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- Title
Two-Year Results of Sleeve Gastrectomy Combined with Posterior Fundoplication for Obesity Patients with Gastroesophageal Reflux Disease.
- Authors
Bège, Thierry; Lasbleiz, Adèle; Boullu, Sandrine; Gaborit, Bénédicte; Berdah, Stéphane V.; Dutour, Anne; Duconseil, Pauline
- Abstract
Introduction: Currently, gastroesophageal reflux disease (GERD) is the main side effect after sleeve gastrectomy (SG), causing discomfort and potential long-term risks. Surgical techniques combining fundoplication with SG are being evaluated to limit postoperative GERD. Methods: This single-center retrospective study evaluated patients who underwent SG with posterior fundoplication in the context of GERD between 2018 and 2021, with postoperative follow-up up to 24 months. The results were compared to a control group (ratio 1 to 4) who had SG without fundoplication. Observed total weight loss (TWL) was compared to predicted TWL using the Sophia multinational study's machine learning-based calculator. Results: The series included 22 patients (mean body mass index 44.4 kg/m2) with GERD conditions: GERD symptoms (n = 15), hiatal hernia (n = 6), esophagitis (n = 7), and Barrett's esophagus (n = 5). Two patients required reoperation, including one for valve perforation. At 2 years, GERD was present in three patients (13.6%), including two who regularly took proton pump inhibitors. Compared to the control group (n=88), the frequency of GERD persisting at 2 years was significantly reduced in the SG with fundoplication group (p=0.05). The TWL at 12 and 24 months was 27.7% and 26.1%, respectively, with no significant difference compared to the weight predicted by the model, nor compared to the control group. Conclusion: The combination of posterior fundoplication with SG can be proposed in patients with GERD who have a contraindication to Roux-en-Y gastric bypass. Specific morbidity may exist at the beginning of the experience.
- Subjects
SLEEVE gastrectomy; GASTRIC bypass; GASTROESOPHAGEAL reflux; FUNDOPLICATION; BARRETT'S esophagus; OPERATIVE surgery; PROTON pump inhibitors
- Publication
Obesity Surgery, 2024, Vol 34, Issue 7, p2508
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-024-07299-x