Bypass gástrico laparoscópico como tratamiento simultáneo de hernia de hiato gigante y obesidad mórbida
- Carvajal Balaguera, J.
- I. Ortega Vázquez
- Camuñas Segovia, Juan
- Martín García-Almenta, Mercedes
- Martín Alcrudo, S.
- Gómez Orellana, J.
- Cerquella Hernández, C.
ISSN: 1139-8264
Year of publication: 2014
Volume: 17
Issue: 1
Pages: 22-27
Type: Article
More publications in: Revista española de investigaciones quirúrgicas
Abstract
Morbid obesity is an inpendent risk factor for hiatal hernia and gastroesophageal reflux disease. In morbidly obese patients, the usual techniques to improve gastroesophageal reflux after hiatal hernia repair could have poorer outcomes than in the general population. Laparoscopic Roux-en-Y gastric bypass has been demonstrated to be an effective procedure in controlling symptoms and complications of gastroesophageal reflux. The authors report a case of a 64-year-old woman with a body mass index of 52 kg/m2 who was diagnosed of giant hiatal hernia. A laparoscopic approach for both hiatal hernia repair and Laparoscopic Roux-en-Y gastric bypass was performed. At 24 months follow-up, the patient has lost 32% of excess body weight (BMI 36), and there is no evidence of recurrence of the esophageal hernia.