In patients with gastroesophageal disease who fail laparoscopic fundoplication, Roux-en-Y gastric diversion might no longer be the last resort for treating intractable symptoms, according to two sets of data from experienced surgeons.
Used sparingly for decades, the Roux-en-Y procedure has been widely considered a rescue intervention after repeated fundoplication failures, but recent evidence indicates it might be appropriate at an earlier point in selected patients, according to Sumeet Mittal,