A new surgical technique for the silicone gastric band in the presence of a large hiatus hernia

Background: The purpose of this study was to establish the efficacy of a new surgical technique for the placement of the silicone gastric band (LAP-Band) in the presence of a large (>5 cm) hiatus hernia. Method: Hiatus hernias >5 cm were identified by endoscopy and barium meal in 6 patients. Each patient underwent hiatal hernia repair and attempted gastrodesis with laparoscopic placement of a gastric band. Results: At 6 months, there were no complications. Mean weight loss was 16 kg. Conclusion: Repair of hiatus hernia with hiatal repair and gastrodesis of the posterior aspect of the stomach may allow some patients to undergo a procedure previously considered contraindicated.