BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is one of the most prefered treatment option for morbid @entity28 . However, the effects of LSG on @entity354 ( @entity354 ) are controversial. Asymptomatic @entity354 and @entity357 ( @entity357 ) is common in @entity28 @entity1 . Therefore, it is important to identify the high risk @entity1 prior to surgery. This study aims to evaluate efficacy of cruroplasty for @entity357 during LSG in morbidly @entity28 @entity1 using ambulatory pH monitoring (APM) results, and to investigate the @entity1 ' selection criteria for this procedure. METHODS: This retrospective study includes outcomes of 59 @entity1 who underwent LSG and @entity357 repair according to our @entity1 selection algorithm. Outcomes included preoperative @entity354 Health-Related Quality of Life ( @entity354 -HRQL) questionnaire, APM results, percentage of postoperative excess @entity353 , and total @entity353 . RESULTS: For a total of 402 @entity1 , APM was applied in 70 @entity1 who had a positive score of @entity354 -HRQL, and 59 @entity1 underwent LSG and concomitant @entity357 repair who had a DeMeester score of 14.7% or above. There was no statistically significant difference in @entity353 at 6 and 12-month follow-up. Two @entity1 (3.3%) had symptoms of @entity354 at 12  months postoperatively, and only one (1.6%) @entity1 required treatment of proton pump inhibitor for reflux. In the total cohort, 11 (2.7%) @entity1 also evolved de novo @entity354 symptoms. CONCLUSIONS: This study confirm that careful attention to @entity1 selection and surgical technique can reduce the symptoms of @entity354 at short-term. Routine bilateral crus exploration could be a major risk factor of postoperative @entity354 .

A New Algorithm to Reduce the Incidence of XXXX after Laparoscopic Sleeve Gastrectomy.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity353 :: ('MESH:D015431', 'Disease') :: ['weight loss'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obese', 'obesity'] @entity357 :: ('MESH:D006551', 'Disease') :: ['HH', 'hiatal hernia'] @entity354 :: ('MESH:D005764', 'Disease') :: ['gastroesophageal reflux disease', 'GERD']
@entity354 :: (MESH:D005764,Disease) :: ['Gastroesophageal Reflux Symptoms']
