Key result
Laparoscopic sleeve gastrectomy is associated with an increased risk of de novo or worsening gastroesophageal reflux disease, prompting recommendations for routine preoperative upper endoscopy.
Why the study?
Laparoscopic sleeve gastrectomy may cause new and/or worsening GERD compared to Roux-en-Y gastric bypass, raising questions on obesity, GERD, and sleeve gastrectomy.
What is the inter-relationship of obesity, GERD, and laparoscopic sleeve gastrectomy?
What is the inter-relationship of obesity, GERD, and laparoscopic sleeve gastrectomy?
This review addresses key clinical questions regarding the prevalence of GERD in obese patients, the need for pre-operative endoscopy, and the long-term effects of sleeve gastrectomy on GERD.
May guide pre-op endoscopy decisions in obese GERD patients; leaves open long-term reflux effects after sleeve gastrectomy.
and/or worsening GERD compared to the less popular Roux-en-Y gastric bypass procedure. In this paper, we try to address 3 burning questions regarding the inter-relationship of obesity, GERD, and LSG: (1) What is the prevalence of GERD and erosive esophagitis in obese patients considered for bariatric surgery? (2) Is it necessary to perform an upper endoscopy in obese patients considered for bariatric surgery? And (3) What are the long-term effects of sleeve gastrectomy on GERD and should LSG be done in patients with pre-existing GERD?
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Daher et al. (2019) conducted a review in Obesity and Gastroesophageal reflux disease (GERD). Laparoscopic sleeve gastrectomy vs. Roux-en-Y gastric bypass or pre-operative state was evaluated. Laparoscopic sleeve gastrectomy is associated with an increased risk of de novo or worsening gastroesophageal reflux disease, prompting recommendations for routine preoperative upper endoscopy.
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