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Obesity Surgery
Published in: Obesity Surgery 6/2010

01-06-2010 | Case Report

Treatment of Morbid Obesity and Hiatal Paraesophageal Hernia by Laparoscopic Roux-en-Y Gastric Bypass

Authors: Jose Luis Salvador-Sanchis, David Martinez-Ramos, Ana Herfarth, Isabel Rivadulla-Serrano, Miguel Ibañez-Belenguer, Jane S. Hoashi

Published in: Obesity Surgery | Issue 6/2010

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Abstract

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/m2 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.
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Metadata
Title
Treatment of Morbid Obesity and Hiatal Paraesophageal Hernia by Laparoscopic Roux-en-Y Gastric Bypass
Authors
Jose Luis Salvador-Sanchis
David Martinez-Ramos
Ana Herfarth
Isabel Rivadulla-Serrano
Miguel Ibañez-Belenguer
Jane S. Hoashi
Publication date
01-06-2010
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 6/2010
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-008-9656-y

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