Sleeve gastrectomy (SG) is occupied over 25% of bariatric procedures, which becomes the second most commonly performed bariatric procedure after RYGB. But incidence of gastroesophageal reflux disease (GERD) after SG was reported to be 6.5% - 40%. SG is regarded to induce or exacerbate GERD in general. Therefore preoperative manometry and GIF should be routinely per-formed. Patients with a lower esophageal sphincter (LES) or preexisting sever GERD should be taken into consideration during patients counseling and selec-tion of the optimal bariatric procedure. Moreover, postoperative GIF should be performed to detect GERD, erosive esophagitis and Barrett’s esophagus.
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