A member asked:

I had fundoplaction surgery for gerd. can i have a gastric sleeve procedure done for obesity?

2 doctors weighed in across 2 answers

Yes it is possible: A bariatric surgeon can help with this issue. Much depends on your current bmi (body mass index) and whether the fundoplication is still working well. The options range from just adding a gastric sleeve to the intact fundoplication (easiest if your bmi is around 40) to taking the old repair down and doing a gastric bypass (if your bmi is >45).

Answered 3/24/2017

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Dr. Marc Neff answered

Weight loss nissen: Very difficult question. Discussed currently at medical conferences. The pure answer is no, but there are two ways. The first way, the most correct way, would be to undo the wrap that was the previous antireflux procedure, after a review of the previous operative report and then do the sleeve. The second way, would be to make the sleeve a little wider and avoid the upper portion of the stomach.

Answered 3/11/2017

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