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Gastroesophageal Reflux Disease and the Patient with Obesity.
Gastroesophageal Reflux Disease and the Patient with Obesity. Gastroenterology clinics of North America Alimi, Y., Azagury, D. E. 2021; 50 (4): 859-870Abstract
Patients with obesity who present with gastroesophageal reflux disease (GERD) require a nuanced approach. Those with lower body mass index (BMI) (less than 33) can be counseled on weight loss, and if successful may be approached with laparoscopic fundoplication. Those who are unable to achieve weight loss or those who present with a BMI greater than or equal to 35 should proceed with laparoscopic Roux-en-Y gastric bypass (LRYGB). Conversion to LRYGB from sleeve gastrectomy is a safe and effective way to manage GERD after sleeve gastrectomy.
View details for DOI 10.1016/j.gtc.2021.08.010
View details for PubMedID 34717875