Laparoscopic management of severe reflux after sleeve gastrectomy using the LINX system: Technique and one year follow up case report.

Introduction: Management of severe reflux after sleeve gastrectomy (SG) usually requires converting to Roux-en-y gastric bypass (RYGB). We present a case of managing this problem using the LINX system.

Presentation Of Case: In February 2015, we performed a laparoscopic placement of LINX system to treat severe reflux after sleeve gastrectomy on a 25-year-old female.

Do gallstones found before sleeve gastrectomy behave the same as those formed after surgery due to weight loss?

Background: Gallstone formation is prevalent in the bariatric population and after weight loss. We believe that gallstones found preoperatively behave differently and may not cause significant complications as those developing after weight loss. Thus, prophylactic cholecystectomy before or during sleeve gastrectomy (SG) may not be necessary.