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Laparoscopic Sleeve Gastrectomy: an Alternative for Recurrent Paraesophageal Hernias in Obese Patients

BACKGROUND: Recurrent paraesophageal hernias in obese patients are technically challenging and have a high recurrence rate. We sought to develop an alternative to the traditional approaches for this problem. This article describes the use of a sleeve gastrectomy in an obese patient with a large recu...

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Autores principales: Cuenca-Abente, Federico, Parra, Juan D., Oelschlager, Brant K.
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015686/
https://www.ncbi.nlm.nih.gov/pubmed/16709367
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author Cuenca-Abente, Federico
Parra, Juan D.
Oelschlager, Brant K.
author_facet Cuenca-Abente, Federico
Parra, Juan D.
Oelschlager, Brant K.
author_sort Cuenca-Abente, Federico
collection PubMed
description BACKGROUND: Recurrent paraesophageal hernias in obese patients are technically challenging and have a high recurrence rate. We sought to develop an alternative to the traditional approaches for this problem. This article describes the use of a sleeve gastrectomy in an obese patient with a large recurrent paraesophageal hernia. CASE REPORT: A morbidly obese 70-year-old woman presented with a 1-year history of chest pain, cough, dysphagia, and dyspnea. She had undergone an open paraesophageal hernia repair 8 years earlier. Diagnostic workup revealed a recurrent large paraesophageal hernia. Laparoscopically, we took down all adhesions, excised the hernia sac, reduced the stomach and distal esophagus into the abdomen, and closed the hiatus. We then resected the greater curvature and fundus of the stomach, leaving the lesser curve in a sleeve configuration. Eighteen months after the operation, the patient's chest pain, cough, dyspnea, and dysphagia were resolved. In addition, she has lost 57 pounds (255 to 198). CONCLUSION: A sleeve gastrectomy is a potentially useful alternative to fundoplication or gastropexy, or both of these, in the treatment of obese patients with complex paraesophageal hernias.
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spelling pubmed-30156862011-02-17 Laparoscopic Sleeve Gastrectomy: an Alternative for Recurrent Paraesophageal Hernias in Obese Patients Cuenca-Abente, Federico Parra, Juan D. Oelschlager, Brant K. JSLS Case Reports BACKGROUND: Recurrent paraesophageal hernias in obese patients are technically challenging and have a high recurrence rate. We sought to develop an alternative to the traditional approaches for this problem. This article describes the use of a sleeve gastrectomy in an obese patient with a large recurrent paraesophageal hernia. CASE REPORT: A morbidly obese 70-year-old woman presented with a 1-year history of chest pain, cough, dysphagia, and dyspnea. She had undergone an open paraesophageal hernia repair 8 years earlier. Diagnostic workup revealed a recurrent large paraesophageal hernia. Laparoscopically, we took down all adhesions, excised the hernia sac, reduced the stomach and distal esophagus into the abdomen, and closed the hiatus. We then resected the greater curvature and fundus of the stomach, leaving the lesser curve in a sleeve configuration. Eighteen months after the operation, the patient's chest pain, cough, dyspnea, and dysphagia were resolved. In addition, she has lost 57 pounds (255 to 198). CONCLUSION: A sleeve gastrectomy is a potentially useful alternative to fundoplication or gastropexy, or both of these, in the treatment of obese patients with complex paraesophageal hernias. Society of Laparoendoscopic Surgeons 2006 /pmc/articles/PMC3015686/ /pubmed/16709367 Text en © 2006 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Case Reports
Cuenca-Abente, Federico
Parra, Juan D.
Oelschlager, Brant K.
Laparoscopic Sleeve Gastrectomy: an Alternative for Recurrent Paraesophageal Hernias in Obese Patients
title Laparoscopic Sleeve Gastrectomy: an Alternative for Recurrent Paraesophageal Hernias in Obese Patients
title_full Laparoscopic Sleeve Gastrectomy: an Alternative for Recurrent Paraesophageal Hernias in Obese Patients
title_fullStr Laparoscopic Sleeve Gastrectomy: an Alternative for Recurrent Paraesophageal Hernias in Obese Patients
title_full_unstemmed Laparoscopic Sleeve Gastrectomy: an Alternative for Recurrent Paraesophageal Hernias in Obese Patients
title_short Laparoscopic Sleeve Gastrectomy: an Alternative for Recurrent Paraesophageal Hernias in Obese Patients
title_sort laparoscopic sleeve gastrectomy: an alternative for recurrent paraesophageal hernias in obese patients
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015686/
https://www.ncbi.nlm.nih.gov/pubmed/16709367
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