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Introduction <p>There is a complex relationship between gastroesophageal reflux disease (GORD), hiatus hernia, obesity, and metabolic bariatric surgery. We report the outcomes of laparoscopic hiatus hernia repair (HHR) with BIO-A<sup>®</sup> mesh in the management of GORD post LSG in patients who developed a hiatus hernia with migration of the proximal gastric sleeve.</p> Methods <p>A retrospective review of 50 patients who previously underwent LSG and revisional surgery (HHR, <i>n</i> = 25; RYGB, <i>n</i> = 25) between 2011 and 2022. The modified DeMeester scoring system was used to assess the severity of the patient’s GORD symptoms pre-HHR/pre-RYGB and 6 months post-op.</p> Results <p>Twenty-five patients underwent HHR with BIO-A<sup>®</sup> mesh following a previous LSG. The severity of GORD six months post-HHR was significantly lower (0.96 ± 0.84 vs. 2.60 ± 0.50, p = &lt; 0.0001). After HHR, 3/25 (12%) patients had ongoing GORD symptoms that were not medically controlled and underwent conversion to RYGB. In contrast, 25 patients underwent direct conversion to RYGB following a previous LSG. The severity of GORD at 6 months post-RYBG was significantly lower (0.40 ± 0.50 vs. 2.36 ± 0.64, p = &lt; 0.0001). At six months, there was no significant difference in GORD symptoms when HHR was compared with RYGB (3.32 ± 1.6 vs. 3.76 ± 1.54, <i>p</i> = 0.4296).</p> Conclusion <p>In appropriately selected patients, HHR with BIO-A<sup>®</sup> mesh appears safe and effective in managing persistent GORD following LSG, within the limits of this study. However further research is needed to explore its role and the long-term outcomes.</p>

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Laparoscopic Hiatus Hernia Repair with BIO-A® mesh is Safe and Effective for Patients Suffering Severe Gastro-Esophageal Reflux Disease After Sleeve Gastrectomy – A Single Surgeon Experience

  • 期刊论文

  • 发表日期：

    2026年6月22日

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  • Ashleigh Sercombe,
  • Adam Frankel,
  • Michael Hatzifotis

摘要

Introduction

There is a complex relationship between gastroesophageal reflux disease (GORD), hiatus hernia, obesity, and metabolic bariatric surgery. We report the outcomes of laparoscopic hiatus hernia repair (HHR) with BIO-A® mesh in the management of GORD post LSG in patients who developed a hiatus hernia with migration of the proximal gastric sleeve.

Methods

A retrospective review of 50 patients who previously underwent LSG and revisional surgery (HHR, n = 25; RYGB, n = 25) between 2011 and 2022. The modified DeMeester scoring system was used to assess the severity of the patient’s GORD symptoms pre-HHR/pre-RYGB and 6 months post-op.

Results

Twenty-five patients underwent HHR with BIO-A® mesh following a previous LSG. The severity of GORD six months post-HHR was significantly lower (0.96 ± 0.84 vs. 2.60 ± 0.50, p = < 0.0001). After HHR, 3/25 (12%) patients had ongoing GORD symptoms that were not medically controlled and underwent conversion to RYGB. In contrast, 25 patients underwent direct conversion to RYGB following a previous LSG. The severity of GORD at 6 months post-RYBG was significantly lower (0.40 ± 0.50 vs. 2.36 ± 0.64, p = < 0.0001). At six months, there was no significant difference in GORD symptoms when HHR was compared with RYGB (3.32 ± 1.6 vs. 3.76 ± 1.54, p = 0.4296).

Conclusion

In appropriately selected patients, HHR with BIO-A® mesh appears safe and effective in managing persistent GORD following LSG, within the limits of this study. However further research is needed to explore its role and the long-term outcomes.