Reduction of Paraesophageal Hernia After Sleeve Gastrectomy

Laura Doyon, MD, Subhash Kini, MD, FRCS, Daniel Herron, MD, FACS. Mount Sinai Hospital, New York, NY.

This is a case of a patient who underwent a laparoscopic sleeve gastrectomy.  Despite having no pre- or intra-operative evidence of hiatal hernia during the original procedure, the patient developed a paraesophageal hernia of the gastric sleeve causing obstruction at the GE junction postoperatively.  The presentation and treatment of the patient is discussed, including a video of the reduction and repair of the paraesophageal hernia.  To our knoweldge, this is the only reported case of incarcerated paraesophageal hernia after sleeve gastrectomy that has been described in the literature.  A discussion of the literature, etiology of paraesophageal hernia after sleeve gastrectomy, and our recommendations concludes the presentation. 

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