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01-08-2021 | Obesity | Original Contributions

Hill Modified, a Novel Approach: Technique Description and Experience in Patients with Laparoscopic Sleeve Gastrectomy

Authors: Ricardo Nassar, Felipe Giron, Andres M. Garcia, Lina M. Rodríguez, Alberto E. Ricaurte, Roberto J. Rueda-Esteban, Alejandro Pizano, Juan D. Hernandez

Published in: Obesity Surgery | Issue 8/2021

Abstract

Background

Gastroesophageal reflux disease (GERD) is a common disease among patients with obesity, with an associated prevalence of 39 to 61% between the population who attends a bariatric surgery evaluation. Laparoscopic sleeve gastrectomy (LSG) has become a popular and valid option for obesity treatment, even though the literature is ambivalent regarding the increase or decrease in GERD after this surgery. Thus, it is necessary to propose new surgical techniques as a solution to GERD in patients with a concomitant LSG or with a history of it. Therefore, we present a modified technique based on Hill’s gastropexy described originally in 1967.

Objective

Describe and propose a surgical procedure for GERD management based on the Hill technique that can be applied in all patients who undergo an LSG or with a history of it.

Methods

Retrospective observational study with a prospective database in which we described, Hill modified technique in a group of 16 patients with GERD who underwent this procedure concomitantly with an LSG or who presented with GERD after LSG with a 3-year follow-up. The surgical technique is based on an intra-abdominal esophageal length of a minimum of 3 cm and posterior fixation of the gastroesophageal junction to the crus.

Results

Postoperative controls have shown satisfactory results in the control and management of GERD symptoms in this group of patients, with very few to no complications associated with the procedure and without reintervention or medication out of the standard protocol.

Conclusion

Hill modified technique can be used and presented as an option for GERD control in patients with LSG.

Graphical abstract

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Title: Hill Modified, a Novel Approach: Technique Description and Experience in Patients with Laparoscopic Sleeve Gastrectomy
Authors: Ricardo Nassar
Felipe Giron
Andres M. Garcia
Lina M. Rodríguez
Alberto E. Ricaurte
Roberto J. Rueda-Esteban
Alejandro Pizano
Juan D. Hernandez
Publication date: 01-08-2021
Publisher: Springer US
Keywords: Obesity
Obesity
Sleeve Gastrectomy
Bariatric Surgery
Bariatric Surgery
Gastroesophageal Reflux Disease
Gastropexy
Published in: Obesity Surgery / Issue 8/2021
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-021-05465-z

At a glance: The STEP trials

Springer Medicine

Hill Modified, a Novel Approach: Technique Description and Experience in Patients with Laparoscopic Sleeve Gastrectomy

Abstract

Background

Objective

Methods

Results

Conclusion

Graphical abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Objective

Methods

Results

Conclusion

Graphical abstract

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