Sleeve gastrectomy and simultaneous repair of hiatal hernia for prevention of gastroesophageal reflux
10.3760/cma.j.cn113855-20210711-00421
- VernacularTitle:袖状胃切除同期食管裂孔疝修补防止胃食管反流的疗效
- Author:
Songze ZHANG
1
;
Jianfu XIA
;
Hao CHEN
;
Jinlei MAO
;
Junwei LIU
;
Xinzhong HE
;
Yaojuan WU
;
Zhifei WANG
Author Information
1. 宁波大学附属人民医院普外科，宁波 315000
- Keywords:
Gastroesophageal reflux;
Hernia, hiatal;
Obesity;
Gastrectomy
- From:
Chinese Journal of General Surgery
2022;37(2):94-98
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the laparoscopic sleeve gastrectomy combined with hiatal hernia repair surgery for weight loss and antireflux.Methods:This study included 21 obese patients with gastroesophageal reflux who underwent laparoscopic sleeve gastrectomy at the Weight Loss Metabolism Center of the Department of Hepatobiliary and Pancreatic Surgery of Zhejiang Provincial People's Hospital from Dec 2019 to Dec 2020. Patients were divided into simple bariatric surgery group (9 cases) and simultaneous combined surgery group (12 cases).Results:In the combined surgery group, 1 case had postoperative gastric leakage. The postoperative body weight, waist circumference, and BMI indexes of the two groups showed a downward trend ( F=5.154, P=0.013; F=14.319, P<0.001; F=6.725, P=0.004). There was a statistically significant difference in the excess weight loss in both the two groups at 6 months after the operation compared to 1 month after the operation ( t=8.927, P<0.001; t=8.926, P<0.001). There was no statistically significant difference in postoperative lower esophageal sphincter resting pressure and Gerd symptom score in the bariatric surgery group compared with preoperative ( t=-0.891, P=0.507; t=0.629, P=0.298). The postoperative Gerd symptom score of the patients in the combined surgery group was significantly lower than that before the operation, and the resting pressure of the lower esophageal sphincter was significantly higher than that before the operation, ( t=-10.539, P<0.001; t=5.066, P=0.038). Conclusion:Combined surgery have the same weight loss effect as in simple bariatric surgery in obese patients with gastroesophageal reflux, in addition to stronger anti-reflux effect.
