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Obesity Surgery
Published in: Obesity Surgery 10/2020

01-10-2020 | Antireflux Surgery | Letter to Editor/LED Reply

Laparoscopic Roux-en-Y Gastric Bypass After Nissen Fundoplication Preserving Wraps Integrity

Authors: Pierre Blanc, Christophe Breton, Radwan Kassir

Published in: Obesity Surgery | Issue 10/2020

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Excerpt

We thank the authors for this careful reading of our article and their comments. The long-term outcome of a residual gastric fundus remains unknown (gastroesophageal reflux disease [GERD], weight regain). The residual gastric fundus used to perform the valve may result in less weight loss and faster weight regain. The figure 1 in our article [1] shows that the antireflux valve is voluminous when the small blood vessels are preserved. In practice, it is very likely that the gastric pouch was small (unrecovered operative reports). …
Literature
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Mahawar KK, Graham Y, Carr WR, et al. Revisional Roux-en-Y gastric bypass and sleeve gastrectomy: a systematic review of comparative outcomes with respective primary procedures. Obes Surg. 2015;25:1271–80.CrossRef
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Qiu J, Lundberg PW, Javier Birriel T, et al. Revisional bariatric surgery for weight regain and refractory complications in a single MBSAQIP accredited center: what are we dealing with? Obes Surg. 2018;28:2789–95.CrossRef
6.
Metadata
Title
Laparoscopic Roux-en-Y Gastric Bypass After Nissen Fundoplication Preserving Wraps Integrity
Authors
Pierre Blanc
Christophe Breton
Radwan Kassir
Publication date
01-10-2020
Publisher
Springer US
Published in
Obesity Surgery / Issue 10/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-04706-x

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