Abstract
Reflux esophagitis is an unresolved issue to the surgeon after laparoscopic sleeve gastrectomy (LSG). The main aim of this study was to evaluate the resolution of gastroesophageal reflux disease (GERD) after a concomitant hiatal hernia repair (HHR) and LSG in morbid obese subjects.
5200 subjects undergoing LSG have been considered as total population and underwent assessment and symptom score questionnaire. Of that, 342 patients, who were diagnosed with GERD and/or with HH on endoscopy before the operation and/or confirmed during the surgery, were included as target group in this survey. The statistically significance level defined as 0.05.
From 5200 subjects, 342 patients (0.06%) were diagnosed with or without GERD symptoms and were included as target group, in which 304 patients (88.9%) showed a complete resolution of GERD symptoms after the surgery. 242 and 12 patients were diagnosed with median and small HH, respectively. The overall complication rate was 5.5 %.
Based on some reports, LSG is associated with the incidence of GERD and obvious frequency of Anti-Reflux medications use after the surgery that can be result from increased intra-abdominal pressure in bariatric surgery patients. Although further studies are required, a concomitant LSG with HHR would be a great strategy in subjects with GERD symptoms to cooperatively reduce the complication rate after bariatric surgery.

Key words: Laparoscopic sleeve gastrectomy, Hiatal Hernia, Reflux Esophagitis