A hiatal hernia found at the time of sleeve gastrectomy should be repaired during the index operation, otherwise the upper portion of the stomach that has been slide through the thorax will act as a stretch pouch ending in weigh loss failure. Crural repair with sleeve gastrectomy provides control of gastroesophageal reflux disease (GERD) and weight loss.
In some cases where patients suffer from severe acid reflux might get better control for GERD symptoms choosing a Bypass Roux-en-Y rather than having a sleeve gastrectomy, GERD symptoms are caused by multiple reasons such overweight, hiatal hernia, alcohol, medication, etc.
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to find out which procedure suits you best if you are suffering from acid reflux.