PMID- 31159543
OWN - NLM
STAT- MEDLINE
DCOM- 20190826
LR  - 20190826
IS  - 0035-9351 (Print)
IS  - 0035-9351 (Linking)
VI  - 98
IP  - 5
DP  - 2019 Spring
TI  - An alternative method of surgical treatment in refractory GERD following 
      laparoscopic sleeve gastrectomy.
PG  - 214-218
AB  - Obesity has become a global problem with increasing prevalence. Undoubtedly, 
      bariatric surgery is the most effective way to treat morbid obesity. Laparoscopic 
      sleeve gastrectomy (LSG) is currently the most commonly performed bariatric 
      procedure worldwide. The prevalence of gastroesopha-geal reflux disease (GERD) is 
      also increasing, a close association with increasing prevalence of obesity being 
      regarded as the main cause of this trend. The relationship between LSG and GERD 
      is still unclear, at least controversial. If GERD occurs in the postoperative 
      period, the first therapeutic intervention is initiation of proton pump 
      inhibitors (PPI) treatment, which is effective in the vast majority of patients. 
      In patients resistant to this treatment, conversion to laparoscopic Roux en Y 
      gastric bypass (LRYGB) is usually necessary. The authors present the case report 
      of a patient who developed GERD in the longer postoperative period and conversion 
      to LRYGB was not appropriate due to previous complications and surgical 
      procedures. Therefore, this patient was managed operatively by an alternative 
      method - hiatoplasty with partial posterior fundoplication. The success of the 
      treatment was confirmed clinically by disappearance of GERD symptomatology 
      postoperatively even after PPI discontinuation. LRYGB is the method of choice for 
      GERD after restrictive bariatric procedures. However, some patients are not 
      suitable for conversion to LRYGB, and alternative treatment options are therefore 
      needed.
FAU - Ostruszka, P
AU  - Ostruszka P
FAU - Ihnat, P
AU  - Ihnat P
FAU - Tulinsky, L
AU  - Tulinsky L
FAU - Vavra, P
AU  - Vavra P
LA  - eng
PT  - Case Reports
PT  - Journal Article
TT  - Alternativni metoda chirurgicke lečby refrakterniho GERD po laparoskopicke 
      sleeve gastrektomii.
PL  - Czech Republic
TA  - Rozhl Chir
JT  - Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti
JID - 9815441
MH  - *Gastrectomy
MH  - *Gastric Bypass
MH  - *Gastroesophageal Reflux/surgery
MH  - Humans
MH  - *Laparoscopy
MH  - *Obesity, Morbid
MH  - Postoperative Complications
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - hiatal hernia repair
OT  - reflux
OT  - sleeve gastrectomy
EDAT- 2019/06/05 06:00
MHDA- 2019/08/27 06:00
CRDT- 2019/06/05 06:00
PHST- 2019/06/05 06:00 [entrez]
PHST- 2019/06/05 06:00 [pubmed]
PHST- 2019/08/27 06:00 [medline]
AID - 112589 [pii]
PST - ppublish
SO  - Rozhl Chir. 2019 Spring;98(5):214-218.