Laparoscopic Sleeve Gastrectomy Conversion to Roux-en-Y Gastric Bypass and Repair of Paraesophageal Hernia

laparoscopic Sleeve Gastrectomy (LSG) is now the most commonly performed procedure in the US according to the most recent ASMBS estimates with excellent short and long term outcomes. However, long term complications following LSG, including refractory GERD, intrathoracic sleeve migration and weight regain are commonly encountered in high volume bariatric centers. In our center we developed an algorithm for managing GERD following LSG that include aggresive dietary and lifestyle modifications, medications, STRETTA procedure and conversion to Roux en Y Gastric Bypass (RYGB) in patients with refractory GERD.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research