Gastroesophageal Reflux After Sleeve Gastrectomy

Sleeve gastrectomy continues to be the most commonly performed bariatric operation worldwide. Development or worsening of pre-existing GERD has been recognized as a significant issue postoperatively. There is a paucity of information concerning the most appropriate preoperative workup and the techni...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2021-02, Vol.25 (2), p.542-550
Main Authors: Guzman-Pruneda, Francisco A., Brethauer, Stacy A.
Format: Article
Language:English
Subjects:
Endoscopy
Esophagus
Gastrectomy - adverse effects
Gastroenterology
Gastroesophageal reflux
Gastroesophageal Reflux - epidemiology
Gastroesophageal Reflux - etiology
Gastroesophageal Reflux - surgery
Gastrointestinal surgery
Hernia, Hiatal - surgery
Hiatal hernias
Humans
Laparoscopy
Medicine
Medicine & Public Health
Obesity
Obesity, Morbid - surgery
Patients
Retrospective Studies
Review Article
Surgeons
Surgery
Treatment Outcome
Weight control
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Description
Summary:Sleeve gastrectomy continues to be the most commonly performed bariatric operation worldwide. Development or worsening of pre-existing GERD has been recognized as a significant issue postoperatively. There is a paucity of information concerning the most appropriate preoperative workup and the technical and anatomical factors that may or may not contribute to the occurrence of reflux symptoms. Contemporary data quality is deficient given the predominantly retrospective nature, limited follow-up time, and heterogeneous outcome measures across studies. This has produced mixed results regarding the postoperative incidence and severity of GERD. Ultimately, better-constructed investigations are needed in order to offer evidence-based recommendations that may guide preoperative workup and improved patient selection criteria.
ISSN:1091-255X
1873-4626
DOI:10.1007/s11605-020-04786-1