{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T23:28:43Z","timestamp":1792106923519,"version":"4.4.0"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"Supplement_1","license":[{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The sleeve gastrectomy\u2019s efficacy for the reduction of excess weight- and obesity-related comorbidities has been consistently demonstrated though the improvement of postoperative reflux symptoms has been questionable. The purpose of this article is to offer a diagnostic and treatment algorithm for patients suffering from GERD after the sleeve gastrectomy. This article is comprised of recommendations of from a single expert bariatric and foregut surgeon. While previously thought to be a relative contraindication, evidence suggests that select patients with a history of sleeve gastrectomy can safely and effectively undergo magnetic sphincter augmentation (MSA) and achieve improved control of reflux and discontinuation of PPIs. Concomitant hiatal hernia repair with MSA is recommended. MSA is a fantastic strategy for managing GERD after sleeve gastrectomy with careful patient selection.<\/jats:p>","DOI":"10.1093\/dote\/doad030","type":"journal-article","created":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T08:04:10Z","timestamp":1686816250000},"source":"Crossref","is-referenced-by-count":6,"title":["Magnetic sphincter augmentation as treatment of gastroesophageal reflux disease after sleeve gastrectomy"],"prefix":"10.1093","volume":"36","author":[{"given":"Karan","family":"Grover","sequence":"first","affiliation":[{"name":"University Hospitals, Cleveland Medical Center Department of Surgery, , Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leena","family":"Khaitan","sequence":"additional","affiliation":[{"name":"University Hospitals, Cleveland Medical Center Department of Surgery, , Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,6,15]]},"reference":[{"key":"2023062708542780200_ref1"},{"key":"2023062708542780200_ref2","volume-title":"Metabolic and Bariatric Surgery","author":"The American Society for Metabolic & Bariatric Surgery","year":"2021"},{"key":"2023062708542780200_ref3","doi-asserted-by":"crossref","first-page":"1882","DOI":"10.1007\/s11695-015-1614-x","article-title":"GERD-related questionnaires and obese population: can they really reflect the severity of the disease and the impact of GERD on quality of patients\u2019 life?","volume":"25","author":"Doulami","year":"2015","journal-title":"Obes Surg"},{"issue":"36","key":"2023062708542780200_ref4","doi-asserted-by":"crossref","first-page":"10348","DOI":"10.3748\/wjg.v21.i36.10348","article-title":"Laparoscopic sleeve gastrectomy and gastroesophageal reflux","volume":"21","author":"Stenard","year":"2015","journal-title":"World J Gastroenterol"},{"issue":"5","key":"2023062708542780200_ref5","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1097\/SLA.0000000000000967","article-title":"Gastroesophageal reflux disease and laparoscopic sleeve gastrectomy: a physiopathologic evaluation","volume":"260","author":"Rebecchi","year":"2014","journal-title":"Ann Surg"},{"key":"2023062708542780200_ref6","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/s11695-007-9006-5","article-title":"Sleeve gastrectomy: a restrictive procedure?","volume":"17","author":"Melissas","year":"2007","journal-title":"Obes Surg"},{"key":"2023062708542780200_ref7","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.1007\/s11695-007-9232-x","article-title":"Laparoscopic sleeve gastrectomy\u2014influence of sleeve size and resected gastric volume","volume":"17","author":"Weiner","year":"2007","journal-title":"Obes Surg"},{"issue":"8","key":"2023062708542780200_ref8","doi-asserted-by":"crossref","first-page":"2591","DOI":"10.1007\/s00423-021-02171-3","article-title":"Manometric and pH-monitoring changes after laparoscopic sleeve gastrectomy: a systematic review","volume":"406","author":"Balla","year":"2021","journal-title":"Langenbecks Arch Surg"},{"issue":"8","key":"2023062708542780200_ref9","doi-asserted-by":"crossref","first-page":"e00225","DOI":"10.14309\/ctg.0000000000000225","article-title":"Esophageal pathophysiologic changes and adenocarcinoma after bariatric surgery: a systematic review and meta-analysis","volume":"11","author":"Jaruvongvanich","year":"2020","journal-title":"Clin Transl Gastroenterol"},{"issue":"2","key":"2023062708542780200_ref10","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1097\/SLA.0000000000003275","article-title":"Does sleeve gastrectomy expose the distal Esophagus to severe reflux?: a systematic review and meta-analysis","volume":"271","author":"Yeung","year":"2020","journal-title":"Ann Surg"},{"issue":"2","key":"2023062708542780200_ref11","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.gie.2020.08.008","article-title":"Barrett's esophagus after sleeve gastrectomy: a systematic review and meta-analysis","volume":"93","author":"Qumseya","year":"2021","journal-title":"Gastrointest Endosc"},{"issue":"3","key":"2023062708542780200_ref12","doi-asserted-by":"crossref","first-page":"e545","DOI":"10.1097\/SLA.0000000000005239","article-title":"The impact of magnetic sphincter augmentation (MSA) on esophagogastric junction (EGJ) and esophageal body physiology and manometric characteristics","volume":"277","author":"Ayazi","year":"2023","journal-title":"Ann Surg"},{"key":"2023062708542780200_ref13","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.thorsurg.2019.07.008","article-title":"Surgical anatomy of paraesophageal hernias","volume":"29","author":"Petrov","year":"2019","journal-title":"Thorac Surg Clin"},{"issue":"1","key":"2023062708542780200_ref14","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1186\/s12893-022-01800-y","article-title":"Hiatal reconstruction is safe and effective for control of reflux after laparoscopic sleeve gastrectomy","volume":"22","author":"Indja","year":"2022","journal-title":"BMC Surg"},{"key":"2023062708542780200_ref15","doi-asserted-by":"crossref","first-page":"1961","DOI":"10.1056\/NEJMra2000328","article-title":"Esophageal motility disorders and gastroesophageal reflux disease","volume":"383","author":"Mittal","year":"2020","journal-title":"N Engl J Med"},{"issue":"22","key":"2023062708542780200_ref16","first-page":"00791","article-title":"Independent association of preoperative Hill grade with gastroesophageal reflux disease 2 years after sleeve gastrectomy","volume":"S1550-7289","author":"Alvarez","year":"2022","journal-title":"Surg Obes Relat Dis"},{"issue":"6","key":"2023062708542780200_ref17","doi-asserted-by":"crossref","first-page":"1731","DOI":"10.1007\/s11695-017-3087-6","article-title":"Does sleeve shape make a difference in outcomes?","volume":"28","author":"Alhaj Saleh","year":"2018","journal-title":"Obes Surg"},{"key":"2023062708542780200_ref18","volume-title":"Linx Instructions For Use"},{"issue":"1","key":"2023062708542780200_ref19","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1007\/s11695-022-06381-6","article-title":"Feasibility and efficacy of magnetic sphincter augmentation for the management of gastroesophageal reflux disease post-sleeve gastrectomy for obesity","volume":"33","author":"Khaitan","year":"2023","journal-title":"Obes Surg"},{"issue":"8","key":"2023062708542780200_ref20","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1056\/NEJMoa1205544","article-title":"Esophageal sphincter device for gastroesophageal reflux disease","volume":"368","author":"Ganz","year":"2013","journal-title":"N Engl J Med"},{"issue":"7","key":"2023062708542780200_ref21","doi-asserted-by":"crossref","first-page":"3211","DOI":"10.1007\/s00464-019-07096-z","article-title":"Magnetic sphincter augmentation: a viable rescue therapy for symptomatic reflux following bariatric surgery","volume":"34","author":"Broderick","year":"2020","journal-title":"Surg Endosc"},{"issue":"11","key":"2023062708542780200_ref22","doi-asserted-by":"crossref","first-page":"8255","DOI":"10.1007\/s00464-022-09261-3","article-title":"Laparoscopic magnetic sphincter augmentation device placement for patients with medically-refractory gastroesophageal reflux after sleeve gastrectomy","volume":"36","author":"Patel","year":"2022","journal-title":"Surg Endosc"}],"container-title":["Diseases of the Esophagus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/dote\/article-pdf\/36\/Supplement_1\/doad030\/50719168\/doad030.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/dote\/article-pdf\/36\/Supplement_1\/doad030\/50719168\/doad030.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,27]],"date-time":"2023-06-27T08:59:53Z","timestamp":1687856393000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/dote\/article\/doi\/10.1093\/dote\/doad030\/7198237"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":22,"journal-issue":{"issue":"Supplement_1","published-online":{"date-parts":[[2023,6,15]]},"published-print":{"date-parts":[[2023,6,15]]}},"URL":"https:\/\/doi.org\/10.1093\/dote\/doad030","relation":{},"ISSN":["1120-8694","1442-2050"],"issn-type":[{"value":"1120-8694","type":"print"},{"value":"1442-2050","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,6]]},"published":{"date-parts":[[2023,6]]},"article-number":"doad030"}}