Treatment of morbid obesity and hiatal paraesophageal hernia by laparoscopic Roux-en-Y gastric bypass.
Obesity has been proven to be a significant independent risk factor for hiatal hernia. In morbidly obese patients, the usual techniques to improve gastroesophageal reflux after hiatal hernia repair could have poorer outcomes than in the general population. Laparoscopic Roux-en-Y gastric bypass (LRYGBP) has been demonstrated to be an effective procedure in controlling symptoms and complications of gastroesophageal reflux in these patients. Therefore, LRYGBP is one of the most frequent procedures performed in bariatric surgery. The authors report a case of a 41-year-old man with a body mass index (BMI) of 44.6 kg/m(2) who was diagnosed with giant type III hiatal hernia. A laparoscopic approach for both hiatal hernia repair and LRYGBP was performed. At 6 months follow-up, the patient has lost 30% of excess body weight (BMI 34.4), and there is no evidence of recurrence of the esophageal hernia.
Salvador-Sanchis
Jose Luis
JL
Department of General and Digestive Surgery, Castellon General Hospital, Avda Benicàssim s/n., 12004, Castellon, Spain.
Martinez-Ramos
David
D
Herfarth
Ana
A
Rivadulla-Serrano
Isabel
I
Ibañez-Belenguer
Miguel
M
Hoashi
Jane S
JS
D000328:Adult; D015390:Gastric Bypass / Q000379:methods*; D006551:Hernia, Hiatal / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D011859:Radiography; D016896:Treatment Outcome
Surg Obes Relat Dis. 2007 Jul-Aug;3(4):423-7
17544923
Surg Clin North Am. 2000 Aug;80(4):1243-52
10987033
Obes Surg. 2004 Nov-Dec;14(10):1373-80
15603654
Surg Endosc. 2003 Dec;17(12):2003-11
14577029
Ann Intern Med. 2005 Aug 2;143(3):199-211
16061918
JSLS. 2004 Jan-Mar;8(1):19-23
14974657
Obes Surg. 1999 Aug;9(4):396-8
10484300
Am J Gastroenterol. 1999 Oct;94(10):2840-4
10520831
Dis Esophagus. 2006;19(2):57-63
16643170
Br J Surg. 2005 May;92(5):648-53
15800954
Am J Surg. 1998 Dec;176(6):659-65
9926809
Ann Surg. 2004 Dec;240(6):975-82; discussion 982-3
15570203
Obes Surg. 2005 Mar;15(3):435-8
15826483