Gastro-esophageal reflux post sleeve gastrectomy

Case contributed by Henry Knipe
Diagnosis certain


Sleeve gastrectomy 18 months prior. 6 months of reflux symptoms.

Patient Data

Age: 30 years
Gender: Female

Double-contrast barium swallow


Status post sleeve gastrectomy with a reduced volume tubular stomach. No stricture. No hiatus hernia. On water siphon test, there is free gastro-esophageal reflux. 

Case Discussion

Gastro-esophageal reflux is a late complication of sleeve gastrectomy, it can arise de novo or can be an exacerbation of existing symptoms. Some patients with GERD may experience an improvement in symptoms after a sleeve gastrectomy. 

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