Hiatal hernias are common in the morbidly obese. It is quite common to repair these defects during Sleeve gastrectomy or RYGB. What is your algorithm for repair, and do you routinely repair anteriorly or posteriorly (as done at our institution). Also, do you routinely repair hiatal hernias in RYGB and LAGB patients?
Bengt Novik
I am not sure it is correct to state that "it is quite common" to repair HH during RYGB.
In contrast to HH found during SG.
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Burhan Mayir
If patient is symptomatic, I routinely repair posteriorly during sleeve gastrectomy or gastric by-pass. In my experience, all of patients became asymptomatic after surgery
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