Acute paraoesophageal hiatal hernia following laparoscopic sleeve gastrectomy


  • Omar M. Alobaid Department of Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
  • Abdullah S. Alzahrani Department of Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
  • Bander I. Ali Department of Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia



Laparoscopy, Obesity, Bariatric surgery, Sleeve gastrectomy, Para esophageal hiatal hernia, Acute herniation


Anti-obesity surgery is the most effective therapy available for significant weight loss in patients with morbid obesity. Obesity in consider a major independent risk factor for Hiatal hernia (HH) and it is present in about 37%-50% of morbidly obese patients undergoing bariatric surgery.1,2,3 It might be overlooked or under looked especially if the patient was asymptomatic and no pre-operative endoscopy or radiological workup. Denovo closure of the hiatal defect in case of an intraoperative finding of HH strongly recommended preventing such acute postoperative complications. Herein we report a rare and acute post laparoscopic sleeve gastrectomy with gastric herniation were uneventfully diagnosed and interfered early to prevent a catastrophic outcome.  


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Case Reports