LSG对肥胖合并Ⅰ型食管裂孔疝病人术后胃食管反流病的影响OA

Objective To investigate the effect of laparoscopic sleeve gastrectomy(LSG)on gastroesophageal reflux disease(GERD)after surgery in obese patients with type Ⅰ hiatal hernia(HH).Methods A retrospective analysis was conducted on 63 obese patients admitted between March 2023 and December 2024.The patients were divided into two groups:group A,simple obesity(n=50),and group B,obesity with type Ⅰ HH(n=13).Both groups underwent SG,and no concurrent HH repair was performed in Group B.Gerd-Q scores were used to evaluate reflux symptoms preoperatively and at 3 and 6 months postoperatively,and the differences between the groups were compared.Results There was no significant difference in the Gerd-Q scores between the two groups before surgery and 3,6 months after surgery(all P>0.05).When comparing the Gerd-Q scores of the two groups of patients at 3,6 months after surgery with those before surgery,there were no significant differences(P>0.05).There was no significant difference in the prevalence of GERD between the two groups before surgery and 3,6 months after surgery(all P>0.05).Conclusions For obese patients with type ⅠHH,undergoing LSG did not increase the incidence of postoperative GERD.