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What is the best option for a patient with gastroesophageal reflux after a sleeve gastrectomy?
Posted in Debates on 12 November 2015

A 37 year old male patient with a history of HBP, T2DM, obstructive sleep apnea syndrome and BMI 58 Kg/m2 undergoes a Lap sleeve gastrectomy as a first stage of treating his MO with the intention of performing a BDP-DS at a second stage. In the following year the patient develops a severe gastroesophageal reflux resistant to medical treatment (EGDT identified a small hiatal hernia), currently with a BMI of 46 Kg/m2. What is the most reasonable option to follow?

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