OBJECTIVE: The objective of the study is to identify the efficacy and safety of combining laparoscopic adjustable gastric banding with repair of large @entity547 . BACKGROUND: @entity547 are more common in the @entity28 with higher recurrence rates following repair. The effect and safety of combining @entity547 repair with laparoscopic adjustable gastric banding is unknown. METHODS: One-hundred fourteen consecutive @entity1 undergoing primary laparoscopic adjustable gastric banding with concurrent repair of a large @entity547 were prospectively identified and matched to a control group undergoing primary laparoscopic adjustable gastric banding only. Weight loss and complication data were retrieved from a prospectively maintained database, and a standardised bariatric outcome questionnaire was used to assess post-operative symptoms, satisfaction with surgery and satiety scores. RESULTS: At a mean follow up of 4.9        2.1  years, total @entity353 was 16.4        9.9  % in the @entity547 repair group and 17.6        12.6  % in the control group (p   =   0.949), with 17 vs. 11  % loss to follow up rates (p   =   0.246). No statistically significant difference in revisional surgery rate and symptomatic recurrence of @entity357 was documented in four @entity1 in the @entity547 repair group (3.5  %). No statistically significant difference in mean reflux (9.9 vs. 10.3, p   =   0.821), @entity1282 (20.7 vs. 20.1, p   =   0.630) or satiety scores was identified. CONCLUSIONS: Concurrent repair of large @entity357 and laparoscopic adjustable gastric banding placement is safe and effective both in terms of symptom control and @entity353 over the intermediate term. In @entity28 @entity1 with large @entity357 , consideration should be given to combining repair of the @entity547 with a bariatric procedure.

Concurrent Large XXXX and Laparoscopic Adjustable Gastric Banding: Results from 5-year Follow Up.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity353 :: ('MESH:D015431', 'Disease') :: ['weight loss'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obese'] @entity357 :: ('MESH:D006551', 'Disease') :: ['para-oesophageal hiatal hernia', 'hiatal hernias', 'hiatal hernia'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['dysphagia'] @entity547 :: ('MESH:D006547', 'Disease') :: ['Para-oesophageal hernias', 'para-oesophageal hernias', 'hernia', 'para-oesophageal hernia']
@entity357 :: (MESH:D006551,Disease) :: ['Para-oesophageal Hiatal Hernia Repair']
