The aim of this study is to evaluate the efficacy Sleeve gastrectomy with cruroplasty with or without ligamentum teres wrapping for management of morbidly obese patients with concomitant reflux symptoms.
No linked publications found in PubMed
Inclusion Criteria: * Age 18-60 years. * Both sexes. * BMI ≥ 40 or ≥ 35 with co-morbidity.with reflux symptoms . * Failure of non-surgical treatment. * Patients with hiatus hernia . * Absence of endocrinal or psychological disorders. * Failure of non surgical treatment * Non sweat eaters * Patients with no previous upper GIT surgeries Exclusion Criteria: * Presence of endocrinal or psychological disorders. * Morbidly obese patients with no reflux symptoms * sweat eaters * Patients with barrett,s oesophagus , * Patient with bad general condition