Laparoscopic sleeve gastrectomy and gastroesophageal reflux.
Fabien Stenard,Antonio Iannelli +1 more
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TLDR
The mechanisms responsible for GERD in obese subjects as well as the results after a SG with respect to GERD are reviewed, along with the current surgical options for morbidly obese patients with GERD and undergoing bariatric surgery.Abstract:
Bariatric surgery is the only effective procedure that provides long-term sustained weight loss. Sleeve gastrectomy (SG) has emerged over the last few years to be an ideal bariatric procedure because it has several advantages compared to more complex bariatric procedures, including avoiding an intestinal bypass. However, several published follow-up studies report an increased rate of gastroesophageal reflux (GERD) after a SG. GERD is described as either de novo or as being caused by aggravation of preexisting symptoms. However, the literature on this topic is ambivalent despite the potentially increased rate of GERDs that may occur after this common bariatric procedure. This article reviews the mechanisms responsible for GERD in obese subjects as well as the results after a SG with respect to GERD. Future directions for clinical research are discussed along with the current surgical options for morbidly obese patients with GERD and undergoing bariatric surgery.read more
Citations
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Journal ArticleDOI
Systematic Endoscopy 5 Years After Sleeve Gastrectomy Results in a High Rate of Barrett’s Esophagus: Results of a Multicenter Study
Lionel Sebastianelli,Marine Benois,Geoffroy Vanbiervliet,Laurent Bailly,Maud Robert,Nicolas Turrin,Emmanuel Gizard,Mirto Foletto,Marco Bisello,Alice Albanese,Antonella Santonicola,Paola Iovino,Thierry Piche,Luigi Angrisani,Laurent Turchi,Luigi Schiavo,Antonio Iannelli +16 more
TL;DR: This multicenter study show a high rate of BE at least 5 years after SG in patients who underwent SG in different bariatric centers of two countries: France and Italy and suggests to provide systematic endoscopy in these patients to rule out this condition.
Journal ArticleDOI
High-resolution Impedance Manometry after Sleeve Gastrectomy: Increased Intragastric Pressure and Reflux are Frequent Events
François Mion,Salvatore Tolone,Aurélien Garros,Edoardo Savarino,Elise Pelascini,Maud Robert,Gilles Poncet,Pierre-Jean Valette,Sophie Marjoux,Ludovico Docimo,Sabine Roman +10 more
TL;DR: SG significantly modified esophagogastric motility with high-resolution impedance manometry (HRIM) and may have a clinical impact on the management of patients with upper GI symptoms after SG.
Journal ArticleDOI
Lack of correlation between gastroesophageal reflux disease symptoms and esophageal lesions after sleeve gastrectomy
Emanuele Soricelli,Giovanni Casella,Giovanni Baglio,Roberta Maselli,Ilaria Ernesti,Alfredo Genco +5 more
TL;DR: GERD symptoms and visual analogue scale score were not significantly associated with the development of erosive esophagitis and Barrett's esophagus and the severity of the esophageal lesions, and symptoms and PPI intake in patients consuming PPI were similar to that of patients without PPI.
Journal ArticleDOI
Revision of primary sleeve gastrectomy to Roux-en-Y gastric bypass: indications and outcomes from a high-volume center.
TL;DR: Revision of SG to RYGB is a potentially effective means of treating SG complications, particularly reflux, which was the most common indication for revision and was often associated with a hiatal hernia.
Journal ArticleDOI
Comparison of mini-gastric bypass with sleeve gastrectomy in a mainly super-obese patient group: first results.
TL;DR: MGB achieved superior weight loss at 1 year and had a lower 30-day complication rate in comparison with SG for super-obese patients, suggesting that MGB might be superior to SG regarding the treatment ofsuper-obesity.
References
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Journal ArticleDOI
The Disease Burden Associated with Overweight and Obesity
Aviva Must,Jennifer L. Spadano,Eugenie Coakley,Alison E. Field,Graham A. Colditz,William H. Dietz +5 more
TL;DR: A graded increase in the prevalence ratio (PR) was observed with increasing severity of overweight and obesity for all of the health outcomes except for coronary heart disease in men and high blood cholesterol level in both men and women.
Journal ArticleDOI
Effects of bariatric surgery on mortality in Swedish obese subjects.
Lars Sjöström,Kristina Narbro,C. David Sjöström,Kristjan Karason,B Larsson,Hans Wedel,Theodore Lystig,Marianne Sullivan,Claude Bouchard,Björn Carlsson,Calle Bengtsson,Sven Dahlgren,Anders Gummesson,Peter Jacobson,Jan Karlsson,Anna Karin Lindroos,Hans Lönroth,Ingmar Näslund,Torsten Olbers,Kaj Stenlöf,Jarl S Torgerson,Göran Ågren,Lena M. S. Carlsson +22 more
TL;DR: Bariatric surgery for severe obesity is associated with long-term weight loss and decreased overall mortality.
Journal ArticleDOI
Lifestyle, Diabetes, and Cardiovascular Risk Factors 10 Years after Bariatric Surgery
TL;DR: A prospective, controlled Swedish Obese Subjects Study involved obese subjects who underwent gastric surgery and contemporaneously matched, conventionally treated obese control subjects, which reported follow-up data for subjects who had been enrolled for at least 2 years or 10 years before the analysis.
Journal ArticleDOI
The Montreal Definition and Classification of Gastroesophageal Reflux Disease: A Global Evidence-Based Consensus
TL;DR: Novel aspects of the new definition include a patient-centered approach that is independent of endoscopic findings, subclassification of the disease into discrete syndrome, and the recognition of laryngitis, cough, asthma, and dental erosions as possible GERD syndromes.
Journal ArticleDOI
Bariatric Surgery versus Intensive Medical Therapy for Diabetes — 3-Year Outcomes
Philip R. Schauer,Deepak L. Bhatt,John P. Kirwan,Kathy Wolski,Stacy A. Brethauer,Sankar D. Navaneethan,Ali Aminian,Claire E. Pothier,Steven E. Nissen,Sangeeta R. Kashyap,Abstr Act +10 more
TL;DR: Among obese patients with uncontrolled type 2 diabetes, 3 years of intensive medical therapy plus bariatric surgery resulted in glycemic control in significantly more patients than did medical therapy alone.