Laparoscopic sleeve gastrectomy combined with Toupet fundoplication (T‐sleeve): A short report of a Japanese obesity patient with gastroesophageal reflux disease

Laparoscopic sleeve gastrectomy (LSG) is the most frequently performed procedure in bariatric–metabolic surgery (BMS) worldwide, accounting for approximately 90% of BMS procedures in Japan. While numerous studies have reported on the safety and efficacy of LSG, gastroesophageal reflux disease (GERD) remains a major postoperative complication. Although Roux‐en‐Y gastric bypass (RYGB) is preferred for severe obesity with GERD, it is less suitable for Japanese patients who have a higher risk of gastric cancer due to the remnant stomach which is difficult to observe with esophago‐gastro‐duodenoscopy. To address de novo and exacerbation GERD after LSG, we conducted LSG with Toupet fundoplication (T‐sleeve) for Japanese patients with severe obesity. In our first T‐sleeve case, the patient demonstrated sufficient weight loss and improved GERD following surgery. Hence, we suggest that T‐sleeve is a feasible option for Japanese patients with obesity and concurrent GERD.