PMID- 32495077
OWN - NLM
STAT- MEDLINE
DCOM- 20210414
LR  - 20210414
IS  - 1708-0428 (Electronic)
IS  - 0960-8923 (Linking)
VI  - 30
IP  - 10
DP  - 2020 Oct
TI  - Incidence of de Novo Hiatal Hernia after Laparoscopic Sleeve Gastrectomy.
PG  - 3730-3734
LID - 10.1007/s11695-020-04742-7 [doi]
AB  - PURPOSE: After laparoscopic sleeve gastrectomy (LSG), several studies have 
      reported an increase in the incidence of gastroesophageal reflux (GERD). The 
      etiopathogenesis of GERD post-LSG is multifactorial, and hiatal hernia (HH) is 
      one of them. The primary objective was to measure the incidence of de novo HH 
      post-LSG. The secondary objectives were to relate the presence of HH with GERD, 
      the chronic use of proton pump inhibitors (PPI), and the time elapsed from LSG. 
      MATERIALS AND METHODS: A surgical evaluation of the crura after LSG was 
      performed. A retrospective cohort study of 74 consecutive patients with history 
      of LSG submitted to an intra-abdominal surgery that allowed the evaluation of the 
      crura. RESULTS: Of a total of 74 patients, 51 were included. At the time of 
      surgery, 37 patients (72.5%) had a HH; 24 patients (47.1%) had GERD, and 23 
      patients (45.1%) were frequently using PPI. When patients with HH and those 
      without HH were compared, GERD was observed in 56.8% versus 21.4% (p = 0.01) and 
      frequent consumption on PPI was found in 54.1% versus 21.4% (p = 0.02). According 
      to the data of LSG, with a follow-up of < 18 months, 60% presented HH; meanwhile, 
      with a follow-up of > 18 months, 84.6% presented HH (p = 0.02). CONCLUSIONS: 
      Patients submitted to LSG showed a high incidence of de novo HH. HH was 
      associated with a higher incidence of GERD and PPI dependence. The longer the 
      time elapsed from the LSG, the greater the incidence of HH.
FAU - Saba, Jorge
AU  - Saba J
AUID- ORCID: 0000-0002-3480-2656
AD  - Service of Bariatric and Metabolic Surgery, Indisa Clinic, Avenida Santa Maria 
      1810, 7520440, Santiago, Chile. doctor@jorgesaba.cl.
AD  - Surgery Service, Dipreca Hospital, Avenida Vital Apoquindo 1200, 7601003, 
      Santiago, Chile. doctor@jorgesaba.cl.
AD  - School of Medicine, Diego Portales University, Dipreca Hospital, Avenida Vital 
      Apoquindo 1200, 7601003, Santiago, Chile. doctor@jorgesaba.cl.
FAU - Bravo, Magdalena
AU  - Bravo M
AD  - Surgery Service, Luis Tisne Hospital, Avenida Las Torres 5150, 7930124, Santiago, 
      Chile.
FAU - Rivas, Eugenio
AU  - Rivas E
AD  - Service of Bariatric and Metabolic Surgery, Indisa Clinic, Avenida Santa Maria 
      1810, 7520440, Santiago, Chile.
FAU - Fernandez, Roberto
AU  - Fernandez R
AD  - Service of Bariatric and Metabolic Surgery, Indisa Clinic, Avenida Santa Maria 
      1810, 7520440, Santiago, Chile.
FAU - Perez-Castilla, Alberto
AU  - Perez-Castilla A
AD  - Service of Bariatric and Metabolic Surgery, Indisa Clinic, Avenida Santa Maria 
      1810, 7520440, Santiago, Chile.
FAU - Zajjur, Jorge
AU  - Zajjur J
AD  - Service of Bariatric and Metabolic Surgery, Indisa Clinic, Avenida Santa Maria 
      1810, 7520440, Santiago, Chile.
LA  - eng
PT  - Journal Article
DEP - 20200603
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
SB  - IM
MH  - Gastrectomy/adverse effects
MH  - *Hernia, Hiatal/epidemiology/surgery
MH  - Humans
MH  - Incidence
MH  - *Laparoscopy
MH  - *Obesity, Morbid/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Gastroesophageal reflux
OT  - Hiatal hernia
OT  - Sleeve gastrectomy
EDAT- 2020/06/05 06:00
MHDA- 2021/04/15 06:00
CRDT- 2020/06/05 06:00
PHST- 2020/01/05 00:00 [received]
PHST- 2020/05/28 00:00 [accepted]
PHST- 2020/05/23 00:00 [revised]
PHST- 2020/06/05 06:00 [pubmed]
PHST- 2021/04/15 06:00 [medline]
PHST- 2020/06/05 06:00 [entrez]
AID - 10.1007/s11695-020-04742-7 [pii]
AID - 10.1007/s11695-020-04742-7 [doi]
PST - ppublish
SO  - Obes Surg. 2020 Oct;30(10):3730-3734. doi: 10.1007/s11695-020-04742-7. Epub 2020 
      Jun 3.