{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T17:12:07Z","timestamp":1788455527079,"version":"build-2803163510"},"reference-count":37,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82060166"],"award-info":[{"award-number":["82060166"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This randomised controlled trial compared the efficacy of modified laparoscopic sleeve gastrectomy with fundoplication (LSGFD) versus standard laparoscopic sleeve gastrectomy (LSG) in achieving weight loss and alleviating gastroesophageal reflux disease (GERD) in patients with obesity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      Eighty patients with obesity (body mass index [BMI] \u226527.5\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      with comorbidities or \u226532.5\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) with mild\u2010to\u2010moderate GERD were randomised to LSGFD (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200927) or LSG (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200953). Assessments included weight, BMI, waist\u2013hip ratio, percentage of excess weight loss (%EWL), GERD Questionnaire scores, endoscopy, lower oesophageal sphincter (LES) pressure and DeMeester scores preoperatively and at 6\u201312\u2009months postoperatively. Fundoplication type (180\u00b0 Dor, 270\u00b0 Toupet or 360\u00b0 Nissen) was intraoperatively adjusted based on LES pressure. Statistical analyses used\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, analysis of variance and chi\u2010square tests (SPSS v19.0).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No significant differences were observed between the two groups in preoperative parameters. However, at 6 and 12\u2009months postoperatively, both groups showed significant reductions in body weight, BMI, waist circumference, hip circumference and waist\u2013hip ratio, along with a significant increase in the %EWL. The LSGFD group demonstrated superior outcomes in treating GERD and other obesity\u2010related comorbidities, particularly notable improvements in reflux esophagitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>LSGFD provides equivalent weight loss to LSG but significantly superior control of GERD symptoms and resolution of reflux esophagitis. It offers enhanced management of obesity\u2010related comorbidities without increasing surgical risk, supporting its use in obese patients with GERD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.70094","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T11:05:09Z","timestamp":1757329509000},"page":"6955-6967","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparative efficacy of sleeve gastrectomy with fundoplication versus standard sleeve gastrectomy in obesity and gastroesophageal reflux disease: A randomised trial"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6023-4943","authenticated-orcid":false,"given":"Pierdiwasi","family":"Maimaitiyusupu","sequence":"first","affiliation":[{"name":"Department of Minimally Invasive Surgery, Hernias and Abdominal Wall Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, 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