Laparoscopic sleeve gastrectomy combined with Toupet fundoplication (T-sleeve): A short report of a Japanese obesity patient with gastroesophageal reflux disease.
Kohei UnoTakahiro MasudaAtsushi WatanabeKazuhide SatoNaoko FukushimaYoshitaka IshikawaKeita TakahashiYoshihiro ShiraiKoichiro HarukiMasami YudaMuneharu FujisakiYuichiro TanishimaFumiaki YanoKen EtoPublished in: Asian journal of endoscopic surgery (2024)
Laparoscopic sleeve gastrectomy (LSG) is the most frequently performed procedure in bariatric-metabolic surgery (BMS) worldwide, accounting for approximately 90% of BMS procedures in Japan. While numerous studies have reported on the safety and efficacy of LSG, gastroesophageal reflux disease (GERD) remains a major postoperative complication. Although Roux-en-Y gastric bypass (RYGB) is preferred for severe obesity with GERD, it is less suitable for Japanese patients who have a higher risk of gastric cancer due to the remnant stomach which is difficult to observe with esophago-gastro-duodenoscopy. To address de novo and exacerbation GERD after LSG, we conducted LSG with Toupet fundoplication (T-sleeve) for Japanese patients with severe obesity. In our first T-sleeve case, the patient demonstrated sufficient weight loss and improved GERD following surgery. Hence, we suggest that T-sleeve is a feasible option for Japanese patients with obesity and concurrent GERD.
Keyphrases
- gastroesophageal reflux disease
- weight loss
- roux en y gastric bypass
- bariatric surgery
- gastric bypass
- minimally invasive
- insulin resistance
- weight gain
- metabolic syndrome
- glycemic control
- obese patients
- type diabetes
- case report
- coronary artery bypass
- chronic obstructive pulmonary disease
- high fat diet induced
- surgical site infection
- coronary artery disease
- patients undergoing
- body mass index
- acute coronary syndrome
- radiation therapy
- acute respiratory distress syndrome