Comparison of Upper Gastrointestinal Series and Symptom Questionnaires with Intraoperative Diagnosis of Hiatal Hernia During Sleeve Gastrectomy
Alejandro J. Ribieras, Edgardo J. Monzon Canales, Karime Manzur-Pineda, Moises Cuesta, Onur Kutlu, Nestor de la Cruz-Muñoz
- Acid reflux is the number one concern patients have about sleeve gastrectomy. This study found that standard preoperative tests for hiatal hernias miss a significant number that are only discovered during surgery.
- Even if preoperative testing shows no hiatal hernia, one may still be present. Dr. de la Cruz-Muñoz routinely evaluates the hiatus during every sleeve gastrectomy and repairs any hernia found.
- This proactive approach may reduce the risk of developing new or worsening acid reflux after surgery.
- Dr. de la Cruz-Muñoz is the senior author; the research team extended this work into a long-term outcomes study presented at the 2024 ASMBS Annual Meeting.
- Dr. de la Cruz-Muñoz has been a recognized expert on hiatal hernias and sleeve gastrectomy for over a decade.
- His program has been recognized with the Healthgrades Bariatric Surgery Excellence Award for eight consecutive years.
This study published in SOARD compared the accuracy of preoperative upper gastrointestinal series and symptom questionnaires with the actual intraoperative diagnosis of hiatal hernia during laparoscopic sleeve gastrectomy. Hiatal hernias are frequently encountered during sleeve gastrectomy and significantly contribute to GERD, one of the most common concerns about the sleeve procedure. Many hiatal hernias are not identified until the surgeon directly visualizes the hiatus during the operation.
Ribieras AJ, Monzon Canales EJ, Manzur-Pineda K, Cuesta M, Kutlu O, De La Cruz-Munoz N. Comparison of upper gastrointestinal series and symptom questionnaires with intraoperative diagnosis of hiatal hernia during sleeve gastrectomy. Surg Obes Relat Dis. 2023;19(7):756-761. doi:10.1016/j.soard.2022.12.040. PMID: 36813635.
