IBC-Oxford University2023_BJSPoster_7BariClip placement in patient with recurrent hiatal hernia: Is it feasible?

Abstract

Abstract Obesity is a disease with global distribution that affects a vast majority of the population, it has impact not only in patient’s health but has implications in health systems within the state and country. GERD is highly related with being overweight and obese given that these two pathologies are risk factors for developing GERD and its further complications like Barrett’s oesophagus. There are multiple surgical techniques to treat GERD and obesity, we report the case of a 43-year-old female with reflux symptoms secondary to a recurrent hiatal hernia with a previous laparoscopic Nissen fundoplication. Obesity is a disease with a global distribution, it affects a vast majority of the population leading to a great number of complications not only for the patient but for the states and countries, the prevalence has doubled in the last 30 years, considering this disease as one of the most important risk factors for developing gastroesophageal reflux and Barrett’s oesophagus. It has been proved that being overweight increases 1.2-3 times the risk of GERD and in patients with obesity the prevalence is up to 37-72%. GERD is a disease that commonly affects the general population, it is difficult to establish the incidence, yet it is reported that approximately 42% of the U.S population has symptoms every month and up to 60% has had symptoms at least once in their lifetime. Laparoscopic Gastroplasty with BariClip should be considered as a restrictive procedure given that has demonstrated to have more restriction than the procedures by endoscopic approach, lasting longer and with the advantage that is reversible, clipping and not cutting the stomach, it is as effective as the laparoscopic sleeve gastrectomy surgery, with minimum complications and the possibility of being performed as an outpatient procedure. This is performed placing a non-adjustable clip vertically 3 cm to the lesser curvature of the stomach.