Role of ligamentum teres cardiopexy during laparoscopic sleeve gastrectomy in patients with obesity with gastroesophageal reflux disease: a short-term retrospective study

Abstract

Most studies have described worsening or de novo development of gastroesophageal reflux disease (GERD) after laparoscopic sleeve gastrectomy (LSG). Previous literature described a technique for managing GERD using the ligamentum teres hepatis as a sling around the esophagogastric junction, "ligamentum teres cardiopexy" (LTC). Recently, bariatric surgeons have proposed LTC for managing intrathoracic gastric migration and GERD after LSG. Few short-term studies with low numbers of patients have shown high rates of reflux resolution. This study was designed to retrospectively study the short-term outcome of LTC during LSG with hiatoplasty (HP) using objective assessment using manometry and endoscopy.