Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
Introduction. Laparoscopic sleeve gastrectomy (SG) is the most commonly performed bariatric procedure. We analyzed obesity-related comorbidities, such as GERD, based on the amount of weight loss achieved. Objective. We discuss the outcome of laparoscopic conversion from SG to Roux-en-Y-gastric bypass after GERD onset. Material and Methods. Data from all patients who underwent laparoscopic conversion from SG to RYGB for GERD management between May-March 2018 were retrospectively analyzed at Carlos Andrade Marin Specialties Hospital (Quito, Ecuador) via the MIS/AS400 system and multimodal post-surgical controls. Results. Of 243 patients who underwent SG, 35 (14,4%) had postoperative GERD complications and only 17 (6,9%) qualified for laparoscopic conversion; the series included 22 (62,9%) females and 13 (37.1%) males. A total of 13 (37,1%) patients had grade B esophagitis, 17 (48,6%) grade C and 5 (14,3%) grade D. The remission rate for GERD was 100 %. Postoperative complication rate was 0 %, and mean length of follow-up was three months after conversion. No patients died in this series. Conclusions. Laparoscopic conversion of SG to RYGB is an effective procedure for management of postoperative GERD. It is a safe alternative for treating GERD and improving other comorbidities. It is evident that the indications by which these procedures are initiated are crucial to avoid unnecessary surgical risks and obtain good outcomes.
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