De Novo Gastroesophageal Reflux Disease Symptoms Are Infrequent after Sleeve Gastrectomy at 2-Year Follow-Up Using a Comprehensive Preoperative Esophageal Assessment.
| Title: | De Novo Gastroesophageal Reflux Disease Symptoms Are Infrequent after Sleeve Gastrectomy at 2-Year Follow-Up Using a Comprehensive Preoperative Esophageal Assessment. |
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| Authors: | Tolone S; Division of General, Mininvasive, Oncologic and Bariatric Surgery, Department of Advanced Medical and Surgical Sciences, University of Campania 'Luigi Vanvitelli', Via Pansini 5, 80131 Naples, Italy.; Conzo G; Division of General, Mininvasive, Oncologic and Bariatric Surgery, Department of Advanced Medical and Surgical Sciences, University of Campania 'Luigi Vanvitelli', Via Pansini 5, 80131 Naples, Italy.; Flagiello L; Division of General, Mininvasive, Oncologic and Bariatric Surgery, Department of Advanced Medical and Surgical Sciences, University of Campania 'Luigi Vanvitelli', Via Pansini 5, 80131 Naples, Italy.; Gambardella C; Division of General, Mininvasive, Oncologic and Bariatric Surgery, Department of Advanced Medical and Surgical Sciences, University of Campania 'Luigi Vanvitelli', Via Pansini 5, 80131 Naples, Italy.; Lucido FS; Division of General, Mininvasive, Oncologic and Bariatric Surgery, Department of Advanced Medical and Surgical Sciences, University of Campania 'Luigi Vanvitelli', Via Pansini 5, 80131 Naples, Italy.; Brusciano L; Division of General, Mininvasive, Oncologic and Bariatric Surgery, Department of Advanced Medical and Surgical Sciences, University of Campania 'Luigi Vanvitelli', Via Pansini 5, 80131 Naples, Italy.; Parisi S; Division of General, Mininvasive, Oncologic and Bariatric Surgery, Department of Advanced Medical and Surgical Sciences, University of Campania 'Luigi Vanvitelli', Via Pansini 5, 80131 Naples, Italy.; De Bortoli N; Division of Gastroenterology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56127 Pisa, Italy.; Savarino EV; Division of Gastroenterology, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, 35128 Padua, Italy.; Del Genio G; Division of General, Mininvasive, Oncologic and Bariatric Surgery, Department of Advanced Medical and Surgical Sciences, University of Campania 'Luigi Vanvitelli', Via Pansini 5, 80131 Naples, Italy.; Docimo L; Division of General, Mininvasive, Oncologic and Bariatric Surgery, Department of Advanced Medical and Surgical Sciences, University of Campania 'Luigi Vanvitelli', Via Pansini 5, 80131 Naples, Italy. |
| Source: | Journal of clinical medicine [J Clin Med] 2024 Jan 18; Vol. 13 (2). Date of Electronic Publication: 2024 Jan 18. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101606588 Publication Model: Electronic Cited Medium: Print ISSN: 2077-0383 (Print) Linking ISSN: 20770383 NLM ISO Abbreviation: J Clin Med Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Basel, Switzerland : MDPI AG, [2012]- |
| Abstract: | Pathological obesity is a growing public health concern, and its association with gastroesophageal reflux disease (GERD) poses challenges in selecting the appropriate bariatric procedure. Sleeve gastrectomy (SG) has become a popular choice due to its simplicity and effectiveness in weight loss. However, concerns regarding postoperative GERD have been raised. This study aimed to evaluate the association between preoperative assessment of esophageal function and the risk of developing postoperative GERD in patients undergoing SG. A comprehensive evaluation was conducted, including symptom assessment, upper endoscopy, high-resolution esophageal manometry (HRM), and 24 h esophageal pH impedance monitoring (MII-pH). A total of 500 obese patients were included, and their data were compared with 25 healthy volunteers. This study revealed that patients without GERD symptoms, normal endoscopy, HRM, and MII-pH were suitable candidates for SG, with low risk of developing postoperative GERD. The addition of fundoplication techniques to SG may be considered in patients with mild reflux or those at risk of developing it. This study emphasizes the importance of preoperative evaluation in selecting the appropriate bariatric procedure to minimize the risk of postoperative GERD and expand the indications for SG in obese patients. |
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| Contributed Indexing: | Keywords: GERD; obesity; sleeve gastrectomy |
| Entry Date(s): | Date Created: 20240123 Latest Revision: 20241023 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC10816106 |
| DOI: | 10.3390/jcm13020545 |
| PMID: | 38256679 |
| Database: | MEDLINE |
Journal Article