{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T00:17:08Z","timestamp":1792887428172,"version":"4.5.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2026,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Severe gastroesophageal reflux disease (GERD) following sleeve gastrectomy (SG) remains a major therapeutic challenge in bariatric surgery. The gold-standard surgical approach is represented by the conversion to Roux-en-Y gastric bypass (RYGB), which carries a significant risk of long-term complication rate. The present study evaluates the efficacy and safety of an alternative procedure\u2014the Round Ligament Cardiopexy (Rampal Technique, RLC)\u2014in patients with severe, invalidating reflux following SG.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a single-center, retrospective study reviewing all patients who underwent Rampal cardiopexy for severe reflux after SG between June 2020 and October 2024. Demographic data, clinical characteristics, pre- and postoperative findings, and quality-of-life outcomes (Reflux-Qual\u00ae Simplified, RQS\u00ae) were collected. The primary endpoint was improvement in reflux and regurgitation symptoms; secondary endpoints included morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Six female patients (mean age: 40.8 \u00b1 15.7 years) were included, with a mean interval of 6 \u00b1 3 years between SG and CR. All procedures were completed laparoscopically. A significant improvement in reflux symptoms was observed postoperatively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .02), with complete resolution of regurgitations and marked reduction of acid reflux. RQS\u00ae scores improved from 21 \u00b1 4.6 to 15.7 \u00b1 7.5 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .52). No mortality occurred. Early morbidity was 33% (two transient dysphagias), and late morbidity was 17% (one stricture requiring dilation).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The Rampal cardiopexy could represent a safe, effective, and minimally morbid alternative to conversion to RYGB for refractory reflux following SG. Additional further evaluation in larger, prospective studies is needed to confirm its long-term benefits. This technique should be better known among bariatric surgeons to expand the therapeutic options for managing post-sleeve GERD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429251411134","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T13:52:34Z","timestamp":1768312354000},"page":"96-99","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Cardiopexy Using the Round Ligament (Rampal Technique): An Alternative to the Gastric Bypass for Severe Reflux after Sleeve Gastrectomy"],"prefix":"10.1177","volume":"36","author":[{"given":"Marie","family":"Coisy","sequence":"first","affiliation":[{"name":"H\u00f4pital National D\u2019instruction Des Arm\u00e9es Sainte Anne, Toulon, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugues","family":"Sebbag","sequence":"additional","affiliation":[{"name":"H\u00f4pital Priv\u00e9 de Provence, Aix en Provence, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2414-3511","authenticated-orcid":false,"given":"Marius","family":"Nedelcu","sequence":"additional","affiliation":[{"name":"ELSAN, Clinique Bouchard, Marseille, France."},{"name":"ELSAN, Clinique Cap d\u2019Or, Toulon, France."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0399-8320(05)86350-X"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-019-04286-5"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-015-1740-5"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-022-06413-1"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2024.10.019"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-11500-8"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-018-3310-0"},{"key":"e_1_3_2_9_2","first-page":"1461","article-title":"Traitement chirurgical de la hernie hiatale par la \u201ctechnique du collet\u201d","volume":"18","author":"Pedinelli L","year":"1964","unstructured":"Pedinelli L. Traitement chirurgical de la hernie hiatale par la \u201ctechnique du collet\u201d. Ann Chir, 1964; 18:1461\u20131474.","journal-title":"Ann Chir"},{"key":"e_1_3_2_10_2","first-page":"488","article-title":"Notes pr\u00e9liminaires sur une nouvelle technique de cure chirurgicale des hernies hiatales: La cardiopexie par le ligament rond","volume":"16","author":"Rampal M","year":"1964","unstructured":"Rampal M, , Perillat P, , Rougaud R. Notes pr\u00e9liminaires sur une nouvelle technique de cure chirurgicale des hernies hiatales: La cardiopexie par le ligament rond. Marseille Chir, 1964; 16:488\u2013491.","journal-title":"Marseille Chir"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8553(21)00667-1"},{"key":"e_1_3_2_12_2","first-page":"181","article-title":"Surgery for gastroesophageal reflux after sleeve by hill procedure completed by anterior gastropexy","volume":"158","author":"Alhuniti M","year":"2020","unstructured":"Alhuniti M, , Mouriel J. Surgery for gastroesophageal reflux after sleeve by hill procedure completed by anterior gastropexy. J Chir V, 2020; 158:181\u2013185.","journal-title":"J Chir V"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-024-07167-8"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-024-07523-8"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40137-024-00426-8"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-024-07103-w"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-020-05153-4"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0000000000001295"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2020.12.036"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-023-10239-y"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-023-10024-x"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-023-06546-x"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-017-1624-0"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429251411134","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10926429251411134","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429251411134","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T04:01:27Z","timestamp":1777694487000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10926429251411134"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,13]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2,1]]}},"alternative-id":["10.1177\/10926429251411134"],"URL":"https:\/\/doi.org\/10.1177\/10926429251411134","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,13]]}}}