Top

Published in:

01-11-2020 | Sleeve Gastrectomy | Brief Communication

Antireflux Mucosectomy Band (ARM-b) in Treatment of Refractory Gastroesophageal Reflux Disease After Bariatric Surgery

Authors: Antoine Debourdeau, Véronique Vitton, Laurent Monino, Marc Barthet, Jean-Michel Gonzalez

Published in: Obesity Surgery | Issue 11/2020

Abstract

Laparoscopic sleeve gastrectomy has become the most commonly used bariatric surgery worldwide. However, there are a proportion of patients who present with a refractory GERD after this procedure. In these patients, when surgical conversion to RYGPB is not possible or declined, we propose to describe the results of an endoscopic antireflux mucosectomy band (ARM-b) technique in 6 LSG patients with refractory GERD. The technical feasibility was 100%; 5 out of 6 patients had a clinical response with a reduction of the GERD-HRQL score of > 50%. Two patients had adverse events: one esophageal stricture and one benign bleeding. ARM-b is feasible and potentially effective to treat patients with refractory GERD after LSG.

Sebastianelli L, Benois M, Vanbiervliet G, Bailly L, Robert M, Turrin N, et al. Systematic endoscopy 5 years after sleeve gastrectomy results in a high rate of barrett’s esophagus: results of a multicenter study. Obesity Surgery [Internet]. Springer New York LLC; 2019 [cited 2020 mar 18];29:1462–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30666544

Jammu GS, Sharma R. A 7-year clinical audit of 1107 cases comparing sleeve gastrectomy, Roux-En-Y gastric bypass, and mini-gastric bypass, to determine an effective and safe bariatric and metabolic procedure. Obesity surgery [Internet]. Springer New York LLC; 2016 [cited 2020 mar 18];26:926–32. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26337694

Daes J, Jimenez ME, Said N, Daza JC, Dennis R. Laparoscopic sleeve gastrectomy: symptoms of gastroesophageal reflux can be reduced by changes in surgical technique. Obesity Surgery [Internet]. 2012 [cited 2020 mar 18];22:1874–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22915063

Nocca D, Skalli EM, Boulay E, Nedelcu M, Michel Fabre J, Loureiro M. Nissen sleeve (N-sleeve) operation: preliminary results of a pilot study. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery [Internet]. Elsevier Inc.; 2016 [cited 2020 mar 18];12:1832–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27234340

Inoue H, Tanabe M, de Santiago ER, Abad MRA, Shimamura Y, Fujiyoshi Y, et al. Anti-reflux mucosal ablation (ARMA) as a new treatment for gastroesophageal reflux refractory to proton pump inhibitors: a pilot study. Endoscopy International Open. Georg Thieme Verlag KG; 2020;08:E133–E138.

Monino L, Gonzalez J-M, Vitton V, Barthet M. Antireflux mucosectomy band in treatment of refractory gastroesophageal reflux disease: a pilot study for safety, feasibility and symptom control. Endoscopy International Open [Internet]. Georg Thieme Verlag KG; 2020 [cited 2020 Mar 18];08:E147–54. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32010747

Patil G, Dalal A, Maydeo A. Feasibility and outcomes of anti-reflux mucosectomy for proton pump inhibitor dependent gastroesophageal reflux disease: first Indian study (with video). Digestive Endoscopy. Blackwell Publishing; 2019;

Yoo IK, Ko WJ, Kim HS, Kim HK, Kim JH, Kim WH, et al. Anti-reflux mucosectomy using a cap-assisted endoscopic mucosal resection method for refractory gastroesophageal disease: a prospective feasibility study. Surgical endoscopy [Internet]. Springer; 2020 [cited 2020 mar 18];34:1124–31. Available from: http://www.ncbi.nlm.nih.gov/pubmed/31139995

Hedberg HM, Kuchta K, Ujiki MB. First experience with banded anti-reflux mucosectomy (ARMS) for GERD: feasibility, safety, and technique (with Video). Journal of gastrointestinal surgery: official journal of the Society for Surgery of the Alimentary Tract [Internet]. Springer New York LLC; 2019 [cited 2020 mar 18];23:1274–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30734179

10.

Davis CS, Baldea A, Johns JR, Joehl RJ, Fisichella PM. The evolution and long-term results of laparoscopic antireflux surgery for the treatment of gastroesophageal reflux disease. Journal of the Society of Laparoendoscopic Surgeons. Society of Laparoscopic & Robotic Surgeons; 2010. p. 332–41

Title: Antireflux Mucosectomy Band (ARM-b) in Treatment of Refractory Gastroesophageal Reflux Disease After Bariatric Surgery
Authors: Antoine Debourdeau
Véronique Vitton
Laurent Monino
Marc Barthet
Jean-Michel Gonzalez
Publication date: 01-11-2020
Publisher: Springer US
Keywords: Sleeve Gastrectomy
Bariatric Surgery
Lansoprazole
Esomeprazole
Bariatric Surgery
Gastroesophageal Reflux Disease
Published in: Obesity Surgery / Issue 11/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-020-04753-4

At a glance: The STEP trials

Springer Medicine

Antireflux Mucosectomy Band (ARM-b) in Treatment of Refractory Gastroesophageal Reflux Disease After Bariatric Surgery

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 11/2020

Safety and Efficacy of Bariatric Surgery in Advanced Liver Fibrosis

Why Choosing the Roux-en-Y Gastric Bypass in a Morbid Obese with a History of a Failed Nissen Fundoplication Is Not a Dogma

Recommendations to Manage Patients for Bariatric Surgery in the COVID-19 Pandemic: Experience from China

1-Year Follow-up of Single Anastomosis Sleeve Ileal (SASI) Bypass in Morbid Obese Patients: Efficacy and Concerns

The “Hug” Technique—Roux-en-Y Gastric Bypass with Preservation of the Posterior Wrap in Patients with Previous Nissen Fundoplication: a Simple Solution for a Complex Problem

5-Year Results of Banded One-Anastomosis Gastric Bypass: a Pilot Study in Super-Obese Patients