Case Series
Volume 8 Issue 02 - 2021
Proximal Gastric Plication to Treat Gastroesophageal Reflux in Patients with Previous Bariatric Surgery
Alejandro Weber Sánchez*, Pablo Weber and Denzil Garteiz Martinez
Department of Surgery, Hospital Angeles Lomas, Huixquilucan, México
*Corresponding Author: Alejandro Weber Sánchez, Department of Surgery, Hospital Angeles Lomas, Huixquilucan, México.
Received:December 28, 2020; Published: February 12, 2021


Treatment of gastroesophageal reflux after bariatric surgery has been a concern among surgeons because of its harmful effects. Many techniques have been developed to treat this unfavorable consequence of bariatric surgery. We present two cases in which an easy and innovative surgical technique, a proximal gastric plication, has been useful for solving GERD in addition to the necessary correction of the hiatal hernia if present and conversion of the bariatric procedure if required.

Keywords: Proximal Gastric Plication; Gastroesophageal Reflux Disease (GERD); Bariatric Surgery; Sleeve Gastrectomy (SG)


  1. Schlottmann F., et al. “Bariatric Surgery and Gastroesophageal Reflux”. Journal of Laparoendoscopic and Advanced Surgical Techniques 28 (2018): 1-3.
  2. Mandeville Y., et al. “Moderating the enthusiasm of sleeve gastrectomy: Up to fifty percent of reflux symptoms ten years in a consecutive series of 100 laparoscopic sleeve gastrectomies”. Obesity Surgery 27 (2017): 1797-1803.
  3. Genco A., et al. “Gastroesophageal reflux disease and Barrett’s esophagus after sleeve gastrectomy: A possible underestimated long-term complication”. Surgery for Obesity and Related Diseases 13 (2017): 568-574.
  4. Popescu AL., et al. “Laparoscopic sleeve gastrectomy and gastroesophageal reflux”. Romanian Journal of Internal Medicine 56 (2018): 227-232.
  5. Che F., et al. “Prevalence of hiatal hernia in the morbidly obese”. Surgery for Obesity and Related Diseases 9 (2013): 920-924.
  6. Imam A., et al. “Hiatal hernia evaluation before bariatric surgery: should it be routinely done?” Obesity Surgery (2020).
  7. Sutherland V., et al. “Impact of bariatric surgery on hiatal hernia repair outcomes”. The American Journal of Surgery 82 (2016): 743-747.
  8. Weber SA., et al. “Experiencia de más de una década con reparación protésica en hernia hiatal grande o recidivada”. Cir Endoscopic 18 (2017): 66-72.
  9. Mendes-Filho AM., et al. “Fundoplication conversion in Roux-en-Y gastric bypass for control of obesity and gastroesophageal reflux: systematic review”. Arquivos Brasileiros de Cirurgia Digestiva: ABCD 30 (2017): 279-282.
  10. Valdovinos GR., et al. “Cardiopexy with ligamentum teres in patients with hernia and previous sleeve gastrectomy: an alternative treatment for gastroesophageal reflux disease”. Obesity Surgery 25 (2015): 1539-1543.
  11. Del Genio G., et al. “Sleeve gastrectomy and anterior fundoplication (d-sleeve) prevents gastroesophageal reflux in symptomatic GERD 30 (2020): 1642-1652.
  12. Ravens FA and Swain P. “Endoluminal fundoplication – the Hill procedure”. Minimally Invasive Therapy and Allied Technologies6 (2006): 366-372.
  13. Lasnibat J., et al. “Sleeve gastrectomy and fundoplication as a single procedure in patients with obesity and gastroesophageal reflux”. ABCD - Arquivos Brasileiros De Cirurgia Digestiva 30 (2017): 216-221.
  14. Martines G., et al. “Sleeve gastrectomy combined with Nissen fundoplication as a single surgical procedure, is it really safe? a case report”. American Journal of Case Reports 2 (2020): e923543.
  15. Hawasli A., et al. “Laparoscopic management of severe reflux after sleeve gastrectomy, in selected patients, without conversion to Roux-en-Y gastric bypass”. Journal of Laparoendoscopic and Advanced Surgical Techniques 25 (2015): 631-635.
  16. Lee W-J and Almalki O. “Gastro esophageal reflux disease after sleeve gastrectomy: a real issue and future perspectives”. The Journal of Gastrointestinal Surgery 1 (2018): 1001.
  17. Mendoza CA. “Reflujo gastroesofágico. Ayer, hoy y mañana”. Revista Colombiana de Cirugía 19 (2004): 5-16.
Citation: Alejandro Weber Sánchez., et al. “Proximal Gastric Plication to Treat Gastroesophageal Reflux in Patients with Previous Bariatric Surgery”. EC Gastroenterology and Digestive System 8.02 (2021): 116-123.

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