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Published on: August 22, 2025
EFFECTIVENESS OF LIGAMENTUM TERES CARDIOPEXY FOR GERD RESOLUTION AFTER SLEEVE GASTRECTOMY: A META-ANALYSIS AND
Pedro Bicudo Bregion1, Victor Kenzo Ivano2, Luca Maunsell Pereira1
1Universidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Estudante de Graduação, Campinas, SP, Brasil.
Ligamentum teres cardiopexy (LTC) may effectively manage gastroesophageal reflux disease (GERD) after sleeve gastrectomy (SG). This revisional surgery achieved a 75.5% GERD symptom remission rate in analyzed studies.
Area of Science:
- Bariatric Surgery
- Gastroenterology
- Surgical Innovation
Background:
- Gastroesophageal Reflux Disease (GERD) is a common complication post-Sleeve Gastrectomy (SG).
- Ligamentum teres cardiopexy (LTC) is explored as a revisional treatment for post-SG GERD.
- Roux-en-Y gastric bypass is a current standard for GERD management after SG.
Purpose of the Study:
- To systematically review and meta-analyze the safety and efficacy of LTC for GERD remission post-SG.
- To assess the impact of LTC on reducing anti-reflux medication use in SG patients.
- To evaluate LTC as a revisional option for GERD after SG.
Main Methods:
- Systematic review and meta-analysis of observational studies.
- Searched PubMed, EMBASE, and Cochrane Central up to April 2025.
- Primary outcomes: GERD symptom remission and medication prevalence; Secondary outcomes: length of stay, adverse effects.
Main Results:
- Analyzed 4 studies with 193 patients.
- Achieved 75.50% GERD symptom remission rate with revisional LTC (95%CI 59.55-86.57).
- 33.42% of patients required postoperative GERD medication (95%CI 19.74-50.60).
Conclusions:
- LTC demonstrates potential as a surgical treatment for GERD following SG.
- It offers a viable alternative, especially in revisional settings.
- Further research may solidify LTC's role in managing post-bariatric surgery GERD.
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