View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Biblioteca Digital da Produção Intelectual da Universidade de São Paulo (BDPI/USP) Universidade de São Paulo Biblioteca Digital da Produção Intelectual - BDPI Sem comunidade Scielo 2012 Modified Nissen fundoplication: laparoscopic antireflux surgery after Roux-en-Y gastric bypass for obesity Clinics,v.67,n.5,p.531-533,2012 http://www.producao.usp.br/handle/BDPI/40389 Downloaded from: Biblioteca Digital da Produção Intelectual - BDPI, Universidade de São Paulo CLINICS 2012;67(5):531-533 DOI:10.6061/clinics/2012(05)23 CASE REPORT Modified Nissen fundoplication: laparoscopic anti- reflux surgery after Roux-en-Y gastric bypass for obesity Nilton T Kawahara,I Clarissa Alster,I Fauze Maluf-Filho,II Wilson Polara,III Guilherme M. Campos,IV Luiz Francisco Poli-de-Figueiredo (in memoriam)I I Faculdade de Medicina da Universidade de Sa˜ o Paulo, (FMUSP), Department of Surgical Technique, Sa˜ o Paulo/SP, Brazil. II Faculdade de Medicina da Universidade de Sa˜ o Paulo, (FMUSP), Department of Gastroenterology, Gastrointestinal Endoscopy Unit, Sa˜ o Paulo/SP, Brazil. III Sı´rio Libaneˆ s Hospital, Department of Oncology Surgery, Sao Paulo/SP, Brazil. IV University of Wisconsin School of Medicine and Public Health, Department of Surgery, Wisconsin/USA. Email:
[email protected] Tel.: 55 11 5585 9119 CASE DESCRIPTION (normal ,14.72, 95th percentile). Manometry showed a lower esophageal sphincter pressure (LES) of 9 mmHg (normal A 46-year-old white woman presented to the clinic in range from 14.3 to 34.5 mmHg), and the contraction amplitude September 2009 with intermittent abdominal epigastric pain of the proximal and middle region was greater than 30 mmHg accompanied by nausea, heartburn and frequent crises of (50.6 mmHg).