Management of Paraesophageal Hernia in the Morbidly Obese Patient

Charles T. Bakhos, Shrey P. Patel, Roman V. Petrov, Abbas El Sayed Abbas

Research output: Contribution to journalReview articlepeer-review


Gastroesophageal reflux disease (GERD) is common in the morbidly obese population, and hiatal hernias are encountered in 20% to 52% of patients. Primary surgical repair of hiatal hernias, in particular the paraesophageal type, is associated with a higher recurrence rate in obese patients. Concomitant weight loss surgery may be advisable. Combined sleeve gastrectomy and paraesophageal hiatal hernia repair is feasible but can induce or worsen preexisting GERD. A Roux-en-Y gastric bypass offers advantages of more pronounced excess weight loss and better symptom control, albeit with a potentially higher rate of morbidity compared with paraesophageal hernia repair alone or sleeve gastrectomy.

Original languageEnglish (US)
Pages (from-to)379-386
Number of pages8
JournalThoracic Surgery Clinics
Issue number4
StatePublished - Nov 1 2019
Externally publishedYes


  • Bariatric surgery
  • Hiatal hernia
  • Lower esophageal sphincter
  • Reflux

ASJC Scopus subject areas

  • General Medicine


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