Erschienen in:
16.05.2020 | Letter to the Editor
Massive Hemothorax Due to Intrathoracic Herniation of the Gastric Remnant After Roux-en-Y Gastric Bypass with Concurrent Hiatal Hernia Repair
verfasst von:
Isabel Mora Oliver, Raquel Alfonso Ballester, Gabriel Kraus Fischer, Ana Benítez Riesco, Norberto Cassinello Fernández, Joaquín Ortega Serrano
Erschienen in:
Obesity Surgery
|
Ausgabe 10/2020
Einloggen, um Zugang zu erhalten
Excerpt
Obesity is an independent risk factor for hiatal hernia (HH) and gastroesophageal reflux disease (GERD) [
1]. The prevalence of HH in morbidly obese individuals is nearly 40%, while it varies from 2 to 22% in the general population [
2]. In the setting of a bariatric procedure, a hiatal defect must be taken into consideration, preoperatively and during the procedure. The feasibility of concurrent HH repair and bariatric surgery has been proven before [
3]. However, it could be argued that these patients have an increased risk of postoperative complications, especially after Laparoscopic Roux-en-Y Gastric Bypass (LRYGB). Several complications have been reported, but early hiatal herniation of the gastric remnant has not been described. …