Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons  2009;12(2):147-149

Laparoscopic Hiatal Hernia Repair during Laparoscopic Roux-en-Y Gastric Bypass (LRYGB).

Hong Chan LEE 1 ; In Soo PARK ; Eung Kook KIM

Affiliations

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Keywords

Morbid obesity; Laparoscopic Roux-en-Y Gastric Bypass (LRYGB); Haital hernia

Country

Republic of Korea

Language

Korean

Abstract

Obesity is one of the most significant causes of GERD. Nissen fundoplication is a surgical procedure that's performed world widely for treating patients with GERD and a hiatal hernia and who are intractable to medical therapy. However, Nissen fundoplication may have technical difficulties in morbidly obese patients due to the huge perigastric, intraabdominal fat tissue and hepatomegaly. During the laparoscopic Roux-en-Y Gastric Bypass (LRYGB) procedure, the stomach was divided into the gastric pouch and the remnant stomach by vertiacally stapling at the angle of His. The posterior gastric wall and hiatus were easily exposed even when there was huge deposits of perigatric and intraabdominal fat tissue. We report here on a case of concomitant hiatal hernia repair with LRYGB in a morbidly obese patient.