title: Laparoscopic hiatus hernia repair and simultaneous sleeve gastrectomy: a novel approach in the treatment of gastroesophageal reflux disease associated with morbid obesity.
abstract: Abstract Obesity is associated with significantly increased risk of gastroesophageal reflux disease and recurrence of reflux symptoms following surgical intervention, compared to individuals with normal body-mass index (BMI). The severity of reflux symptoms and obesity is associated with a decreased quality of life. In this article, we report a novel approach to the treatment of morbid obesity and hiatus hernia in a 36-year-old female with a BMI of 40 kg/m(2) who failed the conservative treatment. A laparoscopic hiatal repair, using a commercially available on lay reinforcement biologic mesh and a sleeve gastrectomy performed at the same time was successful in controlling the reflux symptoms and reducing her body weight.
authors.affiliation: Department of Upper Gastrointestinal and Laparoscopic Surgery, Princess Royal Hospital, Telford, UK. korwar@gmail.com
authors.forename: Vijay
authors.initials: V
authors.lastname: Korwar
authors.forename: Michael
authors.initials: M
authors.lastname: Peters
authors.forename: Sam
authors.initials: S
authors.lastname: Adjepong
authors.forename: Audun
authors.initials: A
authors.lastname: Sigurdsson
mesh_terms: D000328:Adult; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000209:etiology / Q000601:surgery*; D006551:Hernia, Hiatal / Q000150:complications / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009767:Obesity, Morbid / Q000150:complications* / Q000601:surgery*; D013526:Surgical Mesh