Obesity Surgery

, Volume 29, Issue 4, pp 1410–1415 | Cite as

Simultaneous Large Paraesophageal Hernia Repair and Laparoscopic Roux-en-Y Gastric Bypass: a Single Institution’s Experience

  • Y. G. A. BrammerlooEmail author
  • J. C. Hol
  • C. M. Theunissen
  • B. S. Langenhoff
Brief Communication


This study reviews a single institution’s experience with simultaneous (redo) laparoscopic Roux-en-Y gastric bypass (LRYGB) and primary large paraesophageal hernia (PEH) repair. A retrospective review was done of all 13 patients who underwent simultaneous LRYGB and large PEH repair between February 2014 and December 2017 at our institution. All patients had a large type III or IV PEH. All patients underwent primary crural repair, without the use of a reinforcing mesh. No patients underwent additional surgery for obstruction of the gastric pouch or for symptomatic recurrence of PEH. No mortality was reported. Our study highlights that simultaneous primary large PEH repair and primary or redo LRYGB is safe and feasible.


Laparoscopic Roux-en-Y gastric bypass LRYGB Bariatric surgery Large paraesophageal hernia Large PEH Type III or IV paraesophageal hernia Primary crural repair Primary crus closure Simultaneous LRYGB and PEH repair Gastro-esophageal reflux disease GERD Large hiatal hernia 


Compliance with Ethical Standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of Interest

All authors declare that they have no competing interests.

Human and Animal Rights and Informed Consent

For this type of study, formal consent is not required.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Gastro-Intestinal SurgeryElisabeth-TweeSteden HospitalTilburgthe Netherlands

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