Table 2. Contemporary surgical therapies for GERD management following BaS.

Technique	Advantage	Disadvantage
Modified Nissen fundoplication (36,37)	360 degrees fundoplication with the excluded gastric remnant	Lack of large studies; lack of long-term data
HHR with barbed suture (38)	Technically simpler; equal distribution of tension along suture line	Lack of randomized trial comparing with other types of repairs
Re-SG* (39,40)	Technically simpler than conversional surgery	Lack of large studies; lack of long-term data
Conversion to RYGB* (if primary BaS is SG) (41)	Most effective acid suppressive treatment	Potential morbidity
Antireflux valve (ARV) (42)	Applicable to SG, RYGB and BPD-DS	Not standardized technique; lack of large studies; lack of long-term data
LINX reflux management system (43)	Potentially Less invasive	Lack of large studies; lack of long-term data; foreign body

*, revisional BaS. HHR, hiatal hernia repair; SG, sleeve gastrectomy; GERD, gastroesophageal reflux disease; RYGB, Roux-en-Y gastric bypass; BaS, bariatric surgery; RYGB, Roux-en-Y gastric bypass; BPD-DS, biliopancreatic diversion-duodenal switch.