Laparoscopic Partial Sleeve Gastrectomy with Fundoplication for Gastroesophageal Reflux and Delayed Gastric Emptying

Page, Philip A. Le; Martín, David

doi:10.1007/s00268-015-2981-0

Cited by 22 publications

(20 citation statements)

References 7 publications

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“…In this context, in order to avoid the mentioned complications, there are previous studies suggesting combinations of antireflux surgery with sleeve gastrectomy. In addition, some authors have proposed some technical modifications in order to improve postoperative results 9 , 11 , 20 , 21 , 22 , 34 , 35 , 36 , 40 . Haswalli et al 16 recommended hiatoplasty and anterior fundoplication to treat gastroesophageal reflux using a dilated fundus after LSG.…”

Section: Discussionmentioning

confidence: 99%

“…Haswalli et al 16 recommended hiatoplasty and anterior fundoplication to treat gastroesophageal reflux using a dilated fundus after LSG. Le Page et al 20 presented the effects of a sleeve gastrectomy associated with fundoplication in patients with symptoms of reflux and delayed gastric emptying. The study included four patients who also had hiatal hernia.…”

Section: Discussionmentioning

confidence: 99%

“…The reason our group abandoned LSG with concomitant fundoplication was because regain weight was observed early in a great proportion of patients in agreement with other reports. This study used a similar technique as that presented by Le Page et al 20 including a limited number of patients, because we routinely indicate laparoscopic Roux-en-Y gastric bypass in obese patients with reflux. This procedure was abandoned mainly due to the unsatisfactory results observed specially in terms of weight regain, which is higher than after Nissen Fundoplication for reflux (8-15%) 39 .…”

Section: Discussionmentioning

confidence: 99%

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Sleeve Gastrectomy and Fundoplication as a Single Procedure in Patients With Obesity and Gastroesophageal Reflux

Lasnibat

Braghetto

Gutiérrez

et al. 2017

ABCD, arq. bras. cir. dig.

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Background:Bariatric surgery in Chile has seen an exponential increase in recent years, especially in sleeve gastrectomy. Its use is currently discussed in patients suffering from gastroesophageal reflux disease. Different options have been considered for the management of these patients but up to now laparoscopic Roux-en-Y gastric bypass seems to be the best option. Sleeve gastrectomy plus concomitant fundoplication or hiatal hernia repair also has been suggested in patients having reflux or small hiatal hernia. Aim: To present a cohort of obese patients with gatroesophageal reflux undergoing this procedure, which seeks to provide the benefits of both laparoscopic gastric sleeve (LSG) and antireflux surgery focused on the evaluation of presence of reflux and BMI after surgery, and to compare the result observed in this cohort with a previous group of obese patients without reflux submitted to sleeve gastrectomy alone. Methods:Retrospective case series in 15 patients who underwent this surgery between the years 2003 and 2012. Clinical records were analyzed and values of 24 hr pH monitoring, esophageal manometry and clinical outcome were recorded. Results were compared to a previous series of patients who underwent LSG. No statistical analyses were made. Results:Group A consisted of 15 patients submitted to LSG plus fundoplication. 93% (n=14) were female. Mean age was 46.2 years. Mean preoperative body mass index (BMI) was 33.9. All patients had altered pH monitoring and manometry preoperatively. There was one minor complication corresponding to a seroma. There was no perioperative mortality. Group B consisted of 23 obese patients who underwent LSG. These patients developed de novo reflux, hypotensive LES and esophagitis after the surgery. Group A patients showed improvement in esophageal pH monitoring and manometry at three months. During long-term follow-up, six underwent revision surgery, four for weight regain, one regained weight associated with symptomatic reflux, and one underwent re-intervention for reflux. Conclusions:Good results are observed in the short-term follow up in both reflux resolution and weight loss. Nevertheless, results at long term are discouraging, with 53.3% of the patients requiring revision surgery during follow-up.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Sleeve Gastrectomy and Fundoplication as a Single Procedure in Patients With Obesity and Gastroesophageal Reflux

Lasnibat

Braghetto

Gutiérrez

et al. 2017

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

show abstract

“…Considering all these findings, several bariatric teams proposed a modification to the usual surgical technique of LSG by adding a different fundoplication-Table 1 [11][12][13][14][15][16][17][18]. The intents of these techniques were to minimize the rate of postoperative GERD, to protect the staple line of the angle of His, and finally, to provide a safe and effective alternative for patients with contraindication to LRYGB because of GERD.…”

Section: Introductionmentioning

confidence: 99%

Is It Safe to Combine a Fundoplication to Sleeve Gastrectomy? Review of Literature

et al. 2021

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Background and Objectives: The rising numbers of laparoscopic sleeve gastrectomy (LSG) procedures now being performed worldwide will likely be followed by an increasing number of patients experiencing gastro-esophageal reflux disease (GERD). The purpose of the current review was to analyze in terms of safety different techniques of fundoplication used to treat GERD associated with LSG. Methods: An online search was performed in PubMed/MEDLINE in December 2020 to identify articles reporting LSG and fundoplication. The following term combination was used: (sleeve, fundoplication), (sleeve, Nissen), (sleeve, Rossetti), (sleeve, Toupet) and (sleeve, Dor). The extracted information included details of the methods (e.g., retrospective case series), demographic characteristics (e.g., age, gender), clinical characteristics, number of patients, rate of conversion, and postoperative outcomes. Results: A total of 154 studies were identified and after an assessment of title according to our exclusion criteria, 116 articles were removed. Of the 38 studies analyzed for full content review, a total of seven primary studies (487 patients) were identified with all inclusion criteria. Analyzing the different types of fundoplication used, we have identified: 236 cases of Nissen-Sleeve, 220 cases with modified Rossetti fundoplication, 31 cases of Dor fundoplication, and no case of Toupet fundoplication. The overall postoperative complication rate was 9.4%, with the most common reported complication being gastric perforation, 15 cases—3.1%. The second most common complication was bleeding identified in nine cases (1.8%) followed by gastric stenosis in six cases (1.2%). The mortality was nil. Conclusions: Different types of fundoplication associated with LSG appear to be a safe surgical technique with an acceptable early postoperative complication rate. Any type of fundoplication associated with LSG to decrease GERD should be evaluated cautiously while prospective clinical randomized trials are needed.

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“…Proposed mechanisms include a change in gastric distensibility by reducing gastric volume and altered contractility by resetting the gastric pacemaker. Since 2013, several case studies reported on single-center efficacy of gastric surgery in refractory gastroparesis [13,[15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. Up to the present, randomized studies on the overall efficacy and safety of surgery for gastroparesis are lacking.…”

mentioning

confidence: 99%

Systematic review on sleeve gastrectomy or Roux-en-Y gastric bypass surgery for refractory gastroparesis

Masclee

Keszthelyi²,

Conchillo³

et al. 2023

Surgery for Obesity and Related Diseases

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Laparoscopic Partial Sleeve Gastrectomy with Fundoplication for Gastroesophageal Reflux and Delayed Gastric Emptying

Abstract: With careful patient selection and work-up, SG and HH repair with fundoplication may improve quality of life by coupling adequate reflux control with improved gastric emptying.

Cited by 22 publications

References 7 publications

Sleeve Gastrectomy and Fundoplication as a Single Procedure in Patients With Obesity and Gastroesophageal Reflux

Sleeve Gastrectomy and Fundoplication as a Single Procedure in Patients With Obesity and Gastroesophageal Reflux

Is It Safe to Combine a Fundoplication to Sleeve Gastrectomy? Review of Literature

Systematic review on sleeve gastrectomy or Roux-en-Y gastric bypass surgery for refractory gastroparesis

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