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National trends in utilization and safety of gastric bypass, sleeve gastrectomy and conversion surgery in patients with GERD.

Tina BharaniAli TavakkoliThomas TsaiDavid SpectorTalar TatarianMalcolm RobinsonEric G Sheu
Published in: Surgical endoscopy (2023)
This data suggests that a strategy of performing a primary SG and subsequent SG-RYGB conversion for those with recalcitrant GERD symptoms is not riskier than a primary RYGB. Thus, it may be reasonable to perform SG in patients who are well informed of the risk of worsening GERD requiring additional surgical interventions. However, the impact of such staged approach (SG followed by conversion to RYGB) on long-term outcomes remains unknown.
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