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Obesity Surgery

, Volume 30, Issue 2, pp 423–426 | Cite as

Bariatric Surgery After Previous Antireflux Surgery Without Takedown of the Previous Fundoplication: a Prospective Study

  • Radwan KassirEmail author
  • Patrice Lointier
  • Christophe Breton
  • Pierre Blanc
Original Contributions

Abstract

Background

The increased prevalence of reflux disease in obese patients, combined with widespread availability of laparoscopic antireflux surgery, has increased the likelihood that more patients will seek bariatric surgery having previously undergone fundoplication.

Objectives

This study examined our series of laparoscopic bariatric surgery after previous antireflux surgery without takedown of the previous fundoplication. We discuss our results, our technique and the tips and tricks to avoid complication after this procedure.

Setting

Private practice.

Methods

We operated on patients suffering from obesity who had already undergone laparoscopic Nissen. The patients were eligible for bariatric surgery according to the French National Institute of Health’s criteria for bariatric surgery. The pre-operative assessment involved gastroscopy with biopsies looking for Helicobacter pylori, oesophago-gastroduodenoscopy, investigation for sleep apnoea syndrome and a full laboratory assessment. The patients took part in their choice of surgery.

Results

The patients’ post-operative course was uncomplicated. No patients had symptoms of gastro-esophageal reflux late after surgery and good gastrointestinal comfort was achieved (no pain, no reflux). All of the patients were satisfied. Length of stay was 3 to 5 days. All patients exhibited significant weight loss.

Conclusion

Bariatric surgery is possible after fundoplication without taking down the fundoplication. It appears to be a viable alternative in patients seeking weight loss surgery after fundoplication, which is currently assumed contraindicated.

Keywords

Morbid obesity Surgery Gastric bypass Antireflux surgery Minibypass 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Digestive SurgeryCHU Félix GuyonSaint DenisFrance
  2. 2.Department of Bariatric SurgeryCHU Felix-GuyonSaint DenisFrance
  3. 3.Department of Digestive SurgeryClinique de la châtaigneraieBeaumontFrance
  4. 4.Department of Bariatric SurgeryClinique Chirurgicale Mutualiste de Saint-EtienneSaint-EtienneFrance

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