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Ann Thorac Surg 2005;80:1938-1940
© 2005 The Society of Thoracic Surgeons

Case report

Antireflux Operation for Gastroesophageal Reflux After Roux-en-Y Gastric Bypass for Obesity

Raymond H. Chen, MD, PhD a , David Lautz, MD b , Richard J. Gilbert, MD c , Raphael Bueno, MD a , *

a Division of Thoracic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
b Division of General Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
c Division of Gastroenterology, St. Elizabeth's Medical Center, Boston, Massachusetts, USA

Accepted for publication June 4, 2004.

* Address correspondence to Dr Bueno, Thoracic Surgery, 75 Francis St, Brigham and Women's Hospital, Boston, MA02115 (Email: rbueno{at}partners.org).

Gastroesophageal reflux disease (GERD) affects many morbidly obese patients. The Roux-en-y gastric bypass operation often achieves the simultaneous aims of weight reduction as well as reflux correction. However, some patients continue to suffer from severe gastroesophageal symptoms after successful postoperative weight reduction. There are no reports describing surgical treatments for these patients. Here we report our management of intractable postoperative reflux with a Belsey Mark IV fundoplication performed one year after a successful Roux-en-y gastric bypass operation. The patient tolerated the operation without problems and experienced successful resolution of her reflux symptoms.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
S. G. Houghton, M. S. Allen, and M. G. Sarr
Belsey Mark IV After Roux-en-Y Gastric Bypass.
Ann. Thorac. Surg., September 1, 2006; 82(3): 1171 - 1171.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. B. Lautz and R. Bueno
Reply.
Ann. Thorac. Surg., September 1, 2006; 82(3): 1172 - 1172.
[Full Text] [PDF]


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