Antonio ;

Ortiz Polo, Inmaculada ;

Sanz de la Vega, Javier ;

Moreno-Osset, Eduardo .

GASTROENTEROLOGIA Y HEPATOLOGIA, 2017, 40 (06) :409-416

[44] Laparoscopic Gastric Banding and Crural Repair in the Obese Patient with a Hiatal Hernia [J].

Kevin Dolan ;

Robert Finch ;

George Fielding .

Obesity Surgery, 2003, 13 :772-775

[45] Laparoscopic gastric banding and crural repair in the obese patient with a hiatal hernia [J].

Dolan, K ;

Finch, R ;

Fielding, G .

OBESITY SURGERY, 2003, 13 (05) :772-775

[46] Preoperative evaluation and preparation of the morbidly obese patient [J].

Boehmer, Andreas B. ;

Wappler, Frank .

CURRENT OPINION IN ANESTHESIOLOGY, 2017, 30 (01) :126-132

[47] Intrathoracic pancreas: Giant paraesophageal hernia [J].

Vitale, Ashley E. ;

Louwagie, Victoria S. .

JAAPA-JOURNAL OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS, 2025, 38 (03) :19-21

[48] Initial Experience with Laparoscopic Crural Closure in the Management of Hiatal Hernia in Obese Patients Undergoing Sleeve Gastrectomy [J].

Soricelli, Emanuele ;

Casella, Giovanni ;

Rizzello, Mario ;

Cali, Benedetto ;

Alessandri, Giorgio ;

Basso, Nicola .

OBESITY SURGERY, 2010, 20 (08) :1149-1153

[49] The Impact of Gastric Bypass on Gastroesophageal Reflux Disease in Morbidly Obese Patients [J].

Madalosso, Carlos Augusto S. ;

Gurski, Richard Ricachenevsky ;

Callegari-Jacques, Sidia M. ;

Navarini, Daniel ;

Mazzini, Guilherme ;

Pereira, Marina da Silva .

ANNALS OF SURGERY, 2016, 263 (01) :110-116

[50] Staged complex abdominal wall hernia repair in morbidly obese patients [J].

A. D. Schroeder ;

T. Mukherjee ;

N. Tashjian ;

M. Siu ;

R. Fitzgibbons ;

K. Nandipati .

Hernia, 2021, 25 :383-387

← 1 2 3 4 5 →