Background

Hiatal hernia is present in up to 40% of patients with obesity. Whether HH repair (HHR) concurrent with laparoscopic sleeve gastrectomy (LSG) resolves preoperative GERD and prevents development of postoperative GERD is unclear. This study describes changes in GERD symptoms in patients undergoing LSG and HHR.

Methods

A retrospective chart review revealed 238 patients who underwent LSG and concomitant HHR from 2005 to 2018. Patients were considered to have GERD if they were symptomatic and receiving anti-reflux medication (PPI or H2 antagonist daily).

Results

A retrospective chart review revealed 238 patients who underwent LSG and concomitant HHR from 2005 to 2018. Patients were considered to have GERD if they were symptomatic and receiving anti-reflux medication (PPI or H2 antagonist daily).

Conclusions

LSG and concurrent HHR leads to resolution of symptoms in nearly 1 in 2 patients with GERD preoperatively and development of new symptoms in 1 in 3 patients. HHR at the time of LSG does not guarantee resolution of GERD.