Sleeve gastrectomy morphology and long-term weight-loss and gastroesophageal reflux disease outcomes

Alvárez, Rafael; Youssef, Joseph El; Zadeh, Jonathan; Sarode, Anuja L.; Barger, Richard; Abbas, Mujjahid; Khaitan, Leena

doi:10.1007/s00464-022-09555-6

Cited by 5 publications

(2 citation statements)

References 51 publications

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“…In this case report, both patients were submitted to primary SL, regained weight and developed "De Novo GERD". Increased intragastric pressure, loss of gastric complacency, disruption of crura structure, proximal gastric tube migration, fundus compression absence and gastric tube tortuosity are some of the factors involved in the pathophysiology of gastroesophageal reflux, after this operation [6] [30] [31] [32], which can limit its indication.…”

Section: Discussionmentioning

confidence: 99%

Functional Roux-en-Y Gastric Bypass (F-RYGB), with Preservation of Duodenal Access: Report of Two Revisional Cases of Sleeve Gastrectomy

Dib,

Madalosso,

de Melo

et al. 2024

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Objective: This case report aimed to demonstrate a possible neuromuscular effect of Latarjet nerves transection or truncal vagotomy, in association with sleeve gastrectomy plus antrojejunostomy, in order to reproduce a Roux-en-Y gastric bypass (RYGB) mechanistic principles, in patients with previous Sleeve Gastrectomy (SG) who had had weight regain, with or without concomitant gastroesophageal reflux disease (GERD). Background: Sleeve gastrectomy (SG) is one of the most frequently performed bariatric operations worldwide. Nevertheless, weight regain and gastroesophageal reflux disease (GERD) have been consistently demonstrated, in association with this technique, which may require a revisional procedure. RYGB is an option in such a situation but, implies in gastrointestinal exclusions, which represents a shortcoming of this revision. Surpassing this inconvenient would be of great value for the patients. Methods: We describe herein two cases of SG revision for weight regain and GERD, with a follow-up of one year. Gastroesophageal reflux disease was evaluated by validated questionnaire, upper endoscopy, seriography, high resolution manometry (HRM) and impedance pHmetry (I-pHmetry), in the pre and postoperative periods. A re-Sleeve Gastrectomy with antrojejunal anastomosis was done in both cases, after informed consents. The Latarjet nerves were transected in one case, due to a bleeding in the left gastric vessels and a truncal vagotomy was required in the other, to appropriately treat an associated hiatal hernia. Results: In the postoperative evaluation it was observed a pyloric spasm in both cases, during seriography and endoscopy, kept

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Section: Discussionmentioning

confidence: 99%

Functional Roux-en-Y Gastric Bypass (F-RYGB), with Preservation of Duodenal Access: Report of Two Revisional Cases of Sleeve Gastrectomy

Dib,

Madalosso,

de Melo

et al. 2024

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“…Compared with other operations, SG offers the advantages of simplicity and fewer complications. However, this technique is also associated with a risk of gastroesophageal reflux and weight regain 65 – 67 . Laparoscopic gastric bypass (LGB), which used to be the gold standard procedure, is also thought to increase the risk of weight regain, anemia, and malnutrition 68 – 70 .…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary combined treatment based on bariatric surgery for metabolic syndrome: a review article

Xie,

Wang

2024

International Journal of Surgery

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As a chronic, multifactorial disease, obesity is associated with a global social and economic burden. This condition significantly affects normal daily life and healthy social interactions, and shortens the life expectancy of patients. Compared with traditional weight-loss methods, the emergence of bariatric surgery has effectively improved the management of obesity. Further, bariatric surgery can also inhibit the progression of multiple metabolic diseases. Despite its potential advantages, bariatric surgery cannot completely eliminate the possibility of weight regain and inadequate weight loss following the procedure. For super-obese patients, bariatric surgery still remains a surgical risk. In addition, the psychological problems and poor eating habits of obese patients also affect the weight loss effect and daily life. Thus, various adjuvant therapies involving multiple disciplines have attracted people’s attention. Recently, it has been recognized that the combination of multiple interventions based on bariatric surgery is more advantageous than a single intervention in alleviating the complex and diverse metabolic diseases associated with obesity. The combined therapy considerably enhances the long-term efficacy of bariatric surgery and plays a positive role in the mental health and social lives of patients. In this article, we review this multidisciplinary combination therapy to enhance the current understanding of the treatment of obesity.

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Laparoscopic Sleeve Gastrectomy Lacks Intrasurgeon and Intersurgeon Agreement in Technical Key Points That May Affect Gastroesophageal Reflux Disease After the Procedure

Katayama,

Herbella,

Patti

et al. 2023

OBES SURG

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Sleeve gastrectomy morphology and long-term weight-loss and gastroesophageal reflux disease outcomes

Cited by 5 publications

References 51 publications

Functional Roux-en-Y Gastric Bypass (F-RYGB), with Preservation of Duodenal Access: Report of Two Revisional Cases of Sleeve Gastrectomy

Functional Roux-en-Y Gastric Bypass (F-RYGB), with Preservation of Duodenal Access: Report of Two Revisional Cases of Sleeve Gastrectomy

Multidisciplinary combined treatment based on bariatric surgery for metabolic syndrome: a review article

Laparoscopic Sleeve Gastrectomy Lacks Intrasurgeon and Intersurgeon Agreement in Technical Key Points That May Affect Gastroesophageal Reflux Disease After the Procedure

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