Journal of Obesity and Bariatrics
Research Article
Concomitant Laparoscopic Adjustable Gastric Banding and Hiatal Hernia Repair, A Retrospective Cohort Study
Glazer Y1, Avinoh E1, Netz U1, Atias S1, Lantsberg L1, Mizrahi S1, Kirshtein B1and Zvi H. Perry1,2*
1Surgical ward A, Soroka University Medical Center, Beer-Sheva,Israel
2Department of Epidemiology, Ben-Gurion University of the Negev,
Beer-Sheva, Israel
*Address for Correspondence:
Zvi H. Perry, Surgical Ward A, Soroka University Medical Center,
Department of Epidemiology, Ben-Gurion University of the Negev, PO
Box 151Beer-Sheva 64101, Israel; Tel: +972-8-6400610Fax: +972-8-
6477633; Tel: 972-50-340-0902; Email: zperry@bgu.ac.il
Submission: 06 May, 2021;
Accepted: 10 June, 2021;
Published: 12 June, 2021
Copyright: © 2021 Glazer Y, et al. This is an open access article
distributed under the Creative Commons Attribution License, which
permits unrestricted use, distribution, and reproduction in any medium,
provided the original work is properly cited.
Abstract
Background: The recognition and management of diaphragmatic
hernias during bariatric surgery remains a challenge and the need repair has changed during the last decade. The aim of the current
study was to evaluate whether Laparoscopic Adjustable Gastric
Banding (LAGB) is a viable solution for patients with a concomitant
hiatal hernia discovered during surgery.
Methods: A retrospective cohort study, which included exposed group composed of patients who underwent LAGB between
2000 and 2016, with a concomitant hiatal hernia discovered during
surgery. A control group was randomly chosen from a group of patients
who underwent a primary LAGB between these years. The two groups
were matched regarding basic demographic variables.
Results: The study included 59 patients, 12 in the exposed group
and 47 in the non-exposed (no hernia repair) group. In both groups,
BMI decreased after the procedure without significant statistical
differences. There was no significant difference in the BAROS score
between the two groups. No pronounced difference was found the general amount of post-surgical complications in the study group compared to the control group. Operating time was longer in study group.
Conclusion: Hiatal hernia repair during LAGB is as effective primary LAGB without hiatal hernia.