Complication of a Concomitent Cure of a Hiatal Hernia at the Time of Sleeve Gastrectomy: A Case Report

Kaba I. *

Service de Chirurgie Viscérale, Hôpital Ibn Sina, Rabat, Morocco.

Condé A. Y.

Service de Chirurgie Viscérale, Hôpital Ibn Sina, Rabat, Morocco.

Bakunda Christian

Service de Chirurgie Viscérale, Hôpital Ibn Sina, Rabat, Morocco.

Djogbe M.

Service de Chirurgie Viscérale, Hôpital Ibn Sina, Rabat, Morocco.

Raoul M.

Service de Chirurgie Viscérale, Centre Hospitalier de Sens, France.

Sami S.

Service de Chirurgie Viscérale, Centre Hospitalier de Sens, France.

Maen H.

Service de Chirurgie Viscérale, Centre Hospitalier de Sens, France.

*Author to whom correspondence should be addressed.


Abstract

Bariatric surgery is the most optimal treatment for morbid obesity, diabetes and other metabolic disorders, as well as many other diseases. There is currently a consensus in bariatric surgery to systematically assess for hiatal hernia at the time of sleeve surgery and to repair it if present. The treatment is frequently SG have a concomitant hiatal hernia repair (SG+HHR). There are frequent complications from this surgery, in particular post-operative vomiting. We report the case of a 24-year-old patient who underwent sleeve gastrectomy with concomitant hiatal hernia repair as part of the surgical treatment of obesity at Sens Hospital. The surgical consequences were marked by the occurrence of food vomiting, which required surgical revision with removal of 2 stitches from the hiatal orifice after radiologic exploration.

Keywords: Sleeve gastrectomy, hiatal hernia, vomiting, postoperative, complication


How to Cite

Kaba I., Condé A. Y., Bakunda Christian, Djogbe M., Raoul M., Sami S., and Maen H. 2023. “Complication of a Concomitent Cure of a Hiatal Hernia at the Time of Sleeve Gastrectomy: A Case Report”. Asian Journal of Research in Surgery 6 (2):263-68. https://journalajrs.com/index.php/AJRS/article/view/165.


References

Clapp B, Wicker E, Jones R, et al. Where sleeves are performed an analysis of inpatient versus outpatient databases in a large state. Surg Obes Relat Dis. 2019; 15(7):1066–1074.

Chaar ME, Lundberg P, Stoltzfus J. Thirty-day outcomes of sleeve gastrectomy versus Roux-en-Y gastric bypass: first report based on Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database. Surg Obes Relat Dis. 2018;14(5):545–551

Sharaf RN, Weinshel EH, Bini EJ, et al. Radiologic assessment of the upper gastrointestinal tract: does it play an important preoperative role in bariatric surgery? Obes Surg 2004; 14(3): 313–7.

Che F, Nguyen B, Cohen A, Nguyen NT. Prevalence of hiatal hernia in the morbidly obese.Surg Obes Relat Dis. 2013; 9(6):920-4

Landreneau JP, Strong AT, Rodriguez JH, et al. Conversion of sleeve gastrectomy to Roux-en-Y gastric bypass. Obes Surg. 2018;28 (12):3843–3850

Chaar ME, Ezeji G, Claros L, Miletics M, Stoltzfus J. Shortterm results of laparoscopic sleeve gastrectomy in combination with hiatal hernia repair: experience in a single accredited center. Obes Surg

Kichler K, Rosenthal RJ, Demaria E, Higa K. Reoperative surgery for nonresponders and complicated sleeve gastrectomy operations in patients with severe obesity. An international expert panel consensus statement to define best practice guidelines. Surg Obes Relat Dis. 2019; 15(2):173–186.

Mahawar KK, Carr WR, Jennings N, Balupuri S, Small PK. Simultaneous sleeve gastrectomy and hiatus hernia repair: a systematic review. Obes Surg. 2015; 25(1):159–166.

De Vires DR, Van Herwaarden MA, Smout AJ, et al. Gastroesophageal pressure gradients in gastroesophageal reflux disease: Relations with hiatal hernia, body mass index and esophageal acid exposure. Am J Gastroenterol. 2008;103:1349–54.

Daes J, Jimenez ME, Said N, Daza JC, Dennis R. Laparoscopic sleeve gastrectomy: Symptoms of gastroeso-phageal reflux can be reduced by changes in surgical technique. Obes Surg. 2012 Dec;22(12):1874-9. DOI: 10.1007/s11695-012-0746-5. PMID: 22915063; PMCID: PMC3505545.

Dakour Aridi HN, Tamim H, Mailhac A, Safadi BY. Concomitant hiatal hernia repair with laparoscopic sleeve gastrectomy is safe: Analysis of the ACS-NSQIP database. Surg Obes Relat Dis. 2017;13(3):379–384.

Clapp B, Devemark CD, Jones R, Dodoo C, Mallawaarachchi I, Tyroch A. Comparison of perioperative bariatric complications using 2 large databases: does the data add up?. Surg Obes Relat Dis. 2019;15(7):1122–1131.

Boules M, Corcelles R, Guerron AD, et al. The incidence of hiatal hernia and technical feasibility of repair during bariatric surgery. Surgery. 2015;158(4):911–916.

Gagner M, Hutchinson C, Rosenthal R. Fifth International Consensus Conference: current status of sleeve gastrectomy. Surg Obes Relat Dis. 2016;12(4): 750–756.

Crawford C, Gibbens K, Lomelin D, Krause C, Simorov A, Oleynikov D. Sleeve gastrectomy and anti-reflux procedures. Surg Endosc. 2017;31(3):1012–[S1-9]. Boules M, Corcelles R, Guerron AD, et al. The incidence of hiatal hernia and technical feasibility of repair during bariatric surgery. Surgery. 2015;158(4): 911-916.

Docimo S, Rahmana U, Bates A, Talamini M, Pryor A, Spaniolas K. Concomitant hiatal hernia repair is more common in laparoscopic sleeve gastrectomy than during laparoscopic Roux-en-Y gastric bypass: An analysis of 130,772 cases. Obes Surg. 2019;29(2):744–746. Texas Hospital Outpatient Discharge Public Use Data File, 2013–2017. Texas Department of State Healt Services. Available:https:// www.dshs.texas.gov/thcic/OutpatientFacilities/OutpatientPUDF

Castagneto-Gissey L, Russo MF, D'Andrea V, Genco A, Casella G. Efficacy of sleeve gastrectomy with concomitant hiatal hernia repair versus sleeve-fundoplication on gastroesophageal reflux disease resolution: Systematic review and meta-analysis. J Clin Med. 2023 May 6;12(9):3323. DOI: 10.3390/jcm12093323. PMID: 37176762; PMCID: PMC10179224

Castellana M, Procino, F Biacchi E et al. Roux -en- Y gastrique bypass vs sleeve gastrectomy for remission of type 2 diabetes .j clin Endocrinol Metab. 2021; 106:922-33. DOI:10.1210/clinem/degga737.

Rashad AE, El Hefnawy E, Elmorshedi M, Abuyousif YA, Salem A, Attia M, El Nakeeb A, Zaid A, Aldossary HM, Mohammed MN. Prevalence, Risk Factors, and Management of Postoperative Nausea and Vomiting After Laparoscopic Sleeve Gastrectomy (a Retrospective Multicentric Study). Obes Surg. 2023 Oct;33(10):3237-3245. DOI: 10.1007/s11695-023-06803-z. Epub 2023 Aug 25. PMID: 37624489.

Lyo V, Stroud A, Wood S, Macht R, Carter J, Rogers S, Husain F. Reoperations after sleeve gastrectomy: A dual academic institutional experience. Surg Obes Relat Dis. 2022 May;18(5):641-649. DOI: 10.1016/j.soard.2022.01.015. Epub 2022 Jan 21. PMID: 35181221