Clinical management strategies for obesity patients with esophageal hiatal hernia under-going sleeve gastrectomy
10.3760/cma.j.cn115610-20250822-00549
- VernacularTitle:肥胖合并食管裂孔疝患者胃袖状切除术中临床处理策略
- Author:
Ying XING
1
;
Wenmao YAN
1
;
Rixing BAI
1
Author Information
1. 首都医科大学附属北京天坛医院，北京 100070
- Publication Type:Journal Article
- Keywords:
Esophageal hiatal hernia;
Obesity;
Sleeve gastrectomy;
Gastroesophageal reflux;
Membranous anatomy
- From:
Chinese Journal of Digestive Surgery
2025;24(9):1153-1156
- CountryChina
- Language:Chinese
-
Abstract:
Sleeve gastrectomy is currently the most commonly performed bariatric surgery procedure. There remains controversy regarding the intraoperative management of hiatal hernia during sleeve gastrectomy for obesity patients. In China, the mainstream approach is active explora-tion and repair of the hiatal hernia during surgery. Nevertheless, some reports suggest that this may not lead to definitive outcomes and might even exacerbate gastroesophageal reflux symptoms. Based on clinical experience, the authors discuss the current strategies of intraoperative management of hiatal hernia during sleeve gastrectomy, and explore the clinical management strategies for obesity patients with esophageal hiatal hernia undergoing sleeve gastrectomy.
