Comparable Outcomes of Gastric Bypass and Fundoplication for GERD in Patients with Obesity

A retrospective study compared the outcomes of Roux-en-Y gastric bypass and fundoplication in patients with obesity and gastroesophageal reflux disease (GERD). Ninety-five patients with a BMI ≥35 underwent either procedure. Both groups saw an improvement in GERD symptoms and overall quality of life. There were no significant differences in postoperative reflux symptoms, dysphagia, or overall quality of life scores. However, patients who underwent fundoplication had better symptom control in the long term. Objective data showed no significant differences in postoperative pH testing, while weight loss was greater in the gastric bypass group.