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Multidisciplinary Approach to Obesity Management: A Case Report
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Gastroesophageal Reflux Disease and the Patient with Obesity
Yewande Alimi1, Dan E Azagury2
1Department of Surgery, Stanford University School of Medicine, 3800 Reservoir Rd NW, Washington, DC 20007, USA. Electronic address: https://twitter.com/yewandealimiMD.
Abstract:
Patients with obesity who present with gastroesophageal reflux disease (GERD) require a nuanced approach. Those with lower body mass index (BMI) (less than 33) can be counseled on weight loss, and if successful may be approached with laparoscopic fundoplication. Those who are unable to achieve weight loss or those who present with a BMI greater than or equal to 35 should proceed with laparoscopic Roux-en-Y gastric bypass (LRYGB). Conversion to LRYGB from sleeve gastrectomy is a safe and effective way to manage GERD after sleeve gastrectomy.
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