The Effect of Bariatric Surgery and Endoscopic Procedures on Gastroesophageal Reflux Disease

Fass, Ofer; Mashimo, Hiroshi

doi:10.5056/jnm20169

Cited by 18 publications

(7 citation statements)

References 88 publications

(118 reference statements)

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“…This not only affects tolerability of the medication but also has resulted in new policies surrounding timing and preparation before an endoscopy (17). In addition to the many nutritional deficiencies that may occur after the malabsorptive bypass operations, marginal ulcers and reflux are common complications requiring management by a gastroenterologist after bariatric surgery (18).…”

Section: What Is the Relationship Between Obesity And The Gi Diseases...mentioning

confidence: 99%

The Role of the Gastroenterologist in Obesity Management: Now Is the Right Time for Our Involvement

Gold,

Kornbluth

2024

Am J Gastroenterol

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Section: What Is the Relationship Between Obesity And The Gi Diseases...mentioning

confidence: 99%

The Role of the Gastroenterologist in Obesity Management: Now Is the Right Time for Our Involvement

Gold,

Kornbluth

2024

Am J Gastroenterol

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“…Given these associations, weight loss may play a role in resolving GERD. Today, Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) are two of the most commonly performed bariatric surgeries in the U.S. [6].…”

Section: Introductionmentioning

confidence: 99%

“…It is also believed that the roux limb will anchor the small gastric pouch into the abdomen, preventing recurrence [11]. Finally, the reduction of the size of the stomach with the creation of a gastric pouch reduces the amount of gastric acid exposed to the lower esophagus, thus treating the GERD symptoms [6].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Anti-reflux Gastric Bypass for Massive Paraesophageal Hernia in Obese Patients With Gastroesophageal Reflux Disease

Kayastha,

Wasselle,

Wilensky

et al. 2023

Cureus

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BackgroundThe objective of this study is to demonstrate the safety and feasibility of anti-reflux gastric bypass (ARGB) as a treatment for symptomatic massive paraesophageal hernias (PEH) in the obese population. Both gastroesophageal reflux disease (GERD) and PEH are particularly prevalent in the obese patient population, and obesity adversely affects the long-term outcomes of all anti-reflux procedures. MethodsThis is a single-center, retrospective review of 17 obese adults who underwent ARGB for the treatment of massive PEH between September 2019 and December 2021. Massive PEH was defined as >5 cm in a singular direction, and obesity as BMI ≥30 kg/m 2 . Patients without preoperative diagnostic testing were excluded. We reviewed and analyzed patient demographic data, postoperative symptom resolution, weight loss, and complications using descriptive statistics, change from baseline, and comparison of proportions. ResultsSixteen of the 17 subjects were female. The median age was 48, and the median BMI was 39.10 kg/m 2 (30.0-49.3 kg/m 2 ). The average PEH size on imaging was 6.48 (H) x 6.25 (W) cm. The resolution of heartburn was 93.8% (p<0.001), and the resolution of nausea and vomiting was 80.0%. The mean postoperative length of follow-up was 9.12 months. Median excess body weight loss percentages at one, three, six, and 12 months were 16.43% (p<0.001), 35.92% (p<0.001), 40.64% (p=0.001), and 58.58% (p<0.01), respectively. Five patients experienced adverse events requiring additional intervention or hospitalization. There were no symptomatic hernia recurrences or mortality. ConclusionThis study demonstrates that ARGB is feasible and potentially effective in treating symptomatic massive paraesophageal hernias in the obese patient population. Further investigation is needed to determine efficacy and long-term outcomes compared to standard surgical repair.

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“…Cependant, l'association d'une Sleeve Gastrectomie comme geste de chirurgie bariatrique à un geste de chirurgie anti-reflux demeure largement utilisée comme procédure pour traiter les patients obèses avec reflux57 . Et bien qu'actuellement, la Sleeve Gastrectomie continue à être largement utilisée à travers le monde, le ByPass gastrique selon la technique de Roux-en-Y représente le gold-standard pour traiter l'obésité avec reflux ou le prévenir58 .…”

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Gastro-œsophageal reflux disease and surgery

Belhocine¹,

Varannes²

2022

Rev Med Brux

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Le reflux gastro-oesophagien (RGO) est une pathologie fréquente, ubiquitaire, représentant un véritable problème de santé publique dans certaines régions du monde. Sa prise en charge a été révolutionnée par l'avènement de molécules au fort potentiel anti-sécrétoire acide que sont les inhibiteurs de la pompe à protons. Néanmoins, la chirurgie anti-reflux réalisée par voie laparoscopique demeure une alternative thérapeutique, non négligeable, aux résultats très satisfaisants dans les centres experts mais non dépourvue d'échecs ou de morbidité. Cette revue de la littérature a pour objectif de synthétiser les indications adéquates et de préciser les caractéristiques des candidats rigoureusement sélectionnés afin de garantir un succès et une satisfaction élevés de cette chirurgie anti-reflux.

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The Effect of Bariatric Surgery and Endoscopic Procedures on Gastroesophageal Reflux Disease

Cited by 18 publications

References 88 publications

The Role of the Gastroenterologist in Obesity Management: Now Is the Right Time for Our Involvement

The Role of the Gastroenterologist in Obesity Management: Now Is the Right Time for Our Involvement

Feasibility of Anti-reflux Gastric Bypass for Massive Paraesophageal Hernia in Obese Patients With Gastroesophageal Reflux Disease

Gastro-œsophageal reflux disease and surgery

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