Optimal management of coexisting morbid obesity and gastroesophageal r
eflux is not known. Silastic ring vertical gastroplasty is an effectiv
e treatment for morbid obesity, and Nissen fundoplication is effective
in treating gastroesophageal reflux. We combined these two procedures
in an animal model and found protection against gastroesophageal refl
ux without any deleterious effects on pouch emptying.