Effect of laparoscopic hiatal hernia repair combined with fundoplication on obstructive sleep apnea syndrome

Abstract

Objective To investigate the effect of laparoscopic hiatal hernia(HH)repair combined with fundoplication on obstructive sleep apnea hypopnea syndrome(OSAS). Methods Retrospective analysis from July 2014 to April 2016 in the People′s Hospital of Xinjiang Uygur Autonomous Region hiatal hernia with obstructive sleep apnea syndrome 22 patients who concurrent laparoscopic hiatal hernia repair with fundoplication, comparing the preoperative and postoperative 1 years later gastroesophageal reflux disease questionnaire(GERD-Q)score and more the polysomnography examination report related indicators. Results The preoperative GERD-Q score was significantly lower than the postoperative reflux symptoms improved significantly, postoperative sleep apnea hypopnea index and nighttime oxygen saturation<90%, lowest nocturnal oxygen saturation percentage(%)and other indicators were significantly improved compared with preoperative, the difference was statistically significant(P<0.05). Conclusion OSAS and HH and GERD are closely related, laparoscopic hiatal hernia repair and fundoplication can significantly improve the obstructive sleep apnea syndrome, obstructive sleep apnea syndrome and hiatal hernia and gastroesophageal reflux disease causation needs further study. Key words: Hernia, hiatal; Gastroesophageal reflux; Sleep apnea syndromes; Fundoplication; Sleep disordered breathing index