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 [
[1]
]. 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%) [
[1]
]. 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.To read this article in full you will need to make a payment
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References
- Sleeve gastrectomy with tailored 360° fundoplication according to Rossetti in patients affected by obesity and gastro-esophageal reflux: a prospective observational study.Surg Obes Relat Dis. 2021; 17: 1057-1068
- The Nissen sleeve gastrectomy: technical considerations.J Laparoendosc Adv Surg Tech A. 2020; 30: 1231-1236
- Letter to: Olmi S, Uccelli M, Cesana GC, et al. Modified laparoscopic sleeve gastrectomy with Rossetti antireflux fundoplication: results after 220 procedures with 24-months follow-up.Surg Obes Relat Dis. 2020; 16: 1158-1159
- Response to: letter to: modified laparoscopic sleeve gastrectomy with Rossetti antireflux fundoplication. Results after 220 procedures with 24-months follow-up.Surg Obes Relat Dis. 2020; 16: 1159-1160
- Sleeve gastrectomy and fundoplication as a single procedure in patients with obesity and gastroesophageal reflux.Arq Bras Cir Dig. 2017; 30: 216-221
- Laparoscopic sleeve-fundoplication for morbidly obese patients with gastroesophageal reflux: systematic review and meta-analysis.Obes Surg. Epub. 2021 Jan 3;
- Sleeve gastrectomy and anterior fundoplication (D-SLEEVE) prevents gastroesophageal reflux in symptomatic GERD.Obes Surg. 2020; 30: 1642-1652
- Magnetic sphincter augmentation: a viable rescue therapy for symptomatic reflux following bariatric surgery.Surg Endosc. 2020; 34: 3211-3215
- Gastric bypass surgery in the treatment of gastro-oesophageal reflux symptoms.Aliment Pharmacol Ther. 2019; 50: 159-166
- Efficacy and patient satisfaction of single-session transoral incisionless fundoplication and laparoscopic hernia repair.Surg Endosc. 2021; 35: 921-927
Article info
Publication history
Published online: February 24, 2021
Identification
Copyright
© 2021 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
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- Sleeve gastrectomy with tailored 360° fundoplication according to Rossetti in patients affected by obesity and gastroesophageal refluxSurgery for Obesity and Related DiseasesVol. 17Issue 6
- PreviewWe commend the authors for a remarkably interesting study [1] that makes efforts to answer an important clinical question regarding gastroesophageal reflux disease (GERD) and bariatric surgery. Reflux disease, whether identified in the preoperative workup or as a complication of bariatric surgery, represents a matter of debate that will continue in the upcoming years, and your manuscript brings forth some important information despite the relatively low number of cases. In the present study [1], the authors included 53 patients who underwent laparoscopic sleeve gastrectomy (LSG) with tailored 360° fundoplication according to Rossetti technique.
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- Sleeve gastrectomy with tailored 360° fundoplication according to Rossetti in patients affected by obesity and gastroesophageal reflux: a prospective observational studySurgery for Obesity and Related DiseasesVol. 17Issue 6
