{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T18:11:21Z","timestamp":1792260681104,"version":"4.4.0"},"reference-count":28,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:p>ABSTRACT   Introduction :  Obesity is related with higher incidence of gastroesophageal reflux disease. Antireflux surgery has inadequate results when associated with obesity, due to migration and\/or subsequent disruption of antireflux wrap. Gastric bypass, meanwhile, provides good control of gastroesophageal reflux.  Objective:  To evaluate the technical difficulty in performing gastric bypass in patients previously submitted to antireflux surgery, and its effectiveness in controlling gastroesophageal reflux.  Methods:  Literature review was conducted between July to October 2016 in Medline database, using the following search strategy: (\u201cGastric bypass\u201d OR \u201cRoux-en-Y\u201d) AND (\u201cFundoplication\u201d OR \u201cNissen \u2018) AND (\u201cReoperation\u201d OR \u201cReoperative\u201d OR \u201cRevisional\u201d OR \u201cRevision\u201d OR \u201cComplications\u201d).  Results:  Were initially classified 102 articles; from them at the end only six were selected by exclusion criteria. A total of 121 patients were included, 68 women. The mean preoperative body mass index was 37.17 kg\/m\u00b2 and age of 52.60 years. Laparoscopic Nissen fundoplication was the main prior antireflux surgery (70.58%). The most common findings on esophagogastroduodenoscopy were esophagitis (n=7) and Barrett\u2019s esophagus (n=6); the most common early complication was gastric perforation (n=7), and most common late complication was stricture of gastrojejunostomy (n=9). Laparoscopic gastric bypass was performed in 99 patients, with an average time of 331 min. Most patients had complete remission of symptoms and efficient excess weight loss.  Conclusion:  Although technically more difficult, with higher incidence of complications, gastric bypass is a safe and effective option for controlling gastroesophageal reflux in obese patients previously submitted to antireflux surgery, with the added benefit of excess weight loss.<\/jats:p>","DOI":"10.1590\/0102-6720201700040012","type":"journal-article","created":{"date-parts":[[2018,1,13]],"date-time":"2018-01-13T22:36:02Z","timestamp":1515882962000},"page":"279-282","source":"Crossref","is-referenced-by-count":19,"title":["FUNDOPLICATION CONVERSION IN ROUX-EN-Y GASTRIC BYPASS FOR CONTROL OF OBESITY AND GASTROESOPHAGEAL REFLUX: SYSTEMATIC REVIEW"],"prefix":"10.1590","volume":"30","author":[{"given":"Ant\u00f4nio Moreira","family":"MENDES-FILHO","sequence":"first","affiliation":[{"name":"Federal University of Pernambuco,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo S\u00e1vio Nascimento","family":"GODOY","sequence":"additional","affiliation":[{"name":"Federal University of Pernambuco,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helga Cristina Almeida Wahnon","family":"ALHINHO","sequence":"additional","affiliation":[{"name":"Federal University of Pernambuco,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoel dos Passos","family":"GALV\u00c3O-NETO","sequence":"additional","affiliation":[{"name":"Gastro Obeso Center Clinic,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Almino Cardoso","family":"RAMOS","sequence":"additional","affiliation":[{"name":"Gastro Obeso Center Clinic,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1lvaro Ant\u00f4nio Bandeira","family":"FERRAZ","sequence":"additional","affiliation":[{"name":"Federal University of Pernambuco,  Brazil; Federal University of Pernambuco,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josemberg Marins","family":"CAMPOS","sequence":"additional","affiliation":[{"name":"Federal University of Pernambuco,  Brazil; Federal University of Pernambuco,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"12","key":"ref1","doi-asserted-by":"crossref","first-page":"2113","DOI":"10.1007\/s11605-009-1042-0","article-title":"The value of high-resolution manometry in the assessment of the resting characteristics of the lower esophageal sphincter","volume":"13","author":"Ayazi S","year":"2009","journal-title":"J Gastrointest Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1002\/aja.1000540104","article-title":"The distribution of parietal cells in the stomach: a histotopographic study","volume":"54","author":"Berger EH","year":"1934","journal-title":"Am J Anat"},{"issue":"1","key":"ref3","first-page":"15","article-title":"[Higher prevalence of obesity in erosive gastroesophageal reflux disease]","volume":"46","author":"Biccas BN","year":"2009","journal-title":"ArqGastroenterol"},{"issue":"11","key":"ref4","doi-asserted-by":"crossref","first-page":"1581","DOI":"10.1002\/bjs.7590","article-title":"Long-term results after laparoscopic reoperation for failed antireflux procedures","volume":"98","author":"Dallemagne B","year":"2011","journal-title":"Br J Surg"},{"issue":"10","key":"ref5","doi-asserted-by":"crossref","first-page":"2151","DOI":"10.1111\/j.1572-0241.2005.00251.x","article-title":"Abdominal obesity and the risk of Barrett\u2019s esophagus","volume":"100","author":"El-Serag HB","year":"2005","journal-title":"Am J Gastroenterol"},{"issue":"5","key":"ref6","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1136\/gut.41.5.594","article-title":"Associations between different forms of gastro-oesophageal reflux disease","volume":"41","author":"El-Serag HB","year":"1997","journal-title":"Gut"},{"key":"ref7","article-title":"Obesity and its effect on outcome of laparoscopic Nissen fundoplication","author":"Fraser J","journal-title":"DisEsophagus"},{"key":"ref8","first-page":"50","year":"2001"},{"issue":"7","key":"ref9","first-page":"1027","article-title":"Symptomatic improvement in gastroesophageal reflux disease (GERD) following laparoscopic Roux-en-Y gastric bypass","volume":"16","author":"Frezza EE","year":"2002","journal-title":"SurgEndosc"},{"issue":"6","key":"ref10","first-page":"862","article-title":"Varying marginal ulcer rates in patients undergoing laparoscopic Roux-en-Y gastric bypass for morbid obesity versus gastroesophageal reflux disease: is the acid pocket to blame","volume":"9","author":"Gilmore MM","year":"2013","journal-title":"SurgObesRelat Dis"},{"issue":"3","key":"ref11","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1007\/s11605-007-0097-z","article-title":"Gastroesophageal reflux disease and obesity. Pathophysiology and implications for treatment","volume":"11","author":"Herbella FA","year":"2007","journal-title":"J Gastrointest Surg"},{"issue":"5","key":"ref12","first-page":"475","article-title":"Is Roux-en-Y gastric bypass safe after previous antireflux surgery? 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Review of a single center\u2019s experience and a comparison of outcomes","volume":"18","author":"Wakeam E","year":"2014","journal-title":"J Gastrointest Surg"},{"issue":"12","key":"ref26","first-page":"2003","article-title":"Obesity does not adversely affect the outcome of laparoscopic antireflux surgery (LARS)","volume":"17","author":"Winslow ER","year":"2003","journal-title":"SurgEndosc"},{"issue":"12","key":"ref27","first-page":"2737","article-title":"Laparoscopic revision of Nissen fundoplication to Roux-en-Y gastric bypass in morbidly obese patients","volume":"22","author":"Zainabadi K","year":"2008","journal-title":"SurgEndosc"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1590\/0102-6720201600s10031","article-title":"FROM COMPLEX EVOLVING TO SIMPLE: CURRENT REVISIONAL AND ENDOSCOPIC PROCEDURES FOLLOWING BARIATRIC SURGERY","volume":"29","author":"Zorron R","year":"2016","journal-title":"Arq Bras Cir Dig"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v30n4\/0102-6720-abcd-30-04-00279.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,1,20]],"date-time":"2018-01-20T23:49:02Z","timestamp":1516492142000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202017000400279&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["S0102-67202017000400279"],"URL":"https:\/\/doi.org\/10.1590\/0102-6720201700040012","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"value":"2317-6326","type":"electronic"},{"value":"0102-6720","type":"print"}],"subject":[],"published":{"date-parts":[[2017,12]]}}}