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Antireflux surgery in these patients should be considered, as it is safe and effective. Gastroesophageal reflux can cause respiratory symptoms in addition to esophageal typical symptoms. High index of suspicion should be present, and a complete workup was done to diagnose whether pathologic reflux is present and whether it extends to the proximal esophagus or pharynx. Antireflux surgery in these patients should be considered, as it is safe and effective. In the Roux-en-Y gastric bypass technique, classic laparoscopic surgical retractors a
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