Nissen-Sleeve For Bariatric Patients With Hiatus Hernia and/or GERD: Case Report
Abstract
Background
Sleeve gastrectomy and Roux-en-Y gastric bypass (LRYGB) are the most commonly performed bariatric procedures [1]. Roux-en-Y gastric bypass is the gold standard treatment for morbid obesity associated with hiatus hernia and/or Gastroesophageal Reflux Disease (GERD) [2], as sleeve gastrectomy is commonly associated with postoperative reflux. The incidence of developing reflux after sleeve gastrectomy can be up to 35% [3]. However, sometimes LRYGB is contraindicated due to the patient's medical history, smoking, or intake of medications. A new technique was introduced to sleeve gastrectomy by adding a Nissen antireflux mechanism [4] in bariatric patients associated with GERD.