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Adding anti-reflux procedures to sleeve gastrectomy (LSG) improves gastroesophageal reflux disease symptoms without compromising weight loss. This combined approach offers a safe and effective solution for obese patients with reflux.

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Area of Science:

  • Bariatric Surgery
  • Gastroenterology
  • Obesity Management

Background:

  • Sleeve gastrectomy is a popular bariatric procedure for obesity.
  • It can cause or exacerbate gastroesophageal reflux disease (GERD).
  • Anti-reflux procedures may mitigate these GERD-related complications.

Purpose of the Study:

  • To describe the addition of anti-reflux procedures to sleeve gastrectomy.
  • To evaluate the early and late outcomes of this combined approach.
  • To assess the impact on weight loss and GERD symptoms.

Main Methods:

  • Eighty-eight patients underwent sleeve gastrectomy with anti-reflux procedures.
  • Fifty patients also had transit bipartition.
  • Weight loss and GERD symptoms were compared to patients undergoing standard sleeve gastrectomy or sleeve gastrectomy with transit bipartition.

Main Results:

  • Weight loss was comparable to standard sleeve gastrectomy and sleeve gastrectomy with transit bipartition.
  • The combined procedure did not increase morbidity.
  • GERD symptoms and proton pump inhibitor use significantly decreased.

Conclusions:

  • Adding anti-reflux procedures (hiatoplasty, cardioplication) to sleeve gastrectomy is safe.
  • It does not negatively impact weight loss.
  • It significantly reduces GERD symptoms and medication reliance.