الفهرس 
AnatomyOnly 14 pages are availabe for public view
 |  | from | 146 |  |  |
| | | from | 146 | | |
Abstract
Laparoscopic sleeve gastrectomy (LSG) is popular procedure among surgeons and patient. However, it may lead to worsening of, or newly developed gastroesophageal reflux disease (GERD). So, anterior fundoplication was added to LSG to achieve favorable results.
Methods: This is a prospective study that was conducted at the General Surgery Department of Ain shams University Hospitals between October 2018 and December 2020. It included 20 patients with obesity and reflux who underwent anterior fundoplication sleeve gastrectomy.
Results: Our patients consisted of 20 patients 15 females (75.0%) and 5 males (25.0%) with age ranged from 20-50 and with mean±SD of (35.15±8.89). preoperative body mass index was 41.26 ± 1.75 kg/m2 (37.55 – 43.65),35.0% (n=7) of these patients underwent hiatal hernia repair as well, They had a mean heartburn score of 2.60 ± 0.50 (2 – 3), regurgitation 2.30 ± 0.47 (2– 3) and dysphagia 0.10 ± 0.31 (0-1). Mean GERD HRQL score was 34.75 ± 2.99 (31 – 42) in these patients. 6 months Postoperatively, patients were interviewed with the same questionnaire, they had a mean heartburn score of 0.25 ± 0.44 (0-1), regurgitation 0.15 ± 0.37 (0-1) and dysphagia 0.05 ± 0.22 (0-1). Mean postoperative GERD HRQL score dropped down to 4.65 ± 3.79 (0-10). There was also decrease in BMI 6 months postoperative with mean BMI dropped down to 32.80 ± 1.02 (30.99 – 34.25).
Conclusion: After 6 months follow up anterior fundoplication sleeve gastrectomy (AF-SG) may be a safe and effective alternative in obese patients with reflux.