Impact of Sleeve Gastrectomy on Gastroesophageal Reflux Disease: A Retrospective Study
Autores
Maria J. Alves, José P. Santos, Isabel Mesquita, Teresa Correia, Mário Marcos, Jorge Santos, Paulo Soares.
Resumo Introdução
Sleeve gastrectomy (SG) remains one of the most performed bariatric surgeries globally. One concern following the surgery is the development of gastroesophageal reflux disease (GERD). The existing literature presents mixed findings regarding the likelihood of GERD occurring post-operation. This paper shares our findings on the occurrence of GERD after SG
Resumo Métodos
We investigated the impact of laparoscopic sleeve gastrectomy (LSG) on GERD in patients with obesity. A retrospective analysis was conducted involving 97 patients who underwent LSG between January 2021-January 2023. Preoperatively, all patients completed a questionnaire to assess reflux symptoms and underwent upper gastrointestinal endoscopy, with Helicobacter pylori eradication performed as needed. Post-surgery, we documented GERD symptoms, the use of IBP and dietary habits
Resumo Resultados
In total 97 patients underwent surgery over a span of 24 months, with an IMC of 53.4 kg/m². Using the GERD score questionnaire, we found that 9.3% of patients reported new-onset GERD symptoms. Among these, one patient exhibited endoscopic esophagitis, and two others displayed dilated cardia without esophagitis. Additionally, three patients were found to have type I HH after LSG
Resumo Discussão
The occurrence of GERD following LSG is a significant concern and may necessitate further surgical intervention. Future research involving esophageal manometry and 24-hour ambulatory pH monitoring is essential for a more comprehensive understanding of how LSG influences GERD symptoms