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Ann Thorac Surg 2006;82:1171
© 2006 The Society of Thoracic Surgeons

Correspondence

Belsey Mark IV After Roux-en-Y Gastric Bypass

Scott G. Houghton, MDa, Mark S. Allen, MDa, Michael G. Sarr, MDb

a Divisions of Gastroenterologic and General Surgery, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905
b Division of General Thoracic Surgery, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905

(Email: houghton.scott@mayo.edu; allen.mark@mayo.edu; sarr.michael@mayo.edu).

The first 20% of the full text of this article appears below.

To the Editor:

We were intrigued by the case report by Chen and colleagues [1]. Although we agree that gastroesophageal reflux disease (GERD) impacts many obese patients [2, 5], performing an anti-reflux operation after Roux-en-Y gastric bypass (RYGB) seems counterintuitive. When performed correctly, RYGB decreases dramatically and virtually eliminates acid present in the proximal gastric pouch, reduces GERD symptoms, DeMeester scores, and use of anti-reflux medications, and should eliminate completely duodeno-esophageal reflux by the Roux anatomy [2, 3, 4, 6]. After RYGB, reflux symptoms improve dramatically (and immediately postoperatively) prior to weight loss, . . . [Full Text of this Article]


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David B. Lautz and Raphael Bueno
Ann. Thorac. Surg. 2006 82: 1172. [Extract] [Full Text] [PDF]



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Ann. Thorac. Surg., September 1, 2006; 82(3): 1172 - 1172.
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