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Ligamentum Teres Augmentation for Hiatus Hernia Repair After Bariatric Surgery: A Systematic Review and Meta-analysis.
Chaudhry, Shahrukh; Farsi, Soroush; Nakanishi, Hayato; Parmar, Chetan; Ghanem, Omar M; Clapp, Benjamin.
Afiliación
  • Chaudhry S; Department of Surgery, Texas Tech HSC Paul Foster School of Medicine, El Paso, TX.
  • Farsi S; Department of Surgery, Texas Tech HSC Paul Foster School of Medicine, El Paso, TX.
  • Nakanishi H; St George's University of London.
  • Parmar C; University College London Hospital, London, UK.
  • Ghanem OM; University College London Hospital, London, UK.
  • Clapp B; University of Nicosia Medical School, University of Nicosia, Nicosia, Cyprus.
Surg Laparosc Endosc Percutan Tech ; 34(4): 394-399, 2024 Aug 01.
Article en En | MEDLINE | ID: mdl-38946644
ABSTRACT

OBJECTIVE:

Hiatal hernia (HH) and symptomatic gastroesophageal reflux disease are common complications after metabolic bariatric surgery. This meta-analysis aims to investigate the safety and efficacy of ligamentum teres augmentation (LTA) for HH repair after metabolic and bariatric surgeries (MBS). MATERIALS AND

METHODS:

CENTRAL, Embase, PubMed, and Scopus were searched for articles from their inception to September 2023 by 2 independent reviewers using the Preferred Reporting Items for Systematic Reviews and Meta-analysis system.

RESULTS:

Five studies met the eligibility criteria, with a total of 165 patients undergoing LTA for HH repair after MBS. The distribution of patients based on surgical procedures included 63% undergoing sleeve gastrectomy, 21% Roux-en-Y gastric bypass, and 16% having one anastomosis gastric bypass. The pooled proportion of reflux symptoms before LTA was 77% (95% CI 0.580-0.960; I2 = 89%, n = 106). A pooled proportion of overall postoperative symptoms was 25.6% (95% CI 0.190-0.321; I2 = 0%, n = 44), consisting of reflux at 14.5% (95% CI 0.078-0.212; I2 = 0%, n = 15). The pooled proportion of unsuccessful LTA outcomes was 12.5% (95% CI 0.075-0.175; I2 = 0%, n = 21).

CONCLUSION:

Our meta-analysis demonstrated that LTA appears to be a safe and efficacious procedure in the management of HH after MBS.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía Bariátrica / Herniorrafia / Hernia Hiatal Límite: Humans Idioma: En Revista: Surg Laparosc Endosc Percutan Tech Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía Bariátrica / Herniorrafia / Hernia Hiatal Límite: Humans Idioma: En Revista: Surg Laparosc Endosc Percutan Tech Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos