Gastroesophageal reflux after Roux-en-Y gastric bypass: Is it just related to technical details?

Abstract

Although it is uncommon, gastroesophageal reflux disease can present after Roux-en-Y gastric bypass, and it is usually related to technical errors. Hiatal hernia, a narrow calibrated gastrojejunostomy and a long gastric pouch are all factors associated with the development of pathologic gastroesophageal reflux. Techniques are available to treat this condition, such as fundoplications with the gastric remnant, gastropexy to the arcuate ligament, teres ligament repair, or sphincter augmentation with the LINX device. Despite the growing number of reports of gastroesophageal reflux after Roux-en-Y gastric bypass, it should be still considered the best surgical option for patients with obesity and a large hiatal hernia or complications secondary to gastroesophageal reflux disease.

Keywords: Anastomotic stricture; Bypass gástrico; Estenosis anastomótica; Gastric bypass; Gastroesophageal reflux; Hernia de hiato; Hiatal hernia; Reflujo gastroesofágico.