Background: The presence of hiatal hernia has been considered a contraindication for LAGB, since more complications such as band slippage (BS) were advocated. Few data have been reported on simultaneous LAGB and HHR.
Methods: Between 11/04 and 7/05 432 patients underwent LAGB. Patients with less than 3 months f/u were excluded (total group 417). Patients were divided into 2 groups: Group A (LAGB), and Group B (LAGB + HHR). HHR consisted of esophageal dissection and crura closure.
%EWL: % excess weight loss
Conclusion: These short-term data suggest that patients who had simultaneous HHR demonstrated better weight loss when compared to group A. LAGB and HHR can be safely performed without increasing the rate of complications. In contrast, despite not reaching statistical significance, patients in group B showed a trend towards a lower complication rate. Therefore, liberal HHR is recommended whenever hiatal hernia is diagnosed.
Program Number: P074