Erschienen in:
20.01.2017 | Letter to Editor/LED Reply
Reply to the Letter to the Editor on “A New Algorithm to Reduce the Incidence of Gastroesophageal Reflux Symptoms after Laparoscopic Sleeve Gastrectomy”
verfasst von:
Ilhan Ece, HuseyinYilmaz, Fahrettin Acar, Bayram Colak, Serdar Yormaz, Mustafa Sahin
Erschienen in:
Obesity Surgery
|
Ausgabe 4/2017
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Excerpt
Thank you very much for your kind attention to our manuscript. This study does not constitute our first experience with this topic. We fully understand that gastroesophageal reflux disease (GERD) after laparoscopic sleeve gastrectomy is a serious complication of this surgical technique. Therefore, we developed a new algorithm to overcome this problem. In the literature, most reports of GERD are based on subjective observations. We aimed to evaluate the preoperative risk of GERD objectively and to highlight our methods of prevention. Insufficient dissection of retrogastric tissue and creation of a large sleeve pouch are not closely associated with GERD symptoms. Large sleeve gastrectomy is often related to weight regain and poor weight loss. Therefore, we do not need to explain the technical details of surgery. Many techniques for adjusting the final volume of the sleeve have already been described in the literature; some of these references were cited in our article. …
