Diagnosis and treatment strategy of hiatal hernia in patients undergoing sleeve gastrectomy
LIANG Hui
Abstract：The proportion of obese patients complicated with gastroesophageal reflux disease and hiatal hernia is relatively high.The reflux symptoms may aggravate or improve after sleeve gastrectomy(SG).Concurrent management of concomitant hiatal hernia during the operation is an important measure to reduce postoperative reflux,and the standardization of sleeve gastrectomy should be achieved.Preoperative evaluation and prediction of hiatal hernia are sometimes difficult.A preoperative gastroesophageal reflux disease questionnaire,gastroscopy,upper gastrointestinal imaging,and CT can indicate whether intraoperative exploration is necessary.Concurrent repair is performed at the same time according to the intraoperative anatomical manifestations of the hiatal hernia,and the application of patches is decided as needed.
Keywords：bariatric and metabolic surgeryhiatal herniagastroesophageal reflux diseasesleeve gastrectomyRoux-en-Y gastric bypass
Publication Date：2024-08-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 871-875 )