Antireflux Mucosectomy Band (ARM-b) in Treatment of Refractory Gastroesophageal Reflux Disease After Bariatric Surgery.

Obesity Surgery
Antoine DebourdeauJean-Michel Gonzalez

Abstract

Laparoscopic sleeve gastrectomy has become the most commonly used bariatric surgery worldwide. However, there are a proportion of patients who present with a refractory GERD after this procedure. In these patients, when surgical conversion to RYGPB is not possible or declined, we propose to describe the results of an endoscopic antireflux mucosectomy band (ARM-b) technique in 6 LSG patients with refractory GERD. The technical feasibility was 100%; 5 out of 6 patients had a clinical response with a reduction of the GERD-HRQL score of > 50%. Two patients had adverse events: one esophageal stricture and one benign bleeding. ARM-b is feasible and potentially effective to treat patients with refractory GERD after LSG.

References

Feb 22, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·C S DavisP M Fisichella
May 29, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·David NoccaMarcelo Loureiro
Feb 9, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Herbert Mason HedbergMichael B Ujiki
Dec 14, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Gaurav PatilAmit Maydeo

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Citations

Sep 17, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Francisco A Guzman-Pruneda, Stacy A Brethauer

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