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GERD after VSG V Congreso Internacional de Cirugia Bariatrica y Metabolica Mendoza Argentina May 19 & 20, 2011 10 min
GERD after VSG ,[object Object],[object Object],[object Object],Is this a real problem?
 
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],15 published articles - ∅ GERD as primary outcome
Critique ,[object Object],[object Object],[object Object],[object Object]
30-51% patients developed GERD after VSG 176 patients 2 year F/U Diagnosis of GERD - subjective; no preoperative pH, manometry or routine endoscopy HH “repaired” with anterior fixation
“ Biphasic” “ Neo-fundus” DS does not resolve GERD
Anatomic and physiologic factors affecting GERD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Increased GERD Decreased GERD
What to do? ,[object Object],[object Object]

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Reflujo ge post manga gástrica

  • 1. GERD after VSG V Congreso Internacional de Cirugia Bariatrica y Metabolica Mendoza Argentina May 19 & 20, 2011 10 min
  • 2.
  • 3.  
  • 4.
  • 5.
  • 6. 30-51% patients developed GERD after VSG 176 patients 2 year F/U Diagnosis of GERD - subjective; no preoperative pH, manometry or routine endoscopy HH “repaired” with anterior fixation
  • 7. “ Biphasic” “ Neo-fundus” DS does not resolve GERD
  • 8.
  • 9.