Department of Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, 110111, Colombia.
School of Medicine, Universidad de los Andes, Bogotá D.C., 111711, Colombia.
Obes Surg. 2021 Aug;31(8):3646-3652. doi: 10.1007/s11695-021-05465-z. Epub 2021 May 21.
Gastroesophageal reflux disease (GERD) is a common disease among patients with obesity, with an associated prevalence of 39 to 61% between the population who attends a bariatric surgery evaluation. Laparoscopic sleeve gastrectomy (LSG) has become a popular and valid option for obesity treatment, even though the literature is ambivalent regarding the increase or decrease in GERD after this surgery. Thus, it is necessary to propose new surgical techniques as a solution to GERD in patients with a concomitant LSG or with a history of it. Therefore, we present a modified technique based on Hill's gastropexy described originally in 1967.
Describe and propose a surgical procedure for GERD management based on the Hill technique that can be applied in all patients who undergo an LSG or with a history of it.
Retrospective observational study with a prospective database in which we described, Hill modified technique in a group of 16 patients with GERD who underwent this procedure concomitantly with an LSG or who presented with GERD after LSG with a 3-year follow-up. The surgical technique is based on an intra-abdominal esophageal length of a minimum of 3 cm and posterior fixation of the gastroesophageal junction to the crus.
Postoperative controls have shown satisfactory results in the control and management of GERD symptoms in this group of patients, with very few to no complications associated with the procedure and without reintervention or medication out of the standard protocol.
Hill modified technique can be used and presented as an option for GERD control in patients with LSG.
胃食管反流病（GERD）是肥胖患者中常见的疾病，在接受减重手术评估的人群中，其患病率为 39%至 61%。腹腔镜袖状胃切除术（LSG）已成为肥胖治疗的一种流行且有效的选择，尽管文献对该手术后 GERD 的增加或减少存在矛盾。因此，有必要提出新的手术技术来解决同时接受 LSG 或有 LSG 病史的患者的 GERD 问题。因此，我们提出了一种基于 Hill 胃固定术的改良技术，该技术最初于 1967 年描述。
描述并提出一种基于 Hill 技术的 GERD 管理手术程序，该程序可应用于所有接受 LSG 或有 LSG 病史的患者。
回顾性观察研究，前瞻性数据库，我们描述了 16 例 GERD 患者的改良 Hill 技术，这些患者同时接受了 LSG 手术或在 LSG 后出现 GERD，随访时间为 3 年。手术技术基于至少 3 厘米的腹腔内食管长度和胃食管交界处的后向固定到胃底。
术后控制显示，该组患者的 GERD 症状得到了令人满意的控制和管理，与该手术相关的并发症很少，没有再次干预或超出标准方案的药物治疗。
改良 Hill 技术可用于控制 LSG 患者的 GERD，并可作为一种选择。
