Incidence of Delayed Gastric Emptying Associated with Revisional Laparoscopic Paraesophageal Hernia Repair
Journal of Gastrointestinal Surgery, 08/20/2012
Hamrick MC et al. – While the incidence of delayed gastric emptying (DGE) associated with initial paraesophageal hernias (PEH) repair is low, DGE is a significantly more common finding in patients requiring reoperation for recurrent PEH. This risk increases significantly with repair of each subsequent recurrence. The data suggest that DGE should be anticipated and patients counseled of the ramifications of this problem preoperatively. Surgeons performing revisional PEH surgery should preemptively develop protocols for the postoperative management of DGE from the time of operation.