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首页> 外文期刊>Journal of minimal access surgery >Impact of concomitant laparoscopic sleeve gastrectomy and hiatal hernia repair on gastro-oesophageal reflux disease in morbidly obese patients
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Impact of concomitant laparoscopic sleeve gastrectomy and hiatal hernia repair on gastro-oesophageal reflux disease in morbidly obese patients

机译：合并腹腔镜袖胃切除术和食管裂孔疝修补术对病态肥胖患者胃食管反流病的影响

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Background: The aim of this study was to analyse the impact of hiatal hernia repair (HHR) on gastro-oesophageal reflux disease (GERD) in morbidly obese patients with hiatus hernia undergoing laparoscopic sleeve gastrectomy (LSG). Materials and Methods: It is a retrospective study involving ten morbidly obese patients with large hiatus hernia diagnosed on pre-operative endoscopy who underwent LSG and simultaneous HHR. The patients were assessed for symptoms of GERD using a Severity symptom score (SS) questionnaire and anti-reflux medications. Results: Of the ten patients, five patients had GERD preoperatively. At the mean follow-up of 11.70 ± 6.07 months after surgery, four patients (80%) showed complete resolution while one patient complained of persistence of symptoms. Endoscopy in this patient revealed resolution of esophagitis indicating that the persistent symptoms were not attributable to reflux. The other five patients without GERD remained free of any symptom attributable to GERD. Thus, in all ten patients, repair of hiatal hernia (HH) during LSG led to either resolution of GERD or prevented any new onset symptom related to GER. Conclusion: In morbidly obese patients with HH with or without GERD undergoing LSG, repair of the hiatus hernia helps in amelioration of GERD and prevents any new onset GER. Thus, the presence of HH should not be considered as a contraindication for LSG.
机译：背景：本研究的目的是分析经腹腔镜袖胃切除术（LSG）的病态肥胖的裂孔疝的肥胖患者的裂孔疝修补术（HHR）对胃食管反流病（GERD）的影响。资料和方法：这是一项回顾性研究，涉及十名通过手术前内窥镜检查被诊断为接受了LSG并同时进行HHR的合并大裂孔疝的病态肥胖患者。使用严重度症状评分（SS）调查表和抗反流药物对患者进行GERD症状评估。结果：10例患者中，有5例术前患有GERD。术后平均随访时间为11.70±6.07个月，四名患者（80％）表现出完全缓解，而一名患者抱怨症状持续存在。该患者的内窥镜检查显示食管炎消退，表明持续的症状并非归因于反流。其他五例无GERD的患者均未出现归因于GERD的任何症状。因此，在所有十名患者中，LSG期间裂孔疝的修复导致GERD消退或预防了与GER相关的任何新的发作症状。结论：在患有或未患有GERD的病态肥胖HH患者中，接受LSG修补裂孔疝有助于改善GERD并预防任何新的GER发作。因此，不应将HH的存在视为LSG的禁忌症。

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