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pregnancy, Early embryonic cessation of development. To evaluate whether the concomitant repair of hiatal hernias duringlaparoscopic sleeve gastrectomyhas an effect on the outcome of the surgery in patients with hiatal laxity andgastroesophageal reflux disease(GERD) symptoms during preoperative preparations. Descriptive study. Department of General Surgery, Kayseri City Training and Research Hospital, Health Science University, Kayseri, Turkey, from 2016 to 2020. Reflux symptom index questionnaire (RSI) is used in patients wit