Magnetic Lower Esophageal Sphincter Augmentation (LINX) Is Effective and Safe in Patients with Prior Gastric Surgery — Outcomes in Patients with Prior Bariatric Surgery or Partial Gastrectomy

Abstract

associated with discontinuation of oral medication. Risk adjusted complication rates were significantly higher after gastric bypass than sleeve gastrectomy, regardless of whether the patient was taking oral diabetic medications only or was also on insulin (11.2% vs 4.8%, p<0.0001 and 12.0% vs 7.4%, p<0.0001, respectively).CONCLUSION: Patients requiring insulin experience higher rates insulin discontinuation after gastric bypass but also have significantly higher complication rates, when compared to sleeve gastrectomy. However, if patients are on oral diabetic medication alone, rates of medication discontinuation are over 85%, regardless of procedure type. Disease severity is an important factor when deciding on the optimal procedure for diabetes.