Endoscopic Conversion of Sleeve Gastrectomy to Single Anastomosis Sleeve-ileal Bypass (SASI) for Gastroesophageal Reflux (GERD), Primary and Secondary Non-responder.

Exclusion Criteria

• •1. Patients who were breast feeding or pregnant
• •2. Severe psychiatric illness
• •3. Eating disorder
• •4. Active neoplastic disease
• •5. End-stage renal disease
• •6. Patients with bleeding diathesis
• •7. Patients with pacemakers or implantable cardiac defibrillators
• •8. Significant cardiovascular disease (e.g., acute myocardial infarction, congestive cardiac failure, ischemic heart disease, atrial fibrillation, sick sinus syndrome, supraventricular tachycardia)
• •9. Any factors likely to limit adherence to study protocol (e.g., dementia; alcohol or substance abuse; history of unreliability in medication taking or appointment keeping; significant concerns about participation in the study from spouse, significant other or family members)
• •10. Treatment with anti-platelet agents that could not be temporarily discontinued