Long-Term Anatomical Durability and Clinical Outcomes of Concomitant Laparoscopic Sleeve Gastrectomy and Hiatal Hernia Repair: Up to 10-Year Multicenter Analysis - Report - MDSpire

Long-Term Anatomical Durability and Clinical Outcomes of Concomitant Laparoscopic Sleeve Gastrectomy and Hiatal Hernia Repair: Up to 10-Year Multicenter Analysis

  • By

  • Francesco Maria Carrano

  • Beatrice De Luca

  • Francesco Angrisani

  • Giulia Griguolo

  • Fabio Cesare Campanile

  • Nicola Perrotta

  • Cristian Eugeniu Boru

  • Luigi Angrisani

  • Gianfranco Silecchia

  • June 20, 2026

  • 0 min

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Clinical Report: Long-Term Outcomes of Sleeve Gastrectomy with Hiatal Hernia Repair

Overview

This study evaluates the long-term anatomical integrity and clinical outcomes of patients undergoing laparoscopic sleeve gastrectomy with concomitant hiatal hernia repair. Findings indicate a significant prevalence of gastroesophageal reflux disease (GERD) postoperatively.

Background

Hiatal hernia is prevalent among patients with obesity, complicating the management of bariatric surgery. Sleeve gastrectomy is the most common bariatric procedure, yet its impact on GERD remains debated. Understanding the long-term effects of concurrent hiatal hernia repair during sleeve gastrectomy is crucial for optimizing patient outcomes.

Data Highlights

No numerical data or trial data provided in the source material.

Key Findings

  • Hiatal hernia affects 37%-39.8% of patients undergoing bariatric surgery.
  • Postoperative GERD rates after sleeve gastrectomy vary from 24% to 59%.
  • Concomitant hiatal hernia repair may restore anatomical integrity and reduce reflux risk.
  • Long-term data on the efficacy of hiatal hernia repair during sleeve gastrectomy is limited.
  • Postoperative GERD may be associated with long-term clinical failure and reintervention.

Clinical Implications

Surgeons should consider the potential impact of hiatal hernia repair on GERD outcomes during sleeve gastrectomy.

Conclusion

The study highlights the need for long-term data on the outcomes of sleeve gastrectomy with hiatal hernia repair, particularly concerning GERD and reintervention rates.

Related Resources & Content

  1. Various Authors, Updates in Surgery, 2025 -- Durability Over Time and Patterns of Revisional Surgery Following Laparoscopic Repair of Large Hiatal Hernias
  2. Various Authors, Obesity Surgery, 2023 -- Long-Term Effects of Laparoscopic Sleeve Gastrectomy on Weight Reduction in Obese Patients: Findings from a 5-Year and 11-Year Follow-Up Analysis
  3. Various Authors, Obesity Surgery, 2017 -- Long-Term Results of Laparoscopic Sleeve Gastrectomy: A Retrospective Analysis from a Single Institution
  4. Various Authors, Obesity Surgery, 2017 -- Outcomes of Sleeve Gastrectomy in Individuals with a BMI of 30 to 35: A Three-Year Follow-Up Study
  5. Various Authors, Prevalence of hiatal hernia in the morbidly obese, ScienceDirect -- 2013
  6. Various Authors, Effect of Laparoscopic Sleeve Gastrectomy vs Roux-en-Y Gastric Bypass on Weight Loss, Comorbidities, and Reflux at 10 Years in Adult Patients With Obesity: The SLEEVEPASS Randomized Clinical Trial - PMC
  7. Prevalence of hiatal hernia in the morbidly obese - ScienceDirect
  8. Effect of Laparoscopic Sleeve Gastrectomy vs Roux-en-Y Gastric Bypass on Weight Loss, Comorbidities, and Reflux at 10 Years in Adult Patients With Obesity: The SLEEVEPASS Randomized Clinical Trial - PMC

Original Source(s)

Long-Term Anatomical Durability and Clinical Outcomes of Concomitant Laparoscopic Sleeve Gastrectomy and Hiatal Hernia Repair: Up to 10-Year Multicenter Analysis

  • by Francesco Maria Carrano, Beatrice De Luca, Francesco Angrisani, Giulia Griguolo, Fabio Cesare Campanile, Nicola Perrotta, Cristian Eugeniu Boru, Luigi Angrisani, Gianfranco Silecchia

  • June 20, 2026

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