{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T17:15:16Z","timestamp":1785690916524,"version":"3.56.0"},"reference-count":37,"publisher":"FapUNIFESP (SciELO)","issue":"4","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  Background: Obesity represents a growing threat to population health all over the world. Laparoscopic sleeve gastrectomy induces alteration of the esophagogastric angle due to surgery itself, hypotony of the lower esophageal sphincter after division of muscular sling fibers, decrease of the gastric volume and, consequently, increase of intragastric pressure; that\u2019s why some patients have reflux after sleeve.  Aim: To describe a technique and preliminary results of sleeve gastrectomy with a Nissen fundoplication, in order to decrease reflux after sleeve.  Method: In the current article we describe the technique step by step mostly focused on the creation of the wrap and it care.  Results:  This procedure was applied in a case of 45 BMI female of 53 years old, with GERD. An endoscopy was done demonstrating a hiatal hernia, and five benign polyps. A Nissen sleeve was performed due to its GERD, hiatal hernia and multiple polyps on the stomach. She tolerated well the procedure and was discharged home uneventfully 48 h after.  Conclusion: N-sleeve is a feasible and safe alternative in obese patients with reflux and hiatal hernia when Roux-en-Y gastric bypass it is not indicated.<\/jats:p>","DOI":"10.1590\/0102-672020190001e1482","type":"journal-article","created":{"date-parts":[[2019,12,20]],"date-time":"2019-12-20T13:13:59Z","timestamp":1576847639000},"source":"Crossref","is-referenced-by-count":11,"title":["N-SLEEVE GASTRECTOMY: AN OPTION FOR OBESITY AND GERD"],"prefix":"10.1590","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7366-3321","authenticated-orcid":false,"given":"Mariano","family":"PALERMO","sequence":"first","affiliation":[{"name":"University of Buenos Aires,  Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8346-3702","authenticated-orcid":false,"given":"Edgardo","family":"SERRA","sequence":"additional","affiliation":[{"name":"University of Buenos Aires,  Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillermo","family":"DUZA","sequence":"additional","affiliation":[{"name":"University of Buenos Aires,  Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"12","key":"ref1","doi-asserted-by":"crossref","first-page":"3783","DOI":"10.1007\/s11695-018-3450-2","article-title":"IFSO Worldwide Survey 2016: Primary, Endoluminal, and Revisional Procedures","volume":"28","author":"Angrisani L","year":"2018","journal-title":"Obes Surg"},{"issue":"3","key":"ref2","first-page":"357","article-title":"Manometricchanges of the lower esophageal sphincter after sleeve gastrectomy in obese patients Obes","volume":"20","author":"Braghetto I","year":"2010","journal-title":"Surg. mars"},{"key":"ref3","article-title":"Predicting Progression in Barrett's Esophagus: Development and Validation of the Barrett's Esophagus Assessment of Risk Score (BEAR Score)","author":"Brown CS","year":"2017","journal-title":"Ann Surg"},{"issue":"12","key":"ref4","first-page":"3528","article-title":"Reflux control is important in the management of Barrett's Esophagus results from a retrospective 1,830 patient cohort","volume":"29","author":"Brown CS","year":"2015","journal-title":"SurgEndosc. d\u00e9c"},{"key":"ref5","first-page":"510","article-title":"Effect of sleeve gastrectomy on gastroesophageal reflux disease: a systematic review","author":"Chiu S","journal-title":"SurgObesRelat Dis"},{"issue":"288","key":"ref6","first-page":"1","article-title":"Hales, Margaret D Carroll, Cheryl D. Fryar, Cynthia L. Ogden, Prevalence of Obesity Among Adults and Youth: United States, 2015-2016","author":"Craig M","year":"2017","journal-title":"NCHS Data Brief"},{"issue":"5","key":"ref7","first-page":"1085","article-title":"Laparoscopic conversion of failed vertical banded gastroplasty to Roux-en-Y gastric bypass or biliopancreatic diversion","volume":"11","author":"David MB","year":"2015","journal-title":"SurgObesRelat Dis"},{"issue":"6","key":"ref8","first-page":"841","article-title":"Greater weight loss with the omega loop bypass compared to the Roux-en-Y gastric bypass: a comparative study","volume":"24","author":"Disse E","year":"2014","journal-title":"ObesSurg"},{"issue":"6","key":"ref9","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1136\/gutjnl-2012-304269","article-title":"Update on the epidemiology of gastro-oesophageal reflux disease a systematic review","volume":"63","author":"El-Serag HB","year":"2014","journal-title":"Gut. jun"},{"issue":"8","key":"ref10","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.1007\/s11695-011-0361-x","article-title":"Improvement in quality of life after laparoscopic sleeve gastrectomy","volume":"21","author":"Fezzi M","year":"2011","journal-title":"Obes Surg"},{"issue":"4","key":"ref11","first-page":"750","article-title":"Fifth International Consensus Conference current status of sleeve gastrectomy","volume":"12","author":"Gagner M","year":"2016","journal-title":"SurgObesRelat Dis Off J Am SocBariatr Surg. mai"},{"key":"ref12","series-title":"The perfect Sleeve gastrectomy","author":"Gagner M"},{"issue":"4","key":"ref13","first-page":"568","article-title":"Gastroesophageal reflux disease and Barrett's esophagus after laparoscopic sleeve gastrectomy a possible, underestimated long-term complication","volume":"13","author":"Genco A","year":"2017","journal-title":"SurgObesRelat Dis"},{"issue":"16","key":"ref14","doi-asserted-by":"crossref","first-page":"1723","DOI":"10.1001\/jama.2018.3060","article-title":"Trends in Obesity and Severe Obesity Prevalence in US Youth and Adults by Sex and Age, 2007-2008 to 2015-2016","volume":"319","author":"Hales CM","year":"2018","journal-title":"JAMA"},{"issue":"4","key":"ref15","first-page":"516","article-title":"Laparoscopic Roux-en-Y gastricbypass: 10-year follow-up","volume":"7","author":"Higa K","year":"2011","journal-title":"SurgObesRelat Dis"},{"issue":"11","key":"ref16","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.1381\/096089206778869933","article-title":"A prospective randomized study between laparoscopic gastric banding and laparoscopic isolated sleeve gastrectomy results after 1 and 3 years","volume":"16","author":"Himpens J","year":"2006","journal-title":"Obes Surg. nov"},{"issue":"3","key":"ref17","doi-asserted-by":"crossref","DOI":"10.1590\/0102-672020180001e1385","article-title":"Quality of life after laparoscopic sleeve gastrectomy usi ng baros system","volume":"31","author":"Kirkil C","year":"2018","journal-title":"Arq Bras Cir Dig"},{"issue":"3","key":"ref18","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1590\/0102-6720201700030012","article-title":"Sleeve gastrectomy and fundoplication as a single procedure in patients with obesity and gastroesophageal reflux","volume":"30","author":"Lasnibat JP","year":"2017","journal-title":"Arq Bras Cir Dig"},{"issue":"2","key":"ref19","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.soard.2013.07.015","article-title":"Bariatric surgery trends in France: 2005-2011","volume":"10","author":"Lazzati A","year":"2014","journal-title":"Surg ObesRelat Dis"},{"issue":"2","key":"ref20","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1136\/gut.45.2.172","article-title":"Endoscopic assessment of oesophagitis clinical and functional correlates and further validation of the Los Angeles classification","volume":"45","author":"Lundell L","year":"1999","journal-title":"Gut. ao\u00fbt"},{"issue":"10","key":"ref21","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.1007\/s11695-008-9634-4","article-title":"Sleeve gastrectomy-a \" food limiting \" operation","volume":"18","author":"Melissas J","year":"2008","journal-title":"Obes Surg. oct"},{"issue":"11","key":"ref22","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1007\/s11695-008-9419-9","article-title":"Roux-en-Y gastric bypass after failed vertical banded gastroplasty","volume":"17","author":"Mognol P","year":"2007","journal-title":"Obes Surg"},{"issue":"10","key":"ref23","doi-asserted-by":"crossref","first-page":"1832","DOI":"10.1016\/j.soard.2016.02.010","article-title":"Nissen Sleeve (N-Sleeve) operation preliminary results of a pilot study","volume":"12","author":"Nocca D","year":"2016","journal-title":"Surg Obes Relat Dis"},{"issue":"30","key":"ref24","doi-asserted-by":"crossref","first-page":"3762","DOI":"10.3748\/wjg.v16.i30.3762","article-title":"Pathophysiology and treatment of Barrett's esophagus","volume":"16","author":"Oh DS","year":"2010","journal-title":"World J Gastroenterol. 14 ao\u00fbt"},{"key":"ref25","article-title":"American Society for Metabolic and Bariatric Surgery estimation of bariatric surgery procedures in 2015 and surgeon workforce in the United States","author":"Ponce J","year":"2016","journal-title":"SurgObesRelat Dis"},{"issue":"2","key":"ref26","article-title":"Oral health promotion in patients with morbid obesity after gastroplasty a randomized clinical trial","volume":"32","author":"Porcelli ICS","year":"2019","journal-title":"Arq Bras Cir Dig"},{"issue":"1","key":"ref27","first-page":"819","article-title":"International Sleeve Gastrectomy Expert Panel Consensus Statement best practice guidelines based on experience of &gt;12,000 cases","volume":"8","author":"Rosenthal RJ","year":"2012","journal-title":"SurgObesRelat Dis Off J Am SocBariatr Surg. f\u00e9vr"},{"issue":"8","key":"ref28","first-page":"2083","article-title":"Bile Reflux Scintigraphy After Mini-Gastric Bypass","volume":"27","author":"Saarinen T","year":"2017","journal-title":"ObesSurg"},{"issue":"1","key":"ref29","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1007\/s11695-015-1737-0","article-title":"The Effect of Laparoscopic Sleeve Gastrectomy with Concomitant Hiatal Hernia Repair on Gastroesophageal Reflux Disease in the Morbidly Obese","volume":"26","author":"Samakar K","year":"2016","journal-title":"Obes Surg. janv"},{"issue":"2","key":"ref30","first-page":"351","article-title":"Single-anastomosis duodenoileal bypass as a second step after sleeve gastrectomy","volume":"11","author":"Sanchez-Pernaute","year":"2015","journal-title":"SurgObesRelat Dis"},{"key":"ref31","doi-asserted-by":"crossref","DOI":"10.1007\/s11695-019-03704-y","article-title":"Systematic Endoscopy 5 Years After Sleeve Gastrectomy Results in a High Rate of Barrett's Esophagus: Results of a Multicenter Study","author":"Sebastianelli L","year":"2019","journal-title":"Obes Surg"},{"issue":"10","key":"ref32","first-page":"E163","article-title":"Adenocarcinoma of the gastro-oesophageal junction aftersleeve gastrectomy a case report.ANZ","volume":"87","author":"Sohn S","year":"2017","journal-title":"J Surg"},{"issue":"3","key":"ref33","first-page":"356","article-title":"Sleeve gastrectomy and crural repair in obese patients with gastroesophageal reflux disease and\/or hiatal hernia","volume":"9","author":"Soricelli E","year":"2013","journal-title":"SurgObesRelat Dis Off J Am SocBariatr Surg. juin"},{"issue":"11","key":"ref34","doi-asserted-by":"crossref","first-page":"1469","DOI":"10.1381\/096089206778870120","article-title":"Does gastric banding for morbid obesity reduce or increase gastroesophageal reflux","volume":"16","author":"Tolonen P","year":"2006","journal-title":"Obes Surg"},{"issue":"3","key":"ref35","article-title":"Full-thickness endoscopic gastric resection using a stapler and gastrostomy a feasibility study","volume":"31","author":"Wada AM","year":"2018","journal-title":"Arq Bras Cir Dig"},{"issue":"1","key":"ref36","first-page":"33","article-title":"Quality and safety in obesity surgery-15 years of Roux-en-Y gastric bypass outcomes from a longitudinal database","volume":"12","author":"Weiss AC","year":"2016","journal-title":"SurgObesRelat Dis"},{"issue":"4","key":"ref37","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1185\/03007995.2012.666962","article-title":"Effect of adjustable gastric banding on changes in gastroesophageal reflux disease (GERD) and quality of life.","volume":"28","author":"Woodman G","year":"2012","journal-title":"Curr Med Res Opin"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v32n4\/0102-6720-abcd-32-04-e1482.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T19:16:55Z","timestamp":1596223015000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202019000400401&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":37,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019]]}},"alternative-id":["S0102-67202019000400401"],"URL":"https:\/\/doi.org\/10.1590\/0102-672020190001e1482","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"value":"2317-6326","type":"electronic"},{"value":"0102-6720","type":"print"}],"subject":[],"published":{"date-parts":[[2019]]},"article-number":"e1482"}}