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Review
. 2021 Dec;50(4):859-870.
doi: 10.1016/j.gtc.2021.08.010. Epub 2021 Oct 6.

Gastroesophageal Reflux Disease and the Patient with Obesity

Yewande Alimi  1 , Dan E Azagury  2
Affiliations
Review

Gastroesophageal Reflux Disease and the Patient with Obesity

Yewande Alimi et al. Gastroenterol Clin North Am. 2021 Dec.

Abstract

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.

Keywords: Fundoplication; GERD; Obesity; Roux-en-Y gastric bypass; Sleeve gastrectomy.

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Conflict of interest statement

Disclosure The authors have no relevant disclosures.