{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T07:52:38Z","timestamp":1791013958632,"version":"4.1.0"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Gastroesophageal reflux disease (GERD) affects 20%\u201330% of patients after sleeve gastrectomy (SG). In patients with a body mass index (BMI) &lt;30 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , the optimal surgical approach\u2014magnetic sphincter augmentation (MSA) or conversion to Roux-en-Y gastric bypass (RYGB)\u2014remains unclear.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We retrospectively compared outcomes of MSA (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 20) and RYGB (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 25) in patients with BMI &lt;30 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      and refractory post-SG GERD at King Abdulaziz University Hospital (2019\u20132024). Inclusion required objective evidence of GERD despite \u22656 months of optimized proton pump inhibitor therapy. The primary outcome was GERD resolution. Secondary outcomes included proton pump inhibitor cessation, complications, weight trajectory, and diabetes remission at a minimum follow-up of 18 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>GERD resolution occurred in 70% of patients who underwent MSA and 85% of those who underwent RYGB. Proton pump inhibitor cessation rates were 65% and 80%, with lower postoperative GERD-health-related quality of life (HRQL) scores in the RYGB group. Early dysphagia was more common after MSA (30% vs. 4%). MSA was associated with weight stability, whereas RYGB resulted in significant weight reduction. Diabetes remission occurred in 75% of patients, who underwent RYGB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both procedures effectively managed post-SG GERD in patients with low BMI. MSA offers weight-neutral reflux control, shorter operative time, and no supplementation requirements. RYGB provides superior symptom control and metabolic benefits, including diabetes remission.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/sjg.sjg_37_26","type":"journal-article","created":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T17:00:19Z","timestamp":1772730019000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Magnetic sphincter augmentation versus conversion to Roux-en-Y gastric bypass for gastroesophageal reflux disease following sleeve gastrectomy in patients with body mass index &lt;30: A single-center comparative study"],"prefix":"10.4103","author":[{"given":"Ashraf A.","family":"Maghrabi","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia"},{"name":"Thoracic Surgery Division, Department of Surgery, Faculty of Medicine, King Abdulaziz University Hospital, Jeddah, Saudi 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