The New Interest of Bariatric Surgeons in the Old Ligamentum Teres Hepatis
- Resource Type
- Authors
- Norbert Runkel; Goran Marjanovic; Oliver Scheffel; Alexander Runkel
- Source
- Obesity Surgery. 30:4592-4598
- Subject
- Sleeve gastrectomy
medicine.medical_specialty
Round Ligaments
Endocrinology, Diabetes and Metabolism
medicine.medical_treatment
030209 endocrinology & metabolism
Round Ligament of Liver
English language
Hiatal hernia
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Distal esophagus
Surgeons
Nutrition and Dietetics
Round Ligament
business.industry
medicine.disease
Obesity, Morbid
Surgery
medicine.anatomical_structure
Gastroesophageal Reflux
Ligament
GERD
030211 gastroenterology & hepatology
business
Systematic search
- Language
- ISSN
- 1708-0428
0960-8923
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.