Impact of sleeve gastrectomy on gastroesophageal reflux disease in a morbidly obese population undergoing bariatric surgery

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
LéShon HendricksR Rosenthal

Abstract

Laparoscopic sleeve gastrectomy (LSG) has established popularity as a weight loss procedure based on its success. However, LSG's effect on gastroesophageal reflux disease (GERD) is unknown. To analyze the incidence of GERD after LSG and to compare the results in patients with preexisting and de novo GERD. Tertiary Medical center. The authors performed a retrospective review of primary LSG from 2005 to 2013 and compared patients with pre-existing and de novo GERD who underwent LSG. A total of 919 patients underwent LSG. GERD was present in 38 (4%) of the LSG cohort. We identified 2 groups: Group A consisted of 25 (3%) patients with de novo GERD, and Group B consisted of 13 (1%) patients with pre-existing GERD. Diagnosis of GERD in both groups was determined by symptoms and history of proton pump inhibitor (PPI) treatment, upper gastrointestinal endoscopy, esophagogastroduodenoscopy, and pH manometry. In Group A, 1 (4%) patient was managed with over-the-counter drugs, 17 (68%) patients were treated with low-dose PPI, 6 (24%) patients were treated with high-dose PPI, and 1 (4%) patient was lost to follow-up. Group B consisted of 9 (69%) patients treated with low-dose PPI and 4 (31%) patients treated with high-dose PPI. Medical tre...Continue Reading

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Citations

Jul 28, 2016·Obesity Surgery·Antonio IannelliLuigi Angrisani
Oct 19, 2017·Obesity Surgery·Saad AlthuwainiMajid Abdularahman Almadi
Jul 31, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ranjan Sudan, Kunoor Jain-Spangler
Jul 13, 2019·Obesity Surgery·Mohit BhandariUNKNOWN and the Bariatric Metabolic Surgery Standardization (BMSS) Working Group:
Oct 18, 2019·Surgical Endoscopy·Franco SignoriniFederico Moser
Apr 22, 2017·World Journal of Gastroenterology : WJG·Fabrizio RebecchiMario Morino
Apr 20, 2019·Obesity Surgery·Antonio IannelliAnne-Sophie Schneck
Jan 28, 2021·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Italo BraghettoManuel Figueroa
Dec 5, 2020·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Benjamin ClappBrian Davis
Apr 16, 2021·Langenbeck's Archives of Surgery·Andrea BallaAlessandro M Paganini
Aug 14, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Carlos Federico DavrieuxDavid Nocca

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