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Why associate fundoplication with a Sleeve gastrectomy?
Gastroesophageal reflux disease (GERD) is highly prevalent in obese patients and is a common complication after sleeve gastrectomy.
The current recommendation for patients with obesity and GERD is Roux-en-Y Gastric Bypass (RYGB), but for a subset of patients, when SG is indicated, the association of fundoplication with the procedure will not only help to improve the existing GERD, but will also prevent its appearance.
The literature shows SG can be associated with Nissen, Rossetti, Dor, and Toupet’s fundoplication.
In this lecture, we will review the available evidence on procedural technique, results and complications.
