Additionally, multivariate logistic regression identified preoperative sarcopenia and advanced age as independent risk factors for delayed recovery of gastrointestinal function following laparoscopic hiatal hernia repair combined with fundoplication (<i>P</i> < 0.05).<h4>Conclusion</h4>​Our findings clearly indicate that while preoperative sarcopenia does not elevate the risk of postoperative dysphagia, it significantly delays the recovery of gastrointestinal function and leads to lower albumin levels following surgery in gastroesophageal reflux disease patients. Here, ALB is linked to Hiatus hernia.