Feasibility of Laparoscopic Repair of Symptomatic Hiatal Hernia Following Roux-y Gastric Bypass

Amy Neville, MD, Olivier Court, MD, Nicolas Christou, MD, PhD, Sebastian Demyttenaere, MD

McGill University Health Centre, Montreal QC, Canada

Obesity is a recognized risk factor for hiatal hernia and an estimated 15% of morbidly obese patients have a symptomatic hiatal hernia. As such, it is not uncommon to encounter a hiatal hernia at the time of bariatric surgery. When hiatal hernia is present during Roux-Y gastric bypass it is considered safe and appropriate to repair the hernia defect at the time of surgery. However, symptomatic hiatal hernia presenting after Roux-Y gastric bypass presents a challenge to the surgeon given the potential difficulties of re-operative upper gastrointestinal tract surgery. We present the case of a patient presenting with a highly symptomatic hiatal hernia following Roux-Y gastric bypass and demonstrate that laparoscopic management is feasible and results in good short term outcomes. To our knowledge, there are no previous descriptions of similar procedures published in the literature.

Session: Video ChannelDay 2

Program Number: V079

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