Open AccessConcomitant Hiatal Hernia Repair with Sleeve Gastrectomy: A 5-Year Analysis
Author(s) -
Benjamin Clapp,
Evan Liggett,
Ashtyn Barrientes,
Katherine Aguirre,
Vidur Marwaha,
Alan Tyroch
Publication year - 2020
Publication title -
journal of the society of laparoendoscopic surgeons
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.529
H-Index - 55
eISSN - 1938-3797
pISSN - 1086-8089
DOI - 10.4293/jsls.2020.00066
Subject(s) - hiatal hernia , medicine , sleeve gastrectomy , concomitant , reflux , gastrectomy , surgery , gastroenterology , weight loss , obesity , disease , gastric bypass , cancer
Background : The sleeve gastrectomy (SG) can be associated with postoperative gastroesophageal reflux and when a hiatal hernia (HH) is present, it should be fixed. Earlier studies have shown that 20% of SG have a concomitant hiatal hernia repair (SG+HHR). The aim of this project is to determine the rate of SG+HHR in a large state administrative database. Methods: The Texas Inpatient Public Use Data File (IPUDF) and Outpatient Public Use Data File (OPUDF) for the years 2013-2017 were examined for patients that underwent SG+HHR at the same time. Patient demographics, diagnosis, and charge data were also examined. A t-test was performed between groups and P was considered significant at < 0.05. Results: In the OPUDF, there were 6,193 (33.7%) patients who underwent SG+HHR out of 18,403 patients who underwent SG. Mean charges were $94,741 [standard deviation (SD) = $87,284]. Length of stay (LOS) was 2.1 (SD = 3.5) vs 2.3 days (SD = 3.3) with a shorter stay for SG+HHR vs SG alone (P < 0.001). In the IPUDF, there were 11,536 (21.1%) patients who underwent SG+HHR out of 54,545 patients who underwent SG. Mean charges were $69,006 (SD = $46,365). LOS was 1.59 days (SD = 3.7) for SG+HHR vs 1.63 days (SD = 1.6) for SG (P = .043). The rate of SG+HHR increased over the study period. Conclusions: SG+HHR is common in both the outpatient and inpatient setting. There is a yearly trend of increasing rates of SG+HHR.