Journal of Surgery Concepts & Practice >

2026 , Vol. 31 >Issue 01: 58 - 63

DOI: https://doi.org/10.16139/j.1007-9610.2026.01.10

Original article

Impact of laparoscopic sleeve gastrectomy on gastroesophageal reflux disease in patients with obesity and type Ⅰ hiatal hernia

  • SUN Wuqing ,
  • GUO Zhen ,
  • JI Lang ,
  • HAO Shaolong ,
  • SUN Haitao ,
  • BAI Rixing ,
  • HAN Wei
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  • Department of General Surgery, Central Laboratory, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China

Received date: 2025-04-24

  Online published: 2026-04-21

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Abstract

Objective To investigate the effect of laparoscopic sleeve gastrectomy (LSG) on gastroesophageal reflux disease (GERD) after surgery in obese patients with type Ⅰ hiatal hernia (HH). Methods A retrospective analysis was conducted on 63 obese patients admitted between March 2023 and December 2024. The patients were divided into two groups: group A, simple obesity (n=50), and group B, obesity with type ⅠHH (n=13). Both groups underwent SG, and no concurrent HH repair was performed in Group B. Gerd-Q scores were used to evaluate reflux symptoms preoperatively and at 3 and 6 months postoperatively, and the differences between the groups were compared. Results There was no significant difference in the Gerd-Q scores between the two groups before surgery and 3, 6 months after surgery (all P>0.05). When comparing the Gerd-Q scores of the two groups of patients at 3, 6 months after surgery with those before surgery, there were no significant differences (P>0.05). There was no significant difference in the prevalence of GERD between the two groups before surgery and 3, 6 months after surgery (all P>0.05). Conclusions For obese patients with type ⅠHH, undergoing LSG did not increase the incidence of postoperative GERD.

Key words： Laparoscopic sleeve gastrectomy(LSG); Hiatal hernia(HH); Gastroesophageal reflux disease(GERD); Gerd-Q

Cite this article

SUN Wuqing , GUO Zhen , JI Lang , HAO Shaolong , SUN Haitao , BAI Rixing , HAN Wei . Impact of laparoscopic sleeve gastrectomy on gastroesophageal reflux disease in patients with obesity and type Ⅰ hiatal hernia[J]. Journal of Surgery Concepts & Practice, 2026 , 31(01) : 58 -63 . DOI: 10.16139/j.1007-9610.2026.01.10

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