Abstract
The incidence of reflux in obesity can reach greater than 35%. Most surgeons recommend Roux-en-y gastric bypass to patients with pre-existing reflux. One alternative to Roux-en-y gastric bypass is the addition of anterior fundoplication (AF) with posterior crural approximation (pCA) to laparoscopic sleeve gastrectomy (LSG) in patients with documented reflux. Between February 2011 and April 2013 we reviewed data from the bariatric registry on weight loss, resolution of symptoms, and quality of life presurgery and postsurgery for all patients who consented to participate in the registry and underwent LSG with AF/pCA. Forty patients met inclusion criteria; 78% (31) were female. The mean initial weight was 298 ± 64 lbs. with mean BMI of 49 ± 8 kg/m(2). The mean DeMeester score was 36 ± 27 (normal <14.7). Nine (22.5%) patients had esophagitis. Thirty-six (90%) patients had hiatal hernia. There were no intraoperative complications. The mean operative time was 84 ± 20 minutes and the mean hospital stay was 1.6 ± .9 days. Postoperative complications included 1 fluid collection, 1 narrowing, 4 admissions for nausea and dehydration, 1 for pancreatitis, and 1 for deep vein thrombosis . Thirty-eight (95%) patients had immediate resolution ...Continue Reading
References
Aug 1, 1995·Gastroenterology·R K MittalJ Dent
Jun 1, 1996·Annals of Surgery·J G HunterW C Wood
Aug 3, 2005·Annals of Internal Medicine·Howard HampelHashem B El-Serag
May 17, 2006·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·P IovinoC Ciacci
Jul 25, 2008·Digestive Diseases and Sciences·Hashem El-Serag
Dec 17, 2009·Obesity Surgery·Italo BraghettoAna Henriquez
Mar 25, 2011·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Patrice R CarterShannon M Jones
Oct 1, 2011·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Drew D HowardKfir Ben-David
Jan 18, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Raul J RosenthalNatan Zundel
Aug 8, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Emanuele SoricelliNicola Basso
Aug 24, 2012·Obesity Surgery·Jorge DaesRodolfo Dennis
Mar 28, 2013·Obesity·Mandeep SinghPrateek Sharma
Sep 4, 2014·JAMA : the Journal of the American Medical Association·Bradley N ReamesJustin B Dimick
Oct 9, 2014·Einstein·Sergio SantoroCarlos Eduardo Malzoni
Jul 18, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Abdelkader HawasliSusan Szpunar
Citations
Jul 28, 2016·Obesity Surgery·Antonio IannelliLuigi Angrisani
Dec 19, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Brad SnyderConniw Klein
Apr 30, 2019·Journal of Minimal Access Surgery·Palanivelu Praveen RajC Palanivelu
May 6, 2017·Obesity Surgery·L Ulas BiterGuy H E J Vijgen
Nov 14, 2019·Surgical Endoscopy·P NauUNKNOWN SAGES Foregut Task Force White Paper
Feb 28, 2018·BMC Obesity·Jaanus SuumannAnts Peetsalu
Apr 18, 2019·Surgical Endoscopy·Michel Gagner, Paul Kemmeter
Jan 30, 2019·Obesity Surgery·Emanuele RausaGiovanni Sgroi
Sep 22, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·David NoccaAlmino Ramos
Oct 12, 2017·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Juan Pablo LasnibatFelipe Sanchez
May 22, 2021·Obesity Surgery·Ricardo NassarJuan D Hernandez