Professor and vice chairman of surgery in the Department of Surgery,
Herbert Wertheim College of Medicine at Florida International University, Miami
Herbert Wertheim College of Medicine at Florida International University, Miami

A 48-year-old man who had undergone laparoscopic sleeve gastrectomy (LSG) 11 months earlier to treat morbid obesity (body mass index, >45 kg/m2) presents to your office complaining of a retrosternal burning sensation, mild bloating and regurgitation for one month. The patient also reports a nonproductive morning