Key result
In 68 patients with morbid obesity, comprehensive preoperative examination and phenotyping of GERD led to a reduction of GERD symptoms after sleeve gastrectomy.
Why the study?
For morbid obesity, bariatric surgery is the primary treatment option, and the presence of upper gastrointestinal tract pathology such as GERD determines the choice of surgical intervention.
Does comprehensive preoperative examination and phenotyping of GERD reduce GERD symptoms in patients with morbid obesity undergoing bariatric surgery?
Observational (n=68)
Does comprehensive preoperative examination and phenotyping of GERD reduce GERD symptoms in patients with morbid obesity undergoing bariatric surgery?
Comprehensive preoperative evaluation of GERD helps reduce postoperative GERD symptoms in morbidly obese patients undergoing sleeve gastrectomy.
Answers are grounded in this paper and cite their sources.
May inform bariatric procedure selection; leaves open whether preoperative findings improve outcomes.
Obesity is the 21st century pandemic. By 2025 6 % of men and 9 % of women will suffer from morbid obesity. For morbid obesity bariatric surgery is the main treatment option. The presence of pathology of the upper gastrointestinal tract (GERD) determines the choice of surgical intervention. The study involved 68 patients 47.1 ± 10.2 years with morbid obesity. Patients had the following gastroenterological pathologies: erosive esophagitis – 6 (8.8 %), hiatal hernia – 9 (13 %), erosive and ulcerative lesions of the stomach and duodenum – 13 (19 %). Heartburn disturbed 38 (55 %), regurgitation – 17 (25 %), severity and feeling of fullness in the epigastrium – 29 (42 %), pain or burning in the epigastrium – 8 (11 %) patients. Fifty (73.5 %) patients underwent laparoscopic sleeve gastrectomy, 18 (26.5 %) patients – laparoscopic Roux-en-Y gastric bypass. Comprehensive preoperative examination (x-ray of the upper gastrointestinal tract with barium, daily pH impedance measurement, esophageal manometry) and phenotyping of GERD lead to reduction of GERD symptoms in patients with morbid obesity after sleeve gastrectomy.
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Тихонов et al. (2021) conducted an observational in Morbid obesity (n=68). Bariatric surgery (laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass) was evaluated on Reduction of GERD symptoms. In 68 patients with morbid obesity, comprehensive preoperative examination and phenotyping of GERD led to a reduction of GERD symptoms after sleeve gastrectomy.
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