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Comment on: Sleeve gastrectomy with tailored 360° fundoplication according to Rossetti in patients affected by obesity and gastroesophageal reflux: a prospective observational study

Published:February 24, 2021DOI:https://doi.org/10.1016/j.soard.2021.02.021
      I read with interest the manuscript entitled, “Sleeve Gastrectomy with tailored 360° fundoplication according to Rossetti in patients affected by obesity and gastroesophageal reflux: a prospective observational study,” in which 58 patients underwent a laparoscopic sleeve gastrectomy (SG) with a Rossetti anti-reflux fundoplication in patients affected by morbid obesity and GERD [
      • Olmi S.
      • Cesana G.
      • D’Angiolella L.
      • Bonaldi M.
      • Uccelli M.
      • Matnovani L.
      Sleeve gastrectomy with tailored 360° fundoplication according to Rossetti in patients affected by obesity and gastro-esophageal reflux: a prospective observational study.
      ]. One year after surgery, patients had an expected decrease in body mass index (BMI), of nearly 14 kg/m2 and GERD improvement in 97 % of patients. Two patients had fundoplication perforation and required postoperative surgical intervention (3.5%) [
      • Olmi S.
      • Cesana G.
      • D’Angiolella L.
      • Bonaldi M.
      • Uccelli M.
      • Matnovani L.
      Sleeve gastrectomy with tailored 360° fundoplication according to Rossetti in patients affected by obesity and gastro-esophageal reflux: a prospective observational study.
      ]. Although patients are willingly taking drugs for reflux after SG, many physicians would be content to have this problem solved to avoid the risk of long-term Barrett’s esophagus and possible adenocarcinoma of the esophagus. Nonetheless, it is a controversy in SG to create such fundoplication during SG surgery.
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