Concomitant Hiatal Hernia Repair with Sleeve Gastrectomy: A 5-Year Analysis

Overview

Journal JSLS

Specialty General Surgery

Date 2021 Jan 8

PMID 33414611

Citations 2

Authors

Benjamin Clapp

Evan Liggett

Ashtyn Barrientes

Katherine Aguirre

Vidur Marwaha

Alan Tyroch

Affiliations

Soon will be listed here.

Abstract

: The sleeve gastrectomy (SG) can be associated with postoperative gastroesophageal reflux and when a hiatal hernia (HH) is present, it should be fixed. Earlier studies have shown that 20% of SG have a concomitant hiatal hernia repair (SG+HHR). The aim of this project is to determine the rate of SG+HHR in a large state administrative database. The Texas Inpatient Public Use Data File (IPUDF) and Outpatient Public Use Data File (OPUDF) for the years 2013-2017 were examined for patients that underwent SG+HHR at the same time. Patient demographics, diagnosis, and charge data were also examined. A t-test was performed between groups and P was considered significant at < 0.05. In the OPUDF, there were 6,193 (33.7%) patients who underwent SG+HHR out of 18,403 patients who underwent SG. Mean charges were $94,741 [standard deviation (SD) = $87,284]. Length of stay (LOS) was 2.1 (SD = 3.5) vs 2.3 days (SD = 3.3) with a shorter stay for SG+HHR vs SG alone (P < 0.001). In the IPUDF, there were 11,536 (21.1%) patients who underwent SG+HHR out of 54,545 patients who underwent SG. Mean charges were $69,006 (SD = $46,365). LOS was 1.59 days (SD = 3.7) for SG+HHR vs 1.63 days (SD = 1.6) for SG (P = .043). The rate of SG+HHR increased over the study period. SG+HHR is common in both the outpatient and inpatient setting. There is a yearly trend of increasing rates of SG+HHR.

Citing Articles

Concordance Between Endoscopic and Surgical Findings of Hiatal Hernia in Patients Undergoing Laparoscopic Vertical Sleeve Gastrectomy.

Restrepo M, Ramirez M, Valencia M, Ramirez J, Arias J, Martinez J Obes Surg. 2024; 34(10):3905-3907.

PMID: 39294508 DOI: 10.1007/s11695-024-07485-x.

Current Management and Treatment Paradigms of Gastroesophageal Reflux Disease following Sleeve Gastrectomy.

Masood M, Low D, Deal S, Kozarek R J Clin Med. 2024; 13(5).

PMID: 38592683 PMC: 10932325. DOI: 10.3390/jcm13051246.

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