Fundic gastropexy for high risk of recurrence laparoscopic hiatal hernia repair and esophageal sphincter augmentation (LINX) improves outcomes without altering perioperative course.

Surgical Endoscopy
Robert AllmanCarlos Anciano

Abstract

The aim of this study is to show that the addition of a fundic gastropexy to a laparoscopic hiatal hernia repair (HHR) and magnetic sphincter augmentation (MSA) with LINX (Johnson and Johnson, New Brunswick, NJ) in patients with high risk for hiatal hernia recurrence improves outcomes without altering perioperative course. An IRB approved, single institution retrospective review of patient outcomes after hiatal hernia repair with magnetic sphincter augmentation was performed. Data were obtained from the electronic health record and stored in a REDCap database. Using statistical software, the patient data were analyzed and stratified to assess the specific variables of the perioperative and postoperative course focusing on the high risk of hiatal hernia recurrence group (HRHR) and low risk hiatal hernia of recurrence group (LRHR). The HRHR group received a gastropexy and were defined using the following variables: comorbid state increasing abdominal pressure, gastric herniation > 30%, maximum transverse crural diameter > 4 cm, age 70 years or older, previous hiatal or abdominal wall hernia repair, BMI > 34, heavy weight bearing job/hobby, and/or emergent repair. Hiatal hernia repair with magnetic sphincter augmentation was perfo...Continue Reading

References

Sep 26, 2013·Journal of Visceral Surgery·D ColletL Chiche
Jun 23, 2015·Journal of the American College of Surgeons·Jessica L ReynoldsJohn C Lipham
Nov 19, 2017·Thoracic Surgery Clinics·Anthony B MozerCarlos J Anciano
Jan 9, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Priscila R ArmijoDmitry Oleynikov
Aug 8, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Shahin AyaziBlair A Jobe
Sep 25, 2019·Annals of Gastroenterological Surgery·Nobuo OmuraFumiaki Yano
Oct 1, 2019·Thoracic Surgery Clinics·Chigozirim N EkekeInderpal Sarkaria
Oct 1, 2019·Thoracic Surgery Clinics·Ernest G ChanRyan Levy
Feb 20, 2020·Current Treatment Options in Gastroenterology·Yan Jiang, John O Clarke
Mar 10, 2020·Gastrointestinal Endoscopy Clinics of North America·Colin DunnJohn Lipham

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