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Procedures - Bariatrics

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Video case report
Open Access
Laparoscopic hernia repair and fundoplication with endoscopic sleeve gastroplasty for complex hernia and GERD management in morbid obesity
VideoGIE
Vol. 5Issue 11p555–556Published online: August 5, 2020
- Tarek Sawas
- Neil B. Marya
- Andrew C. Storm
- Shanda H. Blackmon
- Barham K. Abu Dayyeh
Cited in Scopus: 2
- Video
Symptomatic hiatal hernia (HH) and gastroesophageal reflux disease (GERD) pose a unique medical and surgical challenge in the context of morbid obesity. On one hand, morbid obesity is a strong risk factor for GERD and HH¹^,² as a result of increased intra-abdominal pressure and ineffective lower esophageal sphincter.³ On the other hand, management of HH and GERD in morbid obesity is challenging because of the high risk of hernia recurrence after conventional surgical repair.⁴ Therefore, an optimal solution for HH and GERD in morbid obesity is one that would provide durable hernia repair and weight loss.