• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Concurrent Paraesophageal Hernia Repair and Sleeve Gastrectomy is Safe and Well Tolerated

Eugene Wang, MD, Chaitanya Vadlamudi, MD, Elizabeth Zubowicz, MD. Medstar Georgetown-Washington Hospital Center

INTRODUCTION: The aim of this study is to evaluate short term morbidity, if any, of concomitant paraesophageal hernia repair (PHR) in patients undergoing  laparoscopic sleeve gastrectomy (LSG).  LSG is now the most widely used surgical intervention for morbid obesity, however significant concern exists about exacerbating or creating de novo gastroesophageal reflux disease (GERD) in these patients.  Undiagnosed or untreated paraesophageal hernias may contribute to symptomatic GERD in these patients. They are present in 15 % of patients with body mass index (BMI) over 35 kg/m2. Intra-operative diagnosis of hiatal hernias is estimated to occur in 1/3 of LSG performed.

METHODS AND PROCEDURES: Retrospective, single center case control study (2016-2018) using data from Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program.  Inclusion criteria: patients who underwent concurrent LSG and PHR.  Primary endpoints: operative time (minutes), length of stay (LOS, days), BMI difference, emergency department (ED) visits, and mortality.  Independent t-test was used for continuous data. Pearson’s chi-squared test was used for categorical data, reported as percentages.

RESULTS: Nine patients were identified with concurrent surgery by LSG and PHR, with 30 day follow-up.  562 control patients during this time period underwent LSG only.  There were no statistically significant differences between the two groups’ co-morbidities in terms of diabetes, obstructive sleep apnea, GERD and hypertension.  The LSG and PHR group was approached robotically 77.7% of the time, which was more frequent than the LSG only group which was approached robotically 40.5% of the time, p = 0.024.  The operative time for the LSG and PHR group was on average 134.2 ± 69.7 minutes, which was longer than the LSG only group, which averaged 101.4 ± 45.4 minutes, p = 0.062.  There were no statistically significant differences between the two groups in terms of LOS 1.1 ± 0.3 vs 1.4 ± 1.9 days (p = 0.472), BMI difference post-surgery 3.0 ± 0.6 vs 3.3 ± 2.6 (p = 0.242), ED visits 11.1% vs 10.1% (p = 0.924), and mortality 0% vs 0% (p = 0.858).

CONCLUSION: Concurrent surgery with LSG and PHR is safe to perform during the same operation, with no statistical difference in LOS, weight loss, morbidity or mortality, and only had minimally longer operative times.  Given the high incidence of reflux symptoms after LSG, future studies should investigate improvement with LSG and PHR as opposed to LSG alone in those with a concurrent paraesophageal hernia.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 94761

Program Number: P108

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

View this Poster

50

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2019 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons