初次减重手术转换中施行食管裂孔疝修补术的发病率：对 2020 年 MBSAQIP 数据库的分析。
Incidence of Hiatal Hernia Repair During Primary Bariatric Surgery Conversion: an Analysis of the 2020 MBSAQIP Database.
机构信息
Hartford Healthcare Surgical Weight Loss Center, Hartford Hospital, 80 Seymour Street, Hartford, CT, 06102, USA.
Hartford Healthcare Research Program, 80 Seymour Street, Hartford, CT, 06102, USA.
出版信息
Obes Surg. 2023 May;33(5):1613-1615. doi: 10.1007/s11695-023-06521-6. Epub 2023 Mar 13.
The rate of hiatal hernia (HH) repair during conversion bariatric surgery is largely unknown. We sought to determine this rate in 12,788 patients undergoing conversion surgery using the 2020 participant use file of the MBSAQIP database. Concurrent HH repair was performed in 24.1% of conversion cases; most commonly during SG to RYGB (33.1%), followed by AGB to SG conversion (20.2%). The remaining conversion pathways had a repair rate around 13%. Only 12.1% of HH repairs were performed using a mesh. GERD was the primary indication for conversion in 65% of the SG to RYGB cases. A much higher proportion of patients with concomitant HH repair reported GERD as the main reason for conversion than those without a HH repair (44.5% vs. 23.7%; p<0.001).
食管裂孔疝（HH）修复率在减重手术转换中尚不清楚。我们使用 MBSAQIP 数据库 2020 年参与者使用文件，旨在确定 12788 例转换手术患者的修复率。在转换手术中，HH 同期修复率为 24.1%；最常见于 SG 至 RYGB（33.1%），其次是 AGB 至 SG 转换（20.2%）。其余的转换途径修复率约为 13%。只有 12.1%的 HH 修复使用了网片。胃食管反流病（GERD）是 SG 至 RYGB 病例中转换的主要指征，占 65%。与未行 HH 修复的患者相比，行 HH 同期修复的患者中，GERD 是转换的主要原因的比例更高（44.5%比 23.7%；p<0.001）。
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