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Case Report
Can laparoscopic gastric sleeve procedures predispose to the development of a hiatal hernia?
1 Medical Student, Community First Medical Center, Chicago, IL, USA
2 Medical Student, St. George’s University, True Blue, Grenada
3 Department of Surgery, Community First Medical Center, Chicago, IL, USA
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Arinxe Randy Gauthier
811 Pepperidge Road, Westbury, NY 11590,
USA
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Article ID: 100153Z12AG2025
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Gauthier AR, Vaccarella M, Campbell L, Patel D, Jorge J. Can laparoscopic gastric sleeve procedures predispose to the development of a hiatal hernia? J Case Rep Images Surg 2025;11(1):25–30.ABSTRACT
Laparoscopic sleeve gastrectomy (LSG) has emerged as an effective intervention for obesity, offering substantial weight loss and improved metabolic health. However, alongside its benefits, this procedure may also precipitate certain complications, including gastro-esophageal reflux disease (GERD). Gastro-esophageal reflux disease, characterized by the reflux of stomach contents into the esophagus, can lead to significant discomfort and complications if left untreated. One such complication is the development of a hiatal hernia, where a portion of the stomach protrudes into the chest cavity through the esophageal hiatus. This case report explores the case of a 35-year-old female patient developing a post-LSG complication of GERD, and its subsequent development of hiatal hernias. It examines the mechanisms underlying GERD post-gastric sleeve, and how it elucidates the role of chronic acid exposure in weakening the esophageal sphincter and promoting hiatal hernia formation. While LSG offers significant benefits for patients with obesity, it is imperative to recognize and address potential complications such as GERD and hiatal hernias. Understanding these interrelated complications is crucial for clinicians managing patients’ post-LSG.
Keywords: Gastro-esophageal reflux disease, Hiatal hernia, Laparoscopic gastric sleeve
SUPPORTING INFORMATION
Author Contributions
Arinxe Randy Gauthier - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Michael Vaccarella - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Logan Campbell - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Devi Patel - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jaquito Jorge - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
AcknowledgmentsWe acknowledge the patient’s permission to use the medical information for the manuscript publication.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2025 Arinxe Randy Gauthier et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
