Can a Fundapilcation surgery be performed after you've had a gastric sleeve performed?

As a former pedi nurse, I only know fundiplications for kiddos with reflux. Is the purpose the same for VSGers?

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Relying on what was on video from Australia, they can also go down with a smaller gauge bougie like a 35-38 French and chinch it up smaller, Did not mention plication, I think what the questioner was alluding to is done. endoscopically, with interior stitching, the Australian surgeon does his the traditional way with stapling, maybe overstitching the seam afterwards etc so basically the same as the original laprascopic surgery. Said recovery might be slower, weight loss slower but that it works and works well. He was from Mercy Bariatrics in Perth. [emoji14]

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I asked several surgeons and they said no. If you're looking for a post sleeve Gerd solution, look up the linx procedure. I believe it's in clinical trials for bariatric patients.

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Let me expand a little on linx-this I do know a little on the subject of, surgeon in my town did them frequently. They place a strip around your esophagus where it meets the stomach containing magnets, outside not inside esophagus. They are strong enough they hold the sphincter aka cardiac sphincter shut except when you are are swallowing food through. Sounds good, an answer to prayer ? Well not exactly- you lose your ability to belch. Still sounds good? Okay here comes the kicker- you also can no longer vomit. The very same magnetic strength that keeps you from refluxing also keeps your emesis in. For me the trade-off would not be worth it but it's your surgery, your money, your body and ultimately your decision. [emoji29]

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Theoretically yes, in practicality no. If you have reflux after a sleeve lifestyle adjustments, medications, minor surgery (Linx, stretta), and conversion to bypass are your major options.