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Obesity Surgery

, Volume 4, Issue 4, pp 340–343 | Cite as

Initial Experience with the Surgical Management of Morbid Obesity Associated with Symptomatic Gastro-esophageal Reflux: A Comparison between Gastroplasty Alone and Gastroplasty with Anterior Fundoplication

  • Patrick M Chiasson
  • Bernard J Perey
  • Sander J O Veldhuyzen van Zanten
Article

The optimal management of patients with morbid obesity and gastro-esophageal reflux disease (GERD) remains an unresolved issue. We have performed a vertical banded gastroplasty combined with an anterior fundoplication (VBG + AF) in 28 selected morbidly obese patients with moderate or severe heartburn. The patients who underwent VBG + AF are compared to patients who had similar heartburn symptoms and underwent gastroplasty alone during this period. In the VBG + AF group there were two treatment failures (7%). In the gastroplasty group there were 63 patients with 15 treatment failures (24%). These differences were independent of demographic and weight loss variables. These results suggest that VBG + AF may provide a superior option for the management of morbidly obese patients with GERD.

Gastro-esophageal reflux morbid obesity gastroplasty anterior fundoplication 

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Copyright information

© Springer 1994

Authors and Affiliations

  • Patrick M Chiasson
    • Bernard J Perey
      • Sander J O Veldhuyzen van Zanten

        There are no affiliations available

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