Key result
Roux-en-Y gastric bypass is the preferred procedure for treating gastroesophageal reflux disease in morbidly obese patients, as fundoplication is less effective in this population.
Why the study?
Does bariatric surgery (Roux-en-Y gastric bypass) improve reflux and obesity better than fundoplication in morbidly obese patients with GERD?
Does bariatric surgery (Roux-en-Y gastric bypass) improve reflux and obesity better than fundoplication in morbidly obese patients with GERD?
In morbidly obese patients with GERD, Roux-en-Y gastric bypass is preferred over fundoplication as it addresses both obesity and abnormal reflux.
Supports RYGB over fundoplication in obese GERD; leaves open randomized trials before practice change.
The prevalence of gastroesophageal reflux disease (GERD) has mirrored the increase in obesity, and GERD is now recognized as an obesity-related comorbidity. There is growing evidence that obesity, specifically central obesity, is associated with the complications of chronic reflux, including erosive esophagitis, Barrett's esophagus, and esophageal adenocarcinoma. While fundoplication is effective in creating a competent gastroesophageal junction and controlling reflux in most patients, it is less effective in morbidly obese patients. In these patients a bariatric operation has the ability to correct both the obesity and the abnormal reflux. The Roux-en-Y gastric bypass is the preferred procedure.
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Duke et al. (2016) conducted a review in Gastroesophageal Reflux Disease (GERD) in morbidly obese patients. Bariatric surgery (Roux-en-Y gastric bypass) vs. Fundoplication was evaluated. Roux-en-Y gastric bypass is the preferred procedure for treating gastroesophageal reflux disease in morbidly obese patients, as fundoplication is less effective in this population.
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