Proposal of proximal gastric plication as a simple technique to prevent gastroesophageal reflux disease after sleeve gastrectomy

Proximal gastric plication is a simple technique that has been employed by the authors to treat gastroesophageal reflux disease (GERD) in patients who have developed symptoms after being subject to sleeve gastrectomy (SG). Because of the favorable results observed in these cases, it is now proposed that this procedure be performed initially, in all patients who undergo sleeve gastrectomy, to avoid de novo GERD. The technique is described in this article.