Roux-en-Y Gastric Bypass and Sleeve Gastrectomy Risk-Adjusted Safety Profiles after Previous Fundoplication: A 499-Patient MBSAQIP Analysis

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Obesity and GERD often coexist, complicating treatment and necessitating effective surgical options after failed fundoplication.
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Roux-en-Y gastric bypass (RYGB) is a promising alternative to redo fundoplication, addressing both obesity and reflux with high symptom resolution rates.
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Sleeve gastrectomy (SG) may be performed after fundoplication but raises concerns about exacerbating GERD, making RYGB generally more favorable.
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This study analyzed MBSAQIP data to evaluate safety and complications of SG and RYGB in patients with prior fundoplication.
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The primary objective was to assess serious complications and mortality rates within 30 days post-surgery for SG and RYGB.

Obesity Surgery

by Pattharasai Kachornvitaya, Valentin Mocanu, Mélissa V. Wills, Juan S. Barajas-Gamboa, Salvador Navarrete, Ricard Corcelles, Andrew Strong, Suthep Udomsawaengsup, Matthew Kroh, Jerry Dang
November 22, 2025

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