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What to do with patients with failed sleeve gastrectomies due to EWL <50% & GERD? The proportion of sleeve gastrectomies performed around the world continuously grows as it is fast to perform and has a low postoperative complication rate. The results in terms of excess weight loss and resolution of comorbidities are good during the first two years. Actual data reflect that up to 30% of patients experience <50% EWL in the long term and other patients develop hiatal hernia and GERD. There is an ideal surgical procedure for each one of these problems. But, what to do with patients who have both of them? or in cases of severe adhesions due to previous surgeries? Dr. Antonio M. Lacy and Dr. Dulce Momblán dealt with this issue in the operating room Live for the AIS Channel community. Learn the essential steps, the tips and tricks of the operation directly from the experts.