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Nissen Fundoplication-Preserving Laparoscopic Sleeve Gastrectomy
The American Surgeon
|March 2, 2019
Summary
Nissen-preserving laparoscopic sleeve gastrectomy is a safe and effective weight loss option for patients with prior Nissen fundoplication, showing significant BMI reduction and improved GERD symptoms.
Area of Science:
- Bariatric surgery
- Gastroenterology
- Obesity medicine
Background:
- Gastroesophageal reflux disease (GERD) is common in obese individuals.
- Nissen fundoplication treats GERD but may complicate future bariatric surgery.
- Concomitant treatment for obesity and GERD is increasingly necessary.
Purpose of the Study:
- To evaluate the safety and efficacy of Nissen-preserving laparoscopic sleeve gastrectomy (SG) in patients with prior Nissen fundoplication.
- To assess weight loss outcomes and GERD symptom changes after this procedure.
Main Methods:
- Retrospective review of five patients who underwent Nissen-preserving laparoscopic SG between 2011 and 2017.
- Comparison of pre- and postoperative BMI, excess weight loss, and subjective GERD symptoms.
- Assessment for immediate postoperative complications.
Main Results:
- Significant reduction in BMI at one and six months post-surgery (P < 0.001 and P < 0.009, respectively).
- Mean excess weight loss of 33.9% at six months.
- No immediate postoperative complications; GERD symptoms improved in three of five patients.
Conclusions:
- Nissen-preserving laparoscopic SG appears feasible for weight loss in patients with existing Nissen fundoplication.
- Early results suggest potential for effective weight loss and GERD symptom management.
- Further research is warranted to confirm long-term outcomes.
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