Gastroesophageal Reflux Disease and Weight Loss After Fundoplication Sleeve Gastrectomy: a Systematic Review and Meta-analysis

Mu, Scott Z.; Saber, Alan A.

doi:10.1007/s11695-023-06927-2

OBES SURG

2023

DOI: 10.1007/s11695-023-06927-2

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Gastroesophageal Reflux Disease and Weight Loss After Fundoplication Sleeve Gastrectomy: a Systematic Review and Meta-analysis

Scott Z. Mu,

Alan A. Saber

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2024

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Cited by 3 publications

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Nissen sleeve gastrectomy: 5-year follow-up results

Savvala,

Amico,

Joumaa

et al. 2024

Surgery for Obesity and Related Diseases

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Nissen sleeve gastrectomy: 5-year follow-up results

Savvala,

Amico,

Joumaa

et al. 2024

Surgery for Obesity and Related Diseases

View full text Add to dashboard Cite

Options for the surgical technique of laparoscopic sleeve gastrectomy for prevention and treatment of gastroesophageal reflux in patients with obesity

Kurganov,

Emelyanov

2024

Endo. Surg.

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Does Antrum Size Matter in Sleeve Gastrectomy? Volume II—A Retrospective Multicentric Study with Long-Term Follow-Up

Gambardella,

Parisi,

Tolone

et al. 2024

JCM

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Background: Laparoscopic sleeve gastrectomy (LSG) is the most widespread bariatric procedure due to its safety and efficacy. Despite continuous refinement, achieving a globally standardized procedure remains challenging. Moreover, due to its wide adoption, numerous studies have focused on complications associated with the technique, such as gastroesophageal reflux disease (GERD). This study evaluates the impact of antrum size (wide antrectomy versus small antrectomy) in LSG on long-term anthropometric outcomes and complications in patients with morbid obesity. Methods: Body mass index (BMI), percentage of excess weight loss (%EWL) at a 5-year follow-up, GERD Health-Related Quality-of-Life (GERD-HRQL) scores, and obesity-related diseases of patients undergoing LSG with gastric resections starting 2 cm and 6 cm from the pylorus were retrospectively evaluated. Results: Between January 2015 and November 2019, 597 patients who met the criteria for LSG were included in the study. Group A (241 patients) underwent wide antrectomy, while Group B (356 patients) underwent small antrectomy. Weight, BMI, %EWL, and %TWL significantly improved at 6 and 12 months in the wide-antrectomy group. However, these differences diminished by 24 months, with no significant long-term differences in weight loss outcomes between the two groups at 5 years. Conversely, GERD-HRQL scores were significantly better in the small-antrectomy group until 24 months; thereafter, results were comparable between groups over the long term. Conclusions: Therefore, while wide antrectomy may offer superior short-term anthropometric outcomes, both techniques yield similar long-term results regarding weight management and GERD incidence. Larger prospective studies are needed to further address this issue.

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Gastroesophageal Reflux Disease and Weight Loss After Fundoplication Sleeve Gastrectomy: a Systematic Review and Meta-analysis

Cited by 3 publications

References 35 publications

Nissen sleeve gastrectomy: 5-year follow-up results

Nissen sleeve gastrectomy: 5-year follow-up results

Options for the surgical technique of laparoscopic sleeve gastrectomy for prevention and treatment of gastroesophageal reflux in patients with obesity

Does Antrum Size Matter in Sleeve Gastrectomy? Volume II—A Retrospective Multicentric Study with Long-Term Follow-Up

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