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Nissen Sleeve as a Redo Surgery Post Gastric Banding for Non-responders to Weight Loss and Therapy-Resistant Reflux

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Abstract

Roux-en-Y gastric bypass (LRYGB) would be the procedure of choice for non-responders of weight loss and patients with reflux symptoms (GERD). However, not every patient is a candidate for RYGB, and sometimes, the patient can insist only on alternatives other than malabsorption procedures, as was the case with our patient. We report a case with symptomatic GERD who underwent a successful Nissen sleeve gastrectomy after band removal. To our knowledge, this is the first case using Nissen sleeve as a redo surgery after a previous bariatric procedure.

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Correspondence to Aiman Ismaeil.

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Ethical Approval

The procedure performed in the study was in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained in the study.

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The authors declare no competing interests.

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Key points

•  A new variant, the Nissen sleeve, as a redo surgery following a previous bariatric procedure was described.

• Another alternative option for patients with severe reflux and morbid obesity who are unwilling or unable to undergo RYGB.

• The Nissen sleeve looks to be a safe surgical method as a redo operation with an acceptable early postoperative complication rate after the initial learning curve and later technical adjustments.

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Ismaeil, A., Dillemans, B. Nissen Sleeve as a Redo Surgery Post Gastric Banding for Non-responders to Weight Loss and Therapy-Resistant Reflux. OBES SURG 34, 1055–1057 (2024). https://doi.org/10.1007/s11695-024-07083-x

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  • DOI: https://doi.org/10.1007/s11695-024-07083-x

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