pH monitoring of gastro-oesophageal reflux before and after laparoscopic sleeve gastrectomy

The British Journal of Surgery
J ThereauxC Carette

Abstract

Gastro-oesophageal reflux disease (GORD) is a common obesity-related co-morbidity that is assessed objectively by 24-h pH monitoring. Some concerns have been raised regarding the risk of de novo GORD or exacerbation of pre-existing GORD after laparoscopic sleeve gastrectomy. Here, 24-h pH monitoring was used to assess the influence of laparoscopic sleeve gastrectomy on postoperative GORD in obese patients with or without preoperative GORD. From July 2012 to September 2014, all patients scheduled for laparoscopic sleeve gastrectomy were invited to participate in a prospective follow-up. Patients who underwent preoperative 24-h pH monitoring were asked to repeat the examination 6 months after operation. GORD was defined as an oesophageal pH < 4 for at least 4·2 per cent of the total time recorded. Of 89 patients, 76 had preoperative pH monitoring for GORD evaluation and 50 had postoperative reassessment. Patients without (group 1, 29 patients) or with (group 2, 21 patients) preoperative GORD were similar regarding age, sex ratio and body mass index. In group 1, the median (i.q.r.) total time at pH < 4 was significantly higher after surgery than before: 5·6 (2·5-9·5) versus 1·6 (0·7-2·9) per cent (P < 0·001). Twenty of the 29 pati...Continue Reading

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Citations

Jun 18, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Tigran PoghosyanJean-Luc Bouillot
Jun 29, 2016·Obesity Research & Clinical Practice·Ludivine MuzardClaire Carette
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Feb 15, 2020·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Jérémie Thereaux
May 28, 2020·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Marie De MontrichardClaire Blanchard
Apr 17, 2021·Current Opinion in Gastroenterology·Anh D Nguyen
Aug 21, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Arnaud SansClaire Blanchard

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