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Antireflux Mucosectomy Band (ARM-b) in Treatment of Refractory Gastroesophageal Reflux Disease After Bariatric Surgery

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Abstract

Laparoscopic sleeve gastrectomy has become the most commonly used bariatric surgery worldwide. However, there are a proportion of patients who present with a refractory GERD after this procedure. In these patients, when surgical conversion to RYGPB is not possible or declined, we propose to describe the results of an endoscopic antireflux mucosectomy band (ARM-b) technique in 6 LSG patients with refractory GERD. The technical feasibility was 100%; 5 out of 6 patients had a clinical response with a reduction of the GERD-HRQL score of > 50%. Two patients had adverse events: one esophageal stricture and one benign bleeding. ARM-b is feasible and potentially effective to treat patients with refractory GERD after LSG.

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Authors and Affiliations

  1. Gastroenterology and Liver Transplantation Unit HGEA, CHU Montpellier, Montpellier Université, Montpellier, France

    Antoine Debourdeau

  2. AP-HM, Hôpital Nord, Service de Gastroentérologie, Aix-Marseille Université, Marseille, France

    Antoine Debourdeau, Véronique Vitton, Laurent Monino, Marc Barthet & Jean-Michel Gonzalez

  3. Service de Gastro-entérologie HGEA, 80 av. Augustin Fliche, 34295, Montpellier Cedex 5, France

    Antoine Debourdeau

  4. Department of Hepatogastroenterology, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium

    Laurent Monino

Authors
  1. Antoine Debourdeau
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  2. Véronique Vitton
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  3. Laurent Monino
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  4. Marc Barthet
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  5. Jean-Michel Gonzalez
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Corresponding author

Correspondence to Antoine Debourdeau.

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Conflict of Interest

Authors MB and JMG had received research grants from the company Boston Scientifics in other areas of research. Authors AD, VV, and LM declare that they have no conflict of interest.

Ethical Approval

All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments.

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Informed consent was obtained from all individual participants included in the study.

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Debourdeau, A., Vitton, V., Monino, L. et al. Antireflux Mucosectomy Band (ARM-b) in Treatment of Refractory Gastroesophageal Reflux Disease After Bariatric Surgery. OBES SURG 30, 4654–4658 (2020). https://doi.org/10.1007/s11695-020-04753-4

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  • DOI: https://doi.org/10.1007/s11695-020-04753-4

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