• A Prospective Study for Evaluation of Efficacy of Ligation of the Intersphincteric Fistula Tract (Lift) for Treatment of Patints with Fistula-In-Ano
    Mustafa Biomy and Eslam M. Ibrahim
  • A Comparison of Laparoscopic and Open Repair of Perforated Duodenal Ulcer Using Omental Patch: A Prospective Randomized Controlled Trial
    Tamer Alsaied Alnaimy , Tamer Rushdy Elalfy and Mohammed A.Elkilany
  • The Value of Preoperative Ultrasound In Predicting Technical Difficulties During Laparoscopic Cholecystectomy
    Ahmed Mahmoud Hussein1 M.D.; Ahmed Abd Alaziz Mohammad1 M.D.; Ahmed Mohammed Ahmed Nasser2 M.Sc.
  • Iliofemoral Venous Stenting for Patients with Chronic Post-thrombotic Venous Occlusive Disease
    Sherif Essam Eldin Tawfik, MD; Abdelrahman Mohamed Salem, MD
  • Peroneal Artery Angioplasty As a Single Runoff Vessel for Foot Revascularization in Patients with Critical Limb Ischemia
    Abdelrahman Mohammed, MD, Ahmed Kamal Gabr, MD, Sherif Essam Eldin Tawfik, MD
  • Fat Harvesting from the Excised Dermolipectomy Flaps for Fat Augmentation in Various Individuals
    Ashraf Elsebaie MD, Ahmed Abdelsalam Hafiz MD, Ahmed Maher MD, Rasha Abdelkader MD
  • Evelauation of the use of Gastrisailtm Gastric Positioning Device during Laparoscopic Sleeve Gastrectomy, Early Experince
    Ahmed M.S.M Marzouk, Haitham S. Omar
  • Feasibility of Round Block Mammoplasty As a Single Technique For Different Quadrants T1,T2 Malignant Breast Lesions. Fayoum University Hospital experience. A study of 25 patients.
    Hany F. Habashy
  • Laparoscopic Cholecystectomy following ERCP in One Day: A Retrospective Study
    Maged Rihan, MD, MRCS
  • Sleeve Gastrectomy with Hiatus Hernia Repair in 25 Egyptian Morbid Obese : Short Term Results
    Karim Sabry (MD, MRCS) , Wael A Jumuah (MD) ,Yasser El Ghamrini (MD)
  • Polypropylene Suture Fixation versus Fibrin Glue in Lichtenstein Inguinal Hernia Repair: A Prospective Randomized Study
    Ahmed Shoka, MD, MRCS, Fady Makram, MD, FACS, Mohamed Matar, MD, FACS.
  • Effect of Two Bariatric Procedures on Macro- and Micronutrient Levels Inspite of Multivitamin Supplementation
    Mohammed Matar,1 MD, FACS, Ahmed Shoka,1 MD, MRCS, Heba Nader,2 MD
  • Complicated Acute Cholecystitis; Protocol of Management
    Mokhtar Abd Elrahman Bahbah, MD; Ehab M Oraby, MD.
  • Motor Bike Accident is a Main Cause of Maxillofacial Fractures Presenting to Cairo University Hospitals: A Retrospective Study
    Youssif Khachaba, Waleed Reda, Ahmed Abd El Salam, Ahmed Samy Saad Hussein, Nadeen Mohamed El Essawy, Ashraf El Sebaie
  • Early Results of Arterioarterial Prosthetic Loop As a Bail Out Procedure in End Stage Renal Disease Patients With Multi-Access Failure
    Naguib Abdelkreem ElAskary MD, Ahmed Osmane MD
  • The Role of Carbon Dioxide As a Safe Contrast Agent in Endovascular Treatment of Chronic Lower Limb Ischemia in Patients with Renal Impairment or Iodinated Contrast Allergy
    Mahmoud Hamda MS, Naguib Abdelkreem ElAskary MD, Ahmed Osmane MD
  • Plastibell Versus Bone Cutting Techniques in Neonatal and Infantile Circumcision: A Retrospective Study and Review of Outcomes
    Ahmed M.S.M. Marzouk
  • Modalities of Pre-Operative Marking Techniques for Breast Reduction & Mastopexy
    1Waleed AlBadry, MSc, MRCS;1Raafat Gohar, MD; 1Ashraf El-Sebaie; 2Mohamed Salah, MD;1Mohamed Ashraf El Meleigy, MD
  • Sleeve Gastrectomy with Hiatus Hernia Repair in 25 Egyptian Morbid Obese : Short Term Results

    Karim Sabry (MD, MRCS) , Wael A Jumuah (MD) ,Yasser El Ghamrini (MD)
    Department of General Surgery, Faculty of Medicine, Cairo University

    Background: Obesity is considered one of the risk factors for gastroesophageal reflux disease and hiatal hernia and severity of reflux symptoms in presence of obesity lead to a decrease in the quality of life. Treatment of obese patients with gastroesophageal reflux disease (GERD) and hiatal hernia (HH)has proven difficult due to poor symptom control and high failure rates in this patient population , recent studies have shown that incorporating weight loss procedures into the treatment of reflux may improve overall outcomes. Identification of HH during SG (sleeve gastrectomy) and the effect of its repair on GERD related symptoms are controversial. Objective: This study aimed to evaluate the effect of concomitant HHR (hiatal hernia repair) in morbidly obese patients undergoing LSG and its short term effect on resolution or persistence of GERD related symptoms, other clinical outcomes and complication rates. Patients and methods: A total number of 25 patients suffering from morbid obesity and hiatus hernia were operated for simultaneous laparoscopic sleeve gastrectomy with hiatal hernia repair at the department of general surgery at El Demardash Hospital at Ain Shams University in Cairo, Egypt from January 2014 to December 2016. Results: In our retrospective study data obtained from patients interpreted as a chart review that was conducted with a mean follow up of 7 months. The mean weight was 128kg , BMI of 44 , average weight loss of 6.4kg/month. 19/25 patients had pre-operative diagnosis of HH with 16 of them complained of GERD symptoms. 6/25 patient without symptoms showed no evidence of HH on UGI and did not have a pre-operative EGD but a HH was identified intra-operatively. Crural closure was performed in all cases with HH size ranging from 2cm to 5cm. 16/25 (64%) patients who had symptomatic reflux reported cessation of symptoms post-operative. 7 of 10 (70%) patients who was taking anti-reflux medication before surgery discontinued all medication and the other 3 patients, although reported decrease in symptoms still continued to take proton pump inhibitors. Conclusions: With the increase risk of reflux before weight loss surgery as well as after LSG, patients with HH identified pre-operative and intraoperative should be considered for repair, Combination LSG with HHR is safe and provides good outcomes for patients with morbid obesity and GERD. Keywords: Sleeve Gastrectomy, Hiatal Hernia.