Ligamentum Teres Augmentation for Hiatus Hernia Repair After Bariatric Surgery: A Systematic Review and Meta-analysis.

Autor:	Chaudhry S; Department of Surgery, Texas Tech HSC Paul Foster School of Medicine, El Paso, TX., Farsi S; Department of Surgery, Texas Tech HSC Paul Foster School of Medicine, El Paso, TX., Nakanishi H; St George's University of London.; University College London Hospital, London, UK., Parmar C; University College London Hospital, London, UK.; University of Nicosia Medical School, University of Nicosia, Nicosia, Cyprus., Ghanem OM; Department of Surgery, Mayo Clinic, Rochester, MN., Clapp B; Department of Surgery, Texas Tech HSC Paul Foster School of Medicine, El Paso, TX.
Jazyk:	angličtina
Zdroj:	Surgical laparoscopy, endoscopy & percutaneous techniques [Surg Laparosc Endosc Percutan Tech] 2024 Aug 01; Vol. 34 (4), pp. 394-399. Date of Electronic Publication: 2024 Aug 01.
DOI:	10.1097/SLE.0000000000001295
Abstrakt:	Objective: Hiatal hernia (HH) and symptomatic gastroesophageal reflux disease are common complications after metabolic bariatric surgery. This meta-analysis aims to investigate the safety and efficacy of ligamentum teres augmentation (LTA) for HH repair after metabolic and bariatric surgeries (MBS). Materials and Methods: CENTRAL, Embase, PubMed, and Scopus were searched for articles from their inception to September 2023 by 2 independent reviewers using the Preferred Reporting Items for Systematic Reviews and Meta-analysis system. Results: Five studies met the eligibility criteria, with a total of 165 patients undergoing LTA for HH repair after MBS. The distribution of patients based on surgical procedures included 63% undergoing sleeve gastrectomy, 21% Roux-en-Y gastric bypass, and 16% having one anastomosis gastric bypass. The pooled proportion of reflux symptoms before LTA was 77% (95% CI: 0.580-0.960; I2 = 89%, n = 106). A pooled proportion of overall postoperative symptoms was 25.6% (95% CI: 0.190-0.321; I2 = 0%, n = 44), consisting of reflux at 14.5% (95% CI: 0.078-0.212; I2 = 0%, n = 15). The pooled proportion of unsuccessful LTA outcomes was 12.5% (95% CI: 0.075-0.175; I2 = 0%, n = 21). Conclusion: Our meta-analysis demonstrated that LTA appears to be a safe and efficacious procedure in the management of HH after MBS. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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