Conclusions  In morbidly obese patients, X-ray is superior to endoscopy in diagnosing SHH either before or after banded GBP. In patients treated with this technique, the utilization of X-ray may help in the management of reflux symptoms and frequent vomit. Content Type Journal ArticleCategory Clinical ResearchDOI 10.1007/s11695-009-9971-yAuthors Fernando Fornari, GASTROBESE Rua Uruguai, 1555, 1° andar 99010112 Passo Fundo Rio Grande do Sul BrazilRichard Ricachenevsky Gurski, UFRGS Programa de Pós-Graduação em Cirurgia Porto Alegre RS BrazilDaniel Navarini, GASTROBESE Rua Uruguai, 1555, 1° andar 99010112 Passo Fundo Rio Grande do Sul BrazilVictor Thiesen, UFRGS Programa de Pós-Graduação em Cirurgia Porto Alegre RS BrazilLuis Henrique Barbosa Mestriner, Hospital d...