Sleeve Gastrectomy Combined with the Simplified Hill Repair in the Treatment of Morbid Obesity and Gastro-esophageal Reflux Disease: Preliminary Results in 14 Patients
Background Our aim is to report our initial experience with a novel technique which addresses morbid obesity and gastro-esophageal reflux disease (GERD) simultaneously by combination of laparoscopic sleeve gastrectomy (LSG) and simplified laparoscopic Hill repair (sLHR). Methods Retrospective analys...
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| Veröffentlicht in: | World journal of surgery 2017-04, Vol.41 (4), p.1035-1039 |
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| creator | Gero, Daniel Ribeiro-Parenti, Lara Arapis, Konstantinos Marmuse, Jean-Pierre |
| description | Background
Our aim is to report our initial experience with a novel technique which addresses morbid obesity and gastro-esophageal reflux disease (GERD) simultaneously by combination of laparoscopic sleeve gastrectomy (LSG) and simplified laparoscopic Hill repair (sLHR).
Methods
Retrospective analysis of LSG+sLHR patients >5 months postoperatively includes demographics, GERD status, proton-pump inhibitor (PPI) use, body mass index (BMI), excess BMI loss (EBMIL), complications and GERD-Health Related Quality of Life (GERD-HRQL) questionnaire. LSG+sLHR surgical technique: posterior cruroplasty, standard LSG, fixation of the esophagogastric junction to the median arcuate ligament.
Results
Fourteen patients underwent LSG+sLHR [12 women and 2 men, mean (range) age 47 years (27–57), BMI 41 kg/m
2
(35–65)]. Five patients had previous gastric banding (GB). All had symptomatic GERD confirmed by gastroscopy and/or upper-gastrointestinal contrast study, two with chronic cough, 10 took PPI daily. Twelve had hiatus hernia and two patulous cardia at surgical exploration. Associated interventions were three GB removals and one cholecystectomy. Postoperative complication was one surgical site infection. Follow-up of all patients at median 12.5 months (5–17) is as follows: symptomatic GERD 3/14 patients, chronic cough 0/14, daily PPI use in 1/14, mean EBMIL 68% (17–120), satisfaction 93%, mean GERD-HRQL score 3,28/50 (0–15), with 4 patients 0/50, occasional bloatedness in 2 patients and dysphagia not reported.
Conclusion
The novel technique which combines LSG with sLHR is feasible, safe and can be associated with GB removal. Preliminary results showed patient satisfaction, high remission rate of preexisting GERD, decrease in PPI use and unimpaired weight loss. Further evaluation is necessary in a controlled and staged manner to establish the technique’s real effectiveness. |
| doi_str_mv | 10.1007/s00268-016-3829-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1881749040</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1881749040</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4554-e3900da51c32a691cf39fb8e17e3d746bea80cf245c4e4acc4319e14e3dc84e23</originalsourceid><addsrcrecordid>eNqNkc1u1TAUhC0EopfCA7BBltiwCfgvjsOOXmgLKmrFLWIZOc5JrysnDnZCyRPxmjikIISEYGXL55vRHA9Cjyl5TgkpXkRCmFQZoTLjipXZfAdtqOAsY5zxu2hDuBTpTvkBehDjNSG0kETeRwesUKUUhG7Qt50D-AL4RMcxgBl9N-Ot72rbQ4Nv7LjH4x7wznaDs61Nb6fWOfwBBm0Dtv2P6WUAPXbQj9i3-L0PtW3weQ3RjjPWfbN6-wyiH_b6CvSib930Fb-2EXSEl_gigLOd7XWY0yxOboyLORX4Qo82OceH6F6rXYRHt-ch-nj85nJ7mp2dn7zdvjrLjMhzkQEvCWl0Tg1nWpbUtLxsawW0AN4UQtagFTEtE7kRILQxgtMSqEhTowQwfoierb5D8J8niGPV2WjAOd2Dn2JFlaKFKIkg_4EKIUmh5II-_QO99lPo0yKJKnKpRGoqUXSlTPAxBmirIdgu_UlFSbUUXq2FV6nwaim8mpPmya3zVHfQ_FL8bDgB5QrcWAfzvx2rT-92R8dEMboEYqs2Jll_BeG32H9N9B2OAcj-</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1875684364</pqid></control><display><type>article</type><title>Sleeve Gastrectomy Combined with the Simplified Hill Repair in the Treatment of Morbid Obesity and Gastro-esophageal Reflux Disease: Preliminary Results in 14 Patients</title><source>MEDLINE</source><source>SpringerNature Journals</source><source>Access via Wiley Online Library</source><creator>Gero, Daniel ; Ribeiro-Parenti, Lara ; Arapis, Konstantinos ; Marmuse, Jean-Pierre</creator><creatorcontrib>Gero, Daniel ; Ribeiro-Parenti, Lara ; Arapis, Konstantinos ; Marmuse, Jean-Pierre</creatorcontrib><description>Background
Our aim is to report our initial experience with a novel technique which addresses morbid obesity and gastro-esophageal reflux disease (GERD) simultaneously by combination of laparoscopic sleeve gastrectomy (LSG) and simplified laparoscopic Hill repair (sLHR).
Methods
Retrospective analysis of LSG+sLHR patients >5 months postoperatively includes demographics, GERD status, proton-pump inhibitor (PPI) use, body mass index (BMI), excess BMI loss (EBMIL), complications and GERD-Health Related Quality of Life (GERD-HRQL) questionnaire. LSG+sLHR surgical technique: posterior cruroplasty, standard LSG, fixation of the esophagogastric junction to the median arcuate ligament.
Results
Fourteen patients underwent LSG+sLHR [12 women and 2 men, mean (range) age 47 years (27–57), BMI 41 kg/m
2
(35–65)]. Five patients had previous gastric banding (GB). All had symptomatic GERD confirmed by gastroscopy and/or upper-gastrointestinal contrast study, two with chronic cough, 10 took PPI daily. Twelve had hiatus hernia and two patulous cardia at surgical exploration. Associated interventions were three GB removals and one cholecystectomy. Postoperative complication was one surgical site infection. Follow-up of all patients at median 12.5 months (5–17) is as follows: symptomatic GERD 3/14 patients, chronic cough 0/14, daily PPI use in 1/14, mean EBMIL 68% (17–120), satisfaction 93%, mean GERD-HRQL score 3,28/50 (0–15), with 4 patients 0/50, occasional bloatedness in 2 patients and dysphagia not reported.
Conclusion
The novel technique which combines LSG with sLHR is feasible, safe and can be associated with GB removal. Preliminary results showed patient satisfaction, high remission rate of preexisting GERD, decrease in PPI use and unimpaired weight loss. Further evaluation is necessary in a controlled and staged manner to establish the technique’s real effectiveness.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-016-3829-y</identifier><identifier>PMID: 27896401</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Adult ; Cardiac Surgery ; Drug Utilization ; Erosive Esophagitis ; Female ; Gastrectomy - methods ; Gastroesophageal Reflux - drug therapy ; Gastroesophageal Reflux - surgery ; General Surgery ; Hiatus Hernia ; Humans ; Laparoscopic Sleeve Gastrectomy ; Laparoscopy ; Lower Esophageal Sphincter ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Obesity, Morbid - surgery ; Original Scientific Report with Video ; Patient Satisfaction ; Proton Pump Inhibitors - therapeutic use ; Retrospective Studies ; Surgery ; Symptomatic GERD ; Thoracic Surgery ; Vascular Surgery</subject><ispartof>World journal of surgery, 2017-04, Vol.41 (4), p.1035-1039</ispartof><rights>Société Internationale de Chirurgie 2016</rights><rights>2017 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>World Journal of Surgery is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4554-e3900da51c32a691cf39fb8e17e3d746bea80cf245c4e4acc4319e14e3dc84e23</citedby><cites>FETCH-LOGICAL-c4554-e3900da51c32a691cf39fb8e17e3d746bea80cf245c4e4acc4319e14e3dc84e23</cites><orcidid>0000-0003-2941-9801</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-016-3829-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-016-3829-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,41488,42557,45574,45575,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27896401$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gero, Daniel</creatorcontrib><creatorcontrib>Ribeiro-Parenti, Lara</creatorcontrib><creatorcontrib>Arapis, Konstantinos</creatorcontrib><creatorcontrib>Marmuse, Jean-Pierre</creatorcontrib><title>Sleeve Gastrectomy Combined with the Simplified Hill Repair in the Treatment of Morbid Obesity and Gastro-esophageal Reflux Disease: Preliminary Results in 14 Patients</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background
Our aim is to report our initial experience with a novel technique which addresses morbid obesity and gastro-esophageal reflux disease (GERD) simultaneously by combination of laparoscopic sleeve gastrectomy (LSG) and simplified laparoscopic Hill repair (sLHR).
Methods
Retrospective analysis of LSG+sLHR patients >5 months postoperatively includes demographics, GERD status, proton-pump inhibitor (PPI) use, body mass index (BMI), excess BMI loss (EBMIL), complications and GERD-Health Related Quality of Life (GERD-HRQL) questionnaire. LSG+sLHR surgical technique: posterior cruroplasty, standard LSG, fixation of the esophagogastric junction to the median arcuate ligament.
Results
Fourteen patients underwent LSG+sLHR [12 women and 2 men, mean (range) age 47 years (27–57), BMI 41 kg/m
2
(35–65)]. Five patients had previous gastric banding (GB). All had symptomatic GERD confirmed by gastroscopy and/or upper-gastrointestinal contrast study, two with chronic cough, 10 took PPI daily. Twelve had hiatus hernia and two patulous cardia at surgical exploration. Associated interventions were three GB removals and one cholecystectomy. Postoperative complication was one surgical site infection. Follow-up of all patients at median 12.5 months (5–17) is as follows: symptomatic GERD 3/14 patients, chronic cough 0/14, daily PPI use in 1/14, mean EBMIL 68% (17–120), satisfaction 93%, mean GERD-HRQL score 3,28/50 (0–15), with 4 patients 0/50, occasional bloatedness in 2 patients and dysphagia not reported.
Conclusion
The novel technique which combines LSG with sLHR is feasible, safe and can be associated with GB removal. Preliminary results showed patient satisfaction, high remission rate of preexisting GERD, decrease in PPI use and unimpaired weight loss. Further evaluation is necessary in a controlled and staged manner to establish the technique’s real effectiveness.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Cardiac Surgery</subject><subject>Drug Utilization</subject><subject>Erosive Esophagitis</subject><subject>Female</subject><subject>Gastrectomy - methods</subject><subject>Gastroesophageal Reflux - drug therapy</subject><subject>Gastroesophageal Reflux - surgery</subject><subject>General Surgery</subject><subject>Hiatus Hernia</subject><subject>Humans</subject><subject>Laparoscopic Sleeve Gastrectomy</subject><subject>Laparoscopy</subject><subject>Lower Esophageal Sphincter</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Scientific Report with Video</subject><subject>Patient Satisfaction</subject><subject>Proton Pump Inhibitors - therapeutic use</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Symptomatic GERD</subject><subject>Thoracic Surgery</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkc1u1TAUhC0EopfCA7BBltiwCfgvjsOOXmgLKmrFLWIZOc5JrysnDnZCyRPxmjikIISEYGXL55vRHA9Cjyl5TgkpXkRCmFQZoTLjipXZfAdtqOAsY5zxu2hDuBTpTvkBehDjNSG0kETeRwesUKUUhG7Qt50D-AL4RMcxgBl9N-Ot72rbQ4Nv7LjH4x7wznaDs61Nb6fWOfwBBm0Dtv2P6WUAPXbQj9i3-L0PtW3weQ3RjjPWfbN6-wyiH_b6CvSib930Fb-2EXSEl_gigLOd7XWY0yxOboyLORX4Qo82OceH6F6rXYRHt-ch-nj85nJ7mp2dn7zdvjrLjMhzkQEvCWl0Tg1nWpbUtLxsawW0AN4UQtagFTEtE7kRILQxgtMSqEhTowQwfoierb5D8J8niGPV2WjAOd2Dn2JFlaKFKIkg_4EKIUmh5II-_QO99lPo0yKJKnKpRGoqUXSlTPAxBmirIdgu_UlFSbUUXq2FV6nwaim8mpPmya3zVHfQ_FL8bDgB5QrcWAfzvx2rT-92R8dEMboEYqs2Jll_BeG32H9N9B2OAcj-</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>Gero, Daniel</creator><creator>Ribeiro-Parenti, Lara</creator><creator>Arapis, Konstantinos</creator><creator>Marmuse, Jean-Pierre</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2941-9801</orcidid></search><sort><creationdate>201704</creationdate><title>Sleeve Gastrectomy Combined with the Simplified Hill Repair in the Treatment of Morbid Obesity and Gastro-esophageal Reflux Disease: Preliminary Results in 14 Patients</title><author>Gero, Daniel ; Ribeiro-Parenti, Lara ; Arapis, Konstantinos ; Marmuse, Jean-Pierre</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4554-e3900da51c32a691cf39fb8e17e3d746bea80cf245c4e4acc4319e14e3dc84e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Cardiac Surgery</topic><topic>Drug Utilization</topic><topic>Erosive Esophagitis</topic><topic>Female</topic><topic>Gastrectomy - methods</topic><topic>Gastroesophageal Reflux - drug therapy</topic><topic>Gastroesophageal Reflux - surgery</topic><topic>General Surgery</topic><topic>Hiatus Hernia</topic><topic>Humans</topic><topic>Laparoscopic Sleeve Gastrectomy</topic><topic>Laparoscopy</topic><topic>Lower Esophageal Sphincter</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Scientific Report with Video</topic><topic>Patient Satisfaction</topic><topic>Proton Pump Inhibitors - therapeutic use</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Symptomatic GERD</topic><topic>Thoracic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gero, Daniel</creatorcontrib><creatorcontrib>Ribeiro-Parenti, Lara</creatorcontrib><creatorcontrib>Arapis, Konstantinos</creatorcontrib><creatorcontrib>Marmuse, Jean-Pierre</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gero, Daniel</au><au>Ribeiro-Parenti, Lara</au><au>Arapis, Konstantinos</au><au>Marmuse, Jean-Pierre</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sleeve Gastrectomy Combined with the Simplified Hill Repair in the Treatment of Morbid Obesity and Gastro-esophageal Reflux Disease: Preliminary Results in 14 Patients</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2017-04</date><risdate>2017</risdate><volume>41</volume><issue>4</issue><spage>1035</spage><epage>1039</epage><pages>1035-1039</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Background
Our aim is to report our initial experience with a novel technique which addresses morbid obesity and gastro-esophageal reflux disease (GERD) simultaneously by combination of laparoscopic sleeve gastrectomy (LSG) and simplified laparoscopic Hill repair (sLHR).
Methods
Retrospective analysis of LSG+sLHR patients >5 months postoperatively includes demographics, GERD status, proton-pump inhibitor (PPI) use, body mass index (BMI), excess BMI loss (EBMIL), complications and GERD-Health Related Quality of Life (GERD-HRQL) questionnaire. LSG+sLHR surgical technique: posterior cruroplasty, standard LSG, fixation of the esophagogastric junction to the median arcuate ligament.
Results
Fourteen patients underwent LSG+sLHR [12 women and 2 men, mean (range) age 47 years (27–57), BMI 41 kg/m
2
(35–65)]. Five patients had previous gastric banding (GB). All had symptomatic GERD confirmed by gastroscopy and/or upper-gastrointestinal contrast study, two with chronic cough, 10 took PPI daily. Twelve had hiatus hernia and two patulous cardia at surgical exploration. Associated interventions were three GB removals and one cholecystectomy. Postoperative complication was one surgical site infection. Follow-up of all patients at median 12.5 months (5–17) is as follows: symptomatic GERD 3/14 patients, chronic cough 0/14, daily PPI use in 1/14, mean EBMIL 68% (17–120), satisfaction 93%, mean GERD-HRQL score 3,28/50 (0–15), with 4 patients 0/50, occasional bloatedness in 2 patients and dysphagia not reported.
Conclusion
The novel technique which combines LSG with sLHR is feasible, safe and can be associated with GB removal. Preliminary results showed patient satisfaction, high remission rate of preexisting GERD, decrease in PPI use and unimpaired weight loss. Further evaluation is necessary in a controlled and staged manner to establish the technique’s real effectiveness.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>27896401</pmid><doi>10.1007/s00268-016-3829-y</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-2941-9801</orcidid></addata></record> |
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| subjects | Abdominal Surgery Adult Cardiac Surgery Drug Utilization Erosive Esophagitis Female Gastrectomy - methods Gastroesophageal Reflux - drug therapy Gastroesophageal Reflux - surgery General Surgery Hiatus Hernia Humans Laparoscopic Sleeve Gastrectomy Laparoscopy Lower Esophageal Sphincter Male Medicine Medicine & Public Health Middle Aged Obesity, Morbid - surgery Original Scientific Report with Video Patient Satisfaction Proton Pump Inhibitors - therapeutic use Retrospective Studies Surgery Symptomatic GERD Thoracic Surgery Vascular Surgery |
| title | Sleeve Gastrectomy Combined with the Simplified Hill Repair in the Treatment of Morbid Obesity and Gastro-esophageal Reflux Disease: Preliminary Results in 14 Patients |
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