Roux-en-Y Gastric Bypass and Sleeve Gastrectomy Risk-Adjusted Safety Profiles after Previous Fundoplication: A 499-Patient MBSAQIP Analysis - Takeaways - MDSpire
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Safety Profiles of Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in Patients with Prior Fundoplication: An Analysis of 499 Cases from MBSAQIP

  • 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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  • 1

    Obesity and GERD often coexist, complicating treatment and necessitating effective surgical options after failed fundoplication.

  • 2

    Roux-en-Y gastric bypass (RYGB) is a promising alternative to redo fundoplication, addressing both obesity and reflux with high symptom resolution rates.

  • 3

    Sleeve gastrectomy (SG) may be performed after fundoplication but raises concerns about exacerbating GERD, making RYGB generally more favorable.

  • 4

    This study analyzed MBSAQIP data to evaluate safety and complications of SG and RYGB in patients with prior fundoplication.

  • 5

    The primary objective was to assess serious complications and mortality rates within 30 days post-surgery for SG and RYGB.

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