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Review
. 2020 Nov;30(11):4592-4598.
doi: 10.1007/s11695-020-04918-1. Epub 2020 Aug 17.

The New Interest of Bariatric Surgeons in the Old Ligamentum Teres Hepatis

Alexander Runkel  1 , Oliver Scheffel  2 , Goran Marjanovic  3 , Norbert Runkel  4
Affiliations
Review

The New Interest of Bariatric Surgeons in the Old Ligamentum Teres Hepatis

Alexander Runkel et al. Obes Surg. 2020 Nov.

Abstract

The search for an operation that effectively prevents and treats intrathoracic gastric migration (ITGM) after bariatric surgery has revived a long-forgotten technique: ligamentum teres cardiopexy (LTC) by which a vascularized flap of the teres ligament is wrapped around the distal esophagus. The systematic search of publications in the English language revealed 4 studies (total number of patients 53) in the non-bariatric literature with an unsatisfactory resolution of GERD. There were 5 reports from the bariatric literature with small patient numbers (total 64) and a short follow-up (6-36 months). There were no objective signs of gastric remigration in 93% of investigated patients. Acknowledging the limitations of these preliminary reports, bariatric surgeons are encouraged to further investigate the potentials of LTC in their patients.

Keywords: Bariatric surgery; GERD; Hiatal hernia; Intrathoracic gastric migration; Ligamentum teres hepatis; Round ligament; Sleeve gastrectomy.

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