Primary and revisional laparoscopic adjustable gastric band placement in patients with hiatal hernia

Jason F. Reynoso, Matthew R Goede, Manish M Tiwari, Albert W. Tsang, Dmitry Oleynikov, Corrigan L McBride

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: Limited evidence exists regarding the outcomes of patients undergoing laparoscopic adjustable band placement (LAGB) with hiatal hernia (HH) and concomitant hiatal hernia repair (HHR). The present study evaluated the safety, efficacy, and cost-effectiveness of primary LAGB (pLAGB) and revisional LAGB (rLAGB) in patients with HH. Methods: The University HealthSystem Consortium is an alliance of >100 academic medical centers and nearly 200 affiliate hospitals. The University Health System Consortium database was queried for patients undergoing LAGB with and without HH from 2006 through 2009. Results: The patients undergoing rLAGB had a significantly greater prevalence of HH than patients undergoing pLAGB (18.9% for pLAGB with HH versus 26.3% for rLAGB with HH; P <.001). The mortality (.04% for pLAGB without HH versus 0% for pLAGB with HHR; P >.05), morbidity (3.39% pLAGB without HH versus 2.63% for pLAGB HHR; P >.05), and length of stay (1.33 ± 2.25 days for pLAGB without HH versus 1.17 ± 0.56 days for pLAGB with HHR; P >.05) were comparable in the patients undergoing pLAGB with or without HHR. A trend was seen toward increased morbidity in patients undergoing rLAGB HHR than in those undergoing pLAGB HHR (2.63% for pLAGB HHR versus 13.33% for rLAGB HHR; P = .08). The length of stay (1.17 ± 0.56 days for pLAGB HHR versus 1.73 ± 1.49 days for rLAGB HHR; P <.01) and hospital costs ($12,178 ± 4451 for pLAGB HHR versus $14,616 ± 3538 for rLAGB HHR; P = .04) were increased for the rLAGB HHR group compared with the pLAGB HHR group. Conclusion: The results of the present study have demonstrated the safety of HHR concomitant with pLAGB. In addition, rLAGB was associated with increased morbidity and cost. These data suggest the safety, efficacy, and cost-effectiveness of crural repair of HH simultaneously with pLAGB.

Original languageEnglish (US)
Pages (from-to)290-294
Number of pages5
JournalSurgery for Obesity and Related Diseases
Volume7
Issue number3
DOIs
StatePublished - May 1 2011

Fingerprint

Hiatal Hernia
Stomach
Herniorrhaphy
Morbidity
Safety
Cost-Benefit Analysis
Length of Stay

Keywords

  • Hiatal hernia
  • Laparoscopic adjustable gastric banding
  • Revisional surgery

ASJC Scopus subject areas

  • Surgery

Cite this

Primary and revisional laparoscopic adjustable gastric band placement in patients with hiatal hernia. / Reynoso, Jason F.; Goede, Matthew R; Tiwari, Manish M; Tsang, Albert W.; Oleynikov, Dmitry; McBride, Corrigan L.

In: Surgery for Obesity and Related Diseases, Vol. 7, No. 3, 01.05.2011, p. 290-294.

Research output: Contribution to journalArticle

@article{f19678bb477849f8b0eaafa1058b4115,
title = "Primary and revisional laparoscopic adjustable gastric band placement in patients with hiatal hernia",
abstract = "Background: Limited evidence exists regarding the outcomes of patients undergoing laparoscopic adjustable band placement (LAGB) with hiatal hernia (HH) and concomitant hiatal hernia repair (HHR). The present study evaluated the safety, efficacy, and cost-effectiveness of primary LAGB (pLAGB) and revisional LAGB (rLAGB) in patients with HH. Methods: The University HealthSystem Consortium is an alliance of >100 academic medical centers and nearly 200 affiliate hospitals. The University Health System Consortium database was queried for patients undergoing LAGB with and without HH from 2006 through 2009. Results: The patients undergoing rLAGB had a significantly greater prevalence of HH than patients undergoing pLAGB (18.9{\%} for pLAGB with HH versus 26.3{\%} for rLAGB with HH; P <.001). The mortality (.04{\%} for pLAGB without HH versus 0{\%} for pLAGB with HHR; P >.05), morbidity (3.39{\%} pLAGB without HH versus 2.63{\%} for pLAGB HHR; P >.05), and length of stay (1.33 ± 2.25 days for pLAGB without HH versus 1.17 ± 0.56 days for pLAGB with HHR; P >.05) were comparable in the patients undergoing pLAGB with or without HHR. A trend was seen toward increased morbidity in patients undergoing rLAGB HHR than in those undergoing pLAGB HHR (2.63{\%} for pLAGB HHR versus 13.33{\%} for rLAGB HHR; P = .08). The length of stay (1.17 ± 0.56 days for pLAGB HHR versus 1.73 ± 1.49 days for rLAGB HHR; P <.01) and hospital costs ($12,178 ± 4451 for pLAGB HHR versus $14,616 ± 3538 for rLAGB HHR; P = .04) were increased for the rLAGB HHR group compared with the pLAGB HHR group. Conclusion: The results of the present study have demonstrated the safety of HHR concomitant with pLAGB. In addition, rLAGB was associated with increased morbidity and cost. These data suggest the safety, efficacy, and cost-effectiveness of crural repair of HH simultaneously with pLAGB.",
keywords = "Hiatal hernia, Laparoscopic adjustable gastric banding, Revisional surgery",
author = "Reynoso, {Jason F.} and Goede, {Matthew R} and Tiwari, {Manish M} and Tsang, {Albert W.} and Dmitry Oleynikov and McBride, {Corrigan L}",
year = "2011",
month = "5",
day = "1",
doi = "10.1016/j.soard.2010.08.010",
language = "English (US)",
volume = "7",
pages = "290--294",
journal = "Surgery for Obesity and Related Diseases",
issn = "1550-7289",
publisher = "Elsevier Inc.",
number = "3",

}

TY - JOUR

T1 - Primary and revisional laparoscopic adjustable gastric band placement in patients with hiatal hernia

AU - Reynoso, Jason F.

AU - Goede, Matthew R

AU - Tiwari, Manish M

AU - Tsang, Albert W.

AU - Oleynikov, Dmitry

AU - McBride, Corrigan L

PY - 2011/5/1

Y1 - 2011/5/1

N2 - Background: Limited evidence exists regarding the outcomes of patients undergoing laparoscopic adjustable band placement (LAGB) with hiatal hernia (HH) and concomitant hiatal hernia repair (HHR). The present study evaluated the safety, efficacy, and cost-effectiveness of primary LAGB (pLAGB) and revisional LAGB (rLAGB) in patients with HH. Methods: The University HealthSystem Consortium is an alliance of >100 academic medical centers and nearly 200 affiliate hospitals. The University Health System Consortium database was queried for patients undergoing LAGB with and without HH from 2006 through 2009. Results: The patients undergoing rLAGB had a significantly greater prevalence of HH than patients undergoing pLAGB (18.9% for pLAGB with HH versus 26.3% for rLAGB with HH; P <.001). The mortality (.04% for pLAGB without HH versus 0% for pLAGB with HHR; P >.05), morbidity (3.39% pLAGB without HH versus 2.63% for pLAGB HHR; P >.05), and length of stay (1.33 ± 2.25 days for pLAGB without HH versus 1.17 ± 0.56 days for pLAGB with HHR; P >.05) were comparable in the patients undergoing pLAGB with or without HHR. A trend was seen toward increased morbidity in patients undergoing rLAGB HHR than in those undergoing pLAGB HHR (2.63% for pLAGB HHR versus 13.33% for rLAGB HHR; P = .08). The length of stay (1.17 ± 0.56 days for pLAGB HHR versus 1.73 ± 1.49 days for rLAGB HHR; P <.01) and hospital costs ($12,178 ± 4451 for pLAGB HHR versus $14,616 ± 3538 for rLAGB HHR; P = .04) were increased for the rLAGB HHR group compared with the pLAGB HHR group. Conclusion: The results of the present study have demonstrated the safety of HHR concomitant with pLAGB. In addition, rLAGB was associated with increased morbidity and cost. These data suggest the safety, efficacy, and cost-effectiveness of crural repair of HH simultaneously with pLAGB.

AB - Background: Limited evidence exists regarding the outcomes of patients undergoing laparoscopic adjustable band placement (LAGB) with hiatal hernia (HH) and concomitant hiatal hernia repair (HHR). The present study evaluated the safety, efficacy, and cost-effectiveness of primary LAGB (pLAGB) and revisional LAGB (rLAGB) in patients with HH. Methods: The University HealthSystem Consortium is an alliance of >100 academic medical centers and nearly 200 affiliate hospitals. The University Health System Consortium database was queried for patients undergoing LAGB with and without HH from 2006 through 2009. Results: The patients undergoing rLAGB had a significantly greater prevalence of HH than patients undergoing pLAGB (18.9% for pLAGB with HH versus 26.3% for rLAGB with HH; P <.001). The mortality (.04% for pLAGB without HH versus 0% for pLAGB with HHR; P >.05), morbidity (3.39% pLAGB without HH versus 2.63% for pLAGB HHR; P >.05), and length of stay (1.33 ± 2.25 days for pLAGB without HH versus 1.17 ± 0.56 days for pLAGB with HHR; P >.05) were comparable in the patients undergoing pLAGB with or without HHR. A trend was seen toward increased morbidity in patients undergoing rLAGB HHR than in those undergoing pLAGB HHR (2.63% for pLAGB HHR versus 13.33% for rLAGB HHR; P = .08). The length of stay (1.17 ± 0.56 days for pLAGB HHR versus 1.73 ± 1.49 days for rLAGB HHR; P <.01) and hospital costs ($12,178 ± 4451 for pLAGB HHR versus $14,616 ± 3538 for rLAGB HHR; P = .04) were increased for the rLAGB HHR group compared with the pLAGB HHR group. Conclusion: The results of the present study have demonstrated the safety of HHR concomitant with pLAGB. In addition, rLAGB was associated with increased morbidity and cost. These data suggest the safety, efficacy, and cost-effectiveness of crural repair of HH simultaneously with pLAGB.

KW - Hiatal hernia

KW - Laparoscopic adjustable gastric banding

KW - Revisional surgery

UR - http://www.scopus.com/inward/record.url?scp=79957643537&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79957643537&partnerID=8YFLogxK

U2 - 10.1016/j.soard.2010.08.010

DO - 10.1016/j.soard.2010.08.010

M3 - Article

C2 - 21130046

AN - SCOPUS:79957643537

VL - 7

SP - 290

EP - 294

JO - Surgery for Obesity and Related Diseases

JF - Surgery for Obesity and Related Diseases

SN - 1550-7289

IS - 3

ER -