title: Severe reflux esophagitis after vertical banded gastroplasty for treatment of morbid obesity.
abstract: Herein we describe two patients with medically refractory, severe reflux esophagitis after vertical banded gastroplasty for morbid obesity. Neither patient had symptoms of reflux preoperatively. Both patients underwent conversion to a vertical Roux-en-Y gastric bypass, an operation that prevents acid and peptic reflux and maintains a weight-reducing anatomy. Symptoms of gastroesophageal reflux are common (they occur in approximately 38% of patients) after vertical banded gastroplasty has been performed. Patients with unusually severe reflux may require operative management.
authors.affiliation: Division of Gastroenterology, Mayo Clinic, Rochester, MN 55905.
authors.forename: C H
authors.initials: CH
authors.lastname: Kim
authors.forename: M G
authors.initials: MG
authors.lastname: Sarr
mesh_terms: D000328:Adult; D004942:Esophagitis, Peptic / Q000209:etiology*; D005260:Female; D015391:Gastroplasty / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D009767:Obesity, Morbid / Q000601:surgery*; D012086:Reoperation