Background

Roux-en-Y Gastric Bypass is the one of most effective surgeries for weight loss and has been shown toimprove gastroesophageal reflux disease (GERD), along with lowering the incidence of de novo GERDcompared to other bariatric procedures. We present a 41-year-old female patient who consulted in thebariatric surgery department. Her past medical history is remarkable for GERD, type 2 Diabetes mellitusand morbid obesity with a BMI of 65. Her surgical history includes a cholecystectomy in 2012, a lowtransverse C-section and a Nissen fundoplication in 2012. The decision was to take down the previousNissen fundoplication and to perform a robotic Roux-en-Y gastric bypass. The procedure was welltolerated, and no complications were recorded. 3 months after surgery, the patient did not show signs orsymptoms of GERD and a BMI of 51 was recorded. At 6 months follow-up, the patient persistedasymptomatic with a BMI of 50.