Comparative Study of Reflux Esophagitis as a Complication between Mini-Gastric Bypass vs Sleeve Gastrectomy

Background All currently commonly performed bariatric operations involve manipulation and alteration of gastroesophageal anatomy, resulting in change of multiple physiologic parameters, such as gastric emptying and even the function of the lower esophageal sphincter (LES) itself. Reflux control involves a complex interplay of LES function, esophageal function, and gastric emptying. While all 3 can be affected by any foregut procedure, LES function and gastric emptying are most directly altered in bariatric surgery Aim and Objectives was for discussing the post-operative reflux esophagitis in both Mini gastric bypass & sleeve gastrectomy in the Treatment of Morbid Obesity. Subjects and Methods This prospective comparative study was carried out at ASU Hospital (El-Demerdash Hospital), Al Haram Hospital & other authorized hospitals between July 2017 and March 2019 and ethically approved. The study involved 40 Patients who were targeted to be recruited & randomly ordered to receive either Group 1 (MGBP (n = 20) or Group 2 Results After 6 months of follow up, we found that reflux esophagitis symptoms remained postoperatively among patients who performed SG operation compared to the MGB group (15% vs 5%). This was statistically insignificant (p = 0.737). Although the resolve rate was higher in the SG group compared to the MGB group (15% vs 5%), this was statistically insignificant (p = 0.605). Conclusion LSG and LMGB are both safe and effective procedures for the surgical management of morbid obesity. Bleeding and leakage are the most common and most serious complications in both procedures. The incidence of complications between both procedures is not significantly different.