• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / The Effect of Robotic Hiatal Hernia Repair with Concomitant Esophagopexy in Patients with Gastroesophageal Reflux Disease

The Effect of Robotic Hiatal Hernia Repair with Concomitant Esophagopexy in Patients with Gastroesophageal Reflux Disease

Allison C Estep, MD1, Christopher J You, MD2. 1MedStar Union Memorial Hospital, 2MedStar Franklin Square Medical Center

Background: Gastroesophageal reflux disease (GERD) is a highly prevalent disorder with a multitude of treatment options ranging from lifestyle modifications and medical management to surgical options. Despite the numerous treatments available, there is still debate over which approach is most appropriate and effective for patients. This study aims to examine the effect of robotic hiatal hernia repair (RHHR) with the novel addition of esophagopexy in patients with GERD.

Methods: A single institution, single surgeon, prospectively maintained database was used to identify patients who underwent RHHR with a partial fundoplication and concomitant esophagopexy for GERD from November 2015 to July 2017. Patient characteristics, operative details and postoperative outcomes were analyzed. Primary endpoint was resolution of subjective GERD symptoms and discontinuation of proton pump inhibitor (PPI). Recurrence of hiatal hernia was a secondary endpoint.

Results: Eleven patients were identified meeting the inclusion criteria (RHHR + esophagopexy) with a mean follow-up of 9.5 weeks ± 19.4 weeks. In regards to the RHHR, 91% underwent a partial fundoplication and the additional 9% underwent a re-do wrap. This patient cohort was 81.8% female with a mean age of 61.5 ± 11.9 years. Preoperative esophagogastroduodenoscopy (EGD) was performed in 100% of patients with the study showing a hiatal hernia in 91.0%, gastritis in 45.4% and esophagitis in 63.6% of patients. Manometry was performed in 54.5% of the patients showing 50% of these patients with esophageal dysmotility. Esophagograms and pH studies were performed preoperatively in 36.4% and 45.5% of patients respectively. Preoperatively, 100% of patients had a documented diagnosis of GERD and were taking a PPI and/or H2 blocker. After RHHR with esophagopexy, 81.8% of patients had resolution of their GERD symptoms while 18.2% (n=2) remained symptomatic. However, one of two patients reported a subjective decrease in symptom severity following the procedure. Despite resolution of symptoms, 81.1% remained on PPIs. Another 9% switched to H2 blockers and one patient discontinued all antisecretory therapy. None of the patients experienced recurrence of their hiatal hernia.

Conclusion: Based on our data, RHHR with esophagopexy results in resolution GERD symptoms in over 80% of symptomatic patient. In patients with hiatal hernias and GERD, RHHR with esophagopexy does lead to resolution of symptoms, however, the majority of patients remained on PPIs. Long-term follow up is needed to investigate whether these patients are able to discontinue PPIs and remain symptom free. 


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

Abstract ID: 88061

Program Number: P410

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

97

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals