Back to 2014 Annual Meeting Posters

---

Hiatal Hernia Repair in Bariatric Surgery Patients: the Impact of Preoperative Imaging
Stephen S. Mcnatt¹, ADAM J. Reid^*2
1General Surgery, Wake Forest Baptist Health, Winston Salem, NC; ²General Surgery, Wake Forest Baptist Health, Winston Salem, NC

Hiatal hernias in onese and morbidly obese patienst seeking bweight loss surgery have repaorted to occur at a rate of nearly 40%. Based on the International Sleeve Gastrectomy Expert Panel Consensus Statement of 2012, our group started routine imaging evaluations, either UGI or CT, of sleeve gastrectomy patients. Our Roux-en-Y gastric byapss patients were not routinely evaluated with either CT or UGI. Hiatal hernias were routinely repaired when they wereeidentified. We looked at the effect of imaginag on the rate of repair. Chi square was used to compare the gropups. The rate of hiatal hernia repair in the sleeve gastrectomy group was 32%. The rate of the gastric byp[ass group was significantly less at 16%. This result suggsts that routine evaluation for hiatal hernia is justified in all bariatric surgery patients.

Hiatal Hernia Repair: Impact of Preoperative Imaging

	RNY	Sleeve
Repair	50	66
No Repair	260	141

Chi-square P-value 0.000026

---

Back to 2014 Annual Meeting Posters