Page 21 - Read Online

Page 14 of 17 Shaker et al. Mini-invasive Surg. 2025;9:27 https://dx.doi.org/10.20517/2574-1225.2024.105

Table 3. Interventions in post-LSG patients with GERD

Aggressive medical management with PPI or PCAB
Laparoscopic magnetic sphincter augmentation with LINX
Laparoscopic RYGB
Other alternatives that have not shown efficacy or are not well studied: radiofrequency therapy to the LES (Stretta), ARMS

LSG: Laparoscopic sleeve gastrectomy; GERD: gastroesophageal reflux disease; PPI: proton pump inhibitor; PCAB: potassium-competitive acid
blocker; RYGB: Roux-en-Y gastric bypass; LES: lower esophageal sphincter; ARMS: anti-reflux mucosectomy.

Figure 1. Proposed approach to GERD in patients undergoing LSG. GERD: Gastroesophageal reflux disease; LSG: laparoscopic sleeve
gastrectomy.

DECLARATIONS
Authors’ contributions
Made substantial contributions to the conception and design of the study and performed data analysis and
interpretation: Shaker A, Soffer E

Availability of data and materials
Not applicable.

Financial support and sponsorship
This study was supported by the National Institutes of Health, National Institute of Diabetes and Digestive
and Kidney Diseases (Grant No. R01 DK118065).

Conflicts of interest
Both authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
Not applicable.