腹腔镜外科杂志2025，Vol.30Issue(12)：881-888,8.DOI:10.13499/j.cnki.fqjwkzz.2025.12.881
减重代谢手术中处理食管裂孔疝中国专家共识(2025版)
Chinese expert consensus on the management of hiatal hernia in metabolic bariatric surgery(2025 edition)
摘要
Abstract
Hiatal hernia(HH)is highly prevalent in individuals with obesity and is closely associated with gastroesophageal reflux disease(GERD),making it a common and clinically important comorbidity in metabolic bariatric surgery(MBS).Currently,standardized diagnostic and therapeutic strategies for obese patients with different types of HH remain lacking.To improve the standardi-zation and consistency of HH management during MBS in China,the Chinese Society for Metabolic and Bariatric Surgery,together with multiple academic societies,organized 93 national experts to develop a consensus based on the latest evidence and clinical experience.The consensus addresses 12 key issues,including preoperative evaluation,intraoperative diagnosis and differentiation,the necessity of dissecting tissues around the gastroesophageal junction,strategies for concomitant repair,procedure selection according to HH subtype,and reinforcement or fixation of the gastric sleeve.This consensus aims to provide evidence-based guidance for diagnosis,classification,procedure selection,and intraoperative management of HH in obese patients undergoing MBS.It also highlights the current limitations in available evidence and emphasizes the need for further high-quality studies to optimize future clinical guidelines.关键词
疝,食管裂孔/胃食管反流/减肥手术/专家共识Key words
Hernia,hiatal/Gastroesophageal reflux/Bariatric surgery/Expert consensus分类
医药卫生引用本文复制引用
中国医师协会外科医师分会肥胖和代谢病外科专家工作组,北京市医师协会减重与代谢专科医师委员会,朱晒红,张鹏,白日星..减重代谢手术中处理食管裂孔疝中国专家共识(2025版)[J].腹腔镜外科杂志,2025,30(12):881-888,8.基金项目
四大慢病重大专项(2025ZD0550500,2025ZD0550502) （2025ZD0550500,2025ZD0550502）
国家重点研发计划(2022YFC2505204) （2022YFC2505204）
湖南省卫生健康委员会重大专项(20257588) （20257588）
