Esophageal Dysmotility Disorders After Laparoscopic Gastric Banding—An Underestimated Complication

Naef, Markus; Mouton, Wolfgang G.; Naef, U.; Weg, Boudewijn van der; Maddern, Guy J.; Wagner, Harald

doi:10.1097/sla.0b013e318206843e

Cited by 89 publications

(58 citation statements)

References 43 publications

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“…Nevertheless, the indication for the implantation of the SAGB was correct since a protective effect of SAGB for GERD has been advocated years ago provided a normal esophageal peristalsis [8]. A preoperative evaluation of the gastroesophageal junction is still under debate and until presently no generally accepted approach is defined [8,[11][12][13].…”

Section: Discussionmentioning

confidence: 98%

Swedish adjustable gastric banding – an underestimated risk factor for the development of esophageal cancer?

et al. 2011

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Background: Patients with obesity are at higher risk for gastroesophageal reflux disease and also for adenocarcinoma of the distal esophagus.Methods: Case report. Results: We report on a 58-year-old male patient who developed adenocarcinoma of the distal esophagus (Barrett's cancer) 13 years after implantation of a SAGB (Swedish adjustable gastric banding). Predisposition to reflux combined with bad compliance (frequent overeating) lead to dilation of the pouch followed by impairment of the lower esophageal sphincter with a permanent exposition of the distal esophagus to refluxate. This "stasis esophagitis" over years finally ended in development of neoplasia. Consequently, the patient underwent an esophageal resection with gastric tube pull-up and intrathoracic anastomosis.Conclusions: From a functional point of view, preoperative work up before SAGB should include detailed history, endoscopy with biopsies of the z-line and esophageal manometry. In case of defective esophageal peristalsis or suspected incompliance of the patient, an implantation of a SAGB should not be performed.

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Section: Discussionmentioning

confidence: 98%

Swedish adjustable gastric banding – an underestimated risk factor for the development of esophageal cancer?

et al. 2011

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“…Second, adjustable gastric banding may provide a sufficient antireflux barrier in most of the obese patients with GERD. However, a subset of patients may be at higher risk of developing pulmonary complications (13, 14). For instance, patients with preoperatively defective esophageal body motility, LAGB may aggravate GERD symptoms and esophageal dilatation (15).…”

Section: Discussionmentioning

confidence: 99%

“…While there is no established tool to help risk-stratify patients, a review of literature suggests that abnormal preoperative pH monitoring, pre-existing esophageal dysmotility and an esophageal caliber >35 mm are risk factors, while a preceding history of GERD or hiatal hernias are inconsistent predictors (13, 14). Our patient did not have any such perioperative testing performed prior to surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

Recurrent aspiration pneumonia after laparoscopic adjustable gastric banding for obesity surgery

Jalota

Oluwasanjo

Alweis

2014

Journal of Community Hospital Internal Medicine Perspectives

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Laparoscopic adjustable gastric banding (LAGB) is an increasingly common therapeutic option in the management of obesity and certain obesity-related comorbid conditions. As it gains popularity for its advantages of being minimally invasive and reversible, clinicians should be aware of growing evidence of esophageal and pulmonary complications, which may be irreversible and associated with long-term morbidity. We report a case of esophageal and pulmonary complications in a patient with successful weight loss after lap-band surgery necessitating its removal.

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“…42 However, esophageal dysmotility disorders seem to be frequent after adjustable gastric band application and cause significant dysphagia and reflux-like symptoms related to delayed esophageal clearance. 43 Thus, Roux-en-Y gastric by-pass may be the better option in those with obesity and reflux. This operation is shown to have better antireflux outcome.…”

Section: Obesitymentioning

confidence: 98%

Therapeutic Strategies for Laryngeal Manifestations of Gastroesophageal Reflux Disease

Yüksel

Vaezi

2013

Journal of Clinical Gastroenterology

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Gastroesophageal reflux disease is increasingly associated with ear, nose, and throat symptoms, including laryngitis. Many patients are unaware of the gastroesophageal etiology of their symptoms. A variety of criteria are used to diagnose this condition, including laryngoscopy, esophagogastroduodenoscopy, and the use of ambulatory pH and impedance monitoring. However, no test serves as the gold standard for the diagnosis given their lack of sensitivity and specificity for reflux disease. Numerous trials have assessed the role of proton pump inhibitor therapy in patients with laryngopharyngeal reflux and most have revealed no benefit to acid suppression over placebo. Despite many uncertainties there has been some progress regarding the role of acid-suppressive therapy as well as other agents in this unique group of patients. In this review we explore therapeutic options and their rationale for patients with laryngeal signs and symptoms.

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Esophageal Dysmotility Disorders After Laparoscopic Gastric Banding—An Underestimated Complication

Cited by 89 publications

References 43 publications

Swedish adjustable gastric banding – an underestimated risk factor for the development of esophageal cancer?

Swedish adjustable gastric banding – an underestimated risk factor for the development of esophageal cancer?

Recurrent aspiration pneumonia after laparoscopic adjustable gastric banding for obesity surgery

Therapeutic Strategies for Laryngeal Manifestations of Gastroesophageal Reflux Disease

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