Effects of bariatric surgery on gastroesophageal reflux.

Abstract

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.

• Authors: Radu Tutuian
• Journal: Current opinion in gastroenterology (Curr Opin Gastroenterol) Vol. 30 Issue 4 Pg. 434-8 (Jul 2014) ISSN: 1531-7056 [Electronic] United States
• PMID: 24867157 (Publication Type: Journal Article, Review)

Topics

• Bariatric Surgery (methods)
• Gastroesophageal Reflux (etiology, prevention & control, surgery)
• Humans
• Laparoscopy
• Obesity, Morbid (complications, prevention & control, surgery)
• Risk Factors
• Treatment Outcome
• Weight Loss