Gastroesophageal Reflux and Obesity

Beauchamp, Gilles

doi:10.1016/s0039-6109(16)43088-4

Cited by 19 publications

(7 citation statements)

References 6 publications

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“…This high incidence should be expected, since there is evidence that obesity itself is an independent risk factor for GERD [3,18,27]. However, there are some studies that show no relationship between GERD and obesity [17].…”

Section: Discussionmentioning

confidence: 99%

“…Reports of the laparoscopic adjustable gastric banding operations seem to be con¯icting. In theory, the adjustable band prevents re¯ux in a manner similar to the, 3 Angelchick prosthesis, which is placed around the lower esophagus rather than the upper stomach [16]. Dixon and O'Brien reported 90% resolution or improvement in GERD in 48 patients who underwent laparoscopic gastric banding with a preoperative diagnosis of GERD [8].…”

Section: Discussionmentioning

confidence: 99%

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Symptomatic improvement in gastroesophageal reflux disease (GERD) following laparoscopic Roux-en-Y gastric bypass

et al. 2002

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Symptomatic improvement in gastroesophageal reflux disease (GERD) following laparoscopic Roux-en-Y gastric bypass

et al. 2002

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“…Certain foods [chocolate (45), alcohol (46), peppermint (47), coffee (48), and perhaps onions and garlic (49)] have been noted to increase esophageal reflux and should be avoided, although randomized trials are also not available to test the efficacy of these maneuvers. Weight loss has been suggested to improve reflux, but studies have not been able to provide objective evidence of this association (50). Many authors assume the 20 -30% placebo response rate seen in most randomized trials is due to lifestyle changes, but this has not been tested.…”

Section: No Change Lifestyle Modification Should Be Initiated and Conmentioning

confidence: 99%

Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease

DeVault¹

1999

The American Journal of Gastroenterology

143

178

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PREAMBLEGuidelines for the diagnosis and treatment of gastroesophageal reflux disease (GERD) were published by the American College of Gastroenterology in 1995 (1). These and other guidelines undergo periodic review. Significant advances have been made in the area of GERD over the past several years, leading us to review and revise our previous guidelines statements. These advances have included an increase in our comfort with the chronic use of proton pump inhibitors and an increased acceptance of laparoscopic antireflux surgery, among other factors. These and the original guidelines are intended to apply to all physicians who address GERD and are intended to indicate the preferable, but not only acceptable, approach. Physicians must always choose the course best suited to the individual patient and the variables that exist at the moment of the decision. These guidelines are intended to apply to adult patients with the symptoms, tissue damage, or both that result from the reflux of gastric contents into the esophagus. For the purpose of these guidelines GERD is defined as chronic symptoms or mucosal damage produced by the abnormal reflux of gastric contents into the esophagus.Both these and the original guidelines were developed under the auspices of the American College of Gastroenterology and its Practice Parameters Committee, and approved by the Board of Trustees. The world literature was reviewed extensively for the original guidelines and was once again reviewed using the National Library of Medicine database. All appropriate studies were reviewed and any additional studies found in the reference list of these papers were obtained and reviewed. Evidence was evaluated along a hierarchy, with randomized controlled trials given the greatest weight. Abstracts presented at national and international meetings were only used when unique data from ongoing trials were presented. When scientific data were lacking, recommendations were based on expert consensus. During preparation, the guidelines were reviewed

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“…A number of previous studies have directly addressed the outcome of obese patients after antireflux surgery. As early as 1983, the symptomatic outcomes in a small group of obese patients after open antireflux surgery were reported [1]. Although there was good relief of symptoms is this group of patients, the author recognized the need for further study and adequate prospective data in this difficult patient group.…”

mentioning

confidence: 97%

Obesity does not adversely affect the outcome of laparoscopic antireflux surgery (LARS)

et al. 2003

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Gastroesophageal Reflux and Obesity

Cited by 19 publications

References 6 publications

Symptomatic improvement in gastroesophageal reflux disease (GERD) following laparoscopic Roux-en-Y gastric bypass

Symptomatic improvement in gastroesophageal reflux disease (GERD) following laparoscopic Roux-en-Y gastric bypass

Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease

Obesity does not adversely affect the outcome of laparoscopic antireflux surgery (LARS)

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