关键词: 减重代谢外科, 食管裂孔疝, 胃食管反流病, 胃袖状切除术, Roux-en-Y胃旁路术

Abstract: The proportion of obese patients complicated with gastroesophageal reflux disease and hiatal hernia is relatively high. The reflux symptoms may aggravate or improve after sleeve gastrectomy (SG). Concurrent management of concomitant hiatal hernia during the operation is an important measure to reduce postoperative reflux, and the standardization of sleeve gastrectomy should be achieved. Preoperative evaluation and prediction of hiatal hernia are sometimes difficult. A preoperative gastroesophageal reflux disease questionnaire, gastroscopy, upper gastrointestinal imaging, and CT can indicate whether intraoperative exploration is necessary. Concurrent repair is performed at the same time according to the intraoperative anatomical manifestations of the hiatal hernia, and the application of patches is decided as needed.

Key words: bariatric and metabolic surgery, hiatal hernia, gastroesophageal reflux disease, sleeve gastrectomy, Roux-en-Y gastric bypass