Comment on: Laparoscopic sleeve gastrectomy with Rossetti fundoplication: long-term (5-year) follow-up.

Abstract

The excellent clinical series from the San Marco Hospital in Zangonia, Italy, by Uccelli et al. [ [1] Uccelli M. Cesana G.C. Ciccarese F. et al. Laparoscopic sleeve gastrectomy with Rossetti fundoplication: long-term (5-year) follow-up. Surg Obes Relat Dis. 2022; 18: 1199-1208 Abstract Full Text Full Text PDF Scopus (2) Google Scholar ], published this month, describes a prospective series of 450 patients with obesity subjected to laparoscopic sleeve gastrectomy with an added full Rossetti fundoplication procedure, with 127 patients having a follow-up of 5 years or more. One important note, the indication was gastroesophageal reflux disease (GERD) in 75% of patients. Nearly 25% showed esophagitis and (or) Barrett’s esophagus at preoperative gastroscopy. The added fundoplication did not add prolonged operating time, with a mean of 51 minutes. After 5 years, >95% of patients did not suffer from reflux symptoms, and weight loss patterns were not different from those in patients with a classical sleeve gastrectomy. Most interestingly, severe esophagitis and Barrett’s esophagus had showed endoscopic improvement [ [1] Uccelli M. Cesana G.C. Ciccarese F. et al. Laparoscopic sleeve gastrectomy with Rossetti fundoplication: long-term (5-year) follow-up. Surg Obes Relat Dis. 2022; 18: 1199-1208 Abstract Full Text Full Text PDF Scopus (2) Google Scholar ]. Laparoscopic sleeve gastrectomy with Rossetti fundoplication: long-term (5-year) follow-upSurgery for Obesity and Related DiseasesVol. 18Issue 10PreviewGastroesophageal reflux disease (GERD), including erosive esophagitis, is highly prevalent in the obese population. Barrett’s esophagus is the consequence of untreated GERD. Laparoscopic sleeve gastrectomy is one of the most frequently performed bariatric procedures. This study presents results after 5 years of follow-up of combined LSG and Rossetti fundoplication for the treatment of GERD, esophagitis, and Barrett’s esophagus in patients with morbid obesity. Full-Text PDF