Prospective Long-Term Outcomes in Patients Undergoing Laparoscopic Sleeve Gastrectomy With and Without Hiatal Hernia Repair
Edgardo J. Monzon Canales, Alejandro J. Ribieras, Nestor de la Cruz-Muñoz

- This study examined whether repairing a hiatal hernia during sleeve gastrectomy leads to better long-term outcomes, including less reflux.
- Many patients don't know they have a hiatal hernia until it's found during surgery.
- Dr. de la Cruz-Muñoz has studied this question for years, including a related 2023 peer-reviewed study.
- Presented at the 2024 ASMBS Annual Meeting, the largest bariatric surgery conference in the US.
- This shows a proactive, evidence-based approach to managing hiatal hernias during primary surgery.
This prospective study evaluated long-term outcomes in patients undergoing laparoscopic sleeve gastrectomy with and without concomitant hiatal hernia repair, comparing weight loss, GERD symptom resolution, and complication rates over extended follow-up. Findings contribute to the clinical debate on routinely addressing hiatal hernias at the time of primary sleeve gastrectomy. Presented at the 40th Annual ASMBS Meeting in San Diego, California.
Monzon Canales EJ, Ribieras AJ, De La Cruz-Muñoz N. A405 Prospective Long-Term Outcomes in Patients Undergoing Laparoscopic Sleeve Gastrectomy With and Without Hiatal Hernia Repair. 40th Annual Meeting of the American Society for Metabolic and Bariatric Surgery, San Diego, California. Surg Obes Relat Dis. 2024;20(6):S117.





