Effects of bariatric surgery on gastroesophageal reflux

Tutuian, Radu (2014). Effects of bariatric surgery on gastroesophageal reflux. Current opinion in gastroenterology, 30(4), pp. 434-438. Lippincott Williams & Wilkins 10.1097/MOG.0000000000000083

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PURPOSE OF REVIEW: Obesity and gastroesophageal reflux disease (GERD) are two prevalent conditions with important impact on health resource utilization around the world. Obesity is a known risk factor in the pathogenesis of GERD. When conservative measures fail, bariatric surgery remains the only option to lose weight and correct obesity-related comorbidities. The influence of bariatric surgery on GERD depends on which bariatric intervention is used. RECENT FINDINGS: Recent studies indicate that laparoscopic gastric banding and laparoscopic sleeve gastrectomy have little influence on preexisting GERD symptoms and findings, but some patients may develop GERD after laparoscopic sleeve gastrectomy. A number of studies have documented that laparoscopic Roux-en-Y gastric bypass improves GERD symptoms and findings, making it the preferred procedure for morbid obese patients with concomitant GERD. SUMMARY: Current findings provide good arguments for searching for and treating GERD in patients scheduled to undergo bariatric surgery. The presence of GERD might represent a relative contraindication for sleeve gastrectomy or gastric banding or both. Gastric bypass might be the procedure of choice in morbid obese patients with GERD symptoms or findings or both.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Gastroenterology

UniBE Contributor:

Tutuian, Radu

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0267-1379

Publisher:

Lippincott Williams & Wilkins

Language:

English

Submitter:

Lilian Karin Smith-Wirth

Date Deposited:

16 Apr 2015 15:53

Last Modified:

06 Nov 2015 09:41

Publisher DOI:

10.1097/MOG.0000000000000083

PubMed ID:

24867157

Uncontrolled Keywords:

gastric banding, gastric bypass, gastric sleeve, gastroesophageal reflux disease, upper gastrointestinal endoscopy

BORIS DOI:

10.7892/boris.66983

URI:

https://boris.unibe.ch/id/eprint/66983

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