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The most recent studies have shown satisfactory control of postoperative reflux in most patients and low rates of de novo GERD. Compared to LSG, obese patients receiving LRYGB had a lower risk of new onset or worsening of GERD. Some patients have been converted to LRYGB treatment due to severe reflux after LSG.
12 lip 2022 · Gastric sleeve surgery can worsen symptoms associated with gastroesophageal reflux disorder (GERD). GERD is a chronic condition associated with frequent bouts of acid reflux. This is when stomach...
5 kwi 2022 · The aim of this study is to evaluate the effect of sleeve gastrectomy on GERD. • In the literature there are controversial results on the onset of GERD after LSG. • Satisfactory control of postoperative reflux in most patients and low rates of de novo GERD. •
Moreover, 2 patients with a markedly severe GERD at baseline (DeMeester score = 274 and 498) had a significant improvement of all pH-metric parameters after SG (P = .0005), reaching a postoperative DeMeester score of 13.1 and 3.8, respectively, thus configuring a normal result, negative for GERD.
6 wrz 2020 · Sleeve shape and functional changes of the stomach that may contribute to GERD. By creating a gastric sleeve, the diameter of the new gastric lumen is decreased and intraluminal gastric pressure rises. 41-43 Additionally, after resecting the fundus, the vagovagal reflex is reduced and the physiological postprandial relaxation of the stomach is ...
15 wrz 2020 · 21 Citations. 7 Altmetric. Explore all metrics. Abstract. Sleeve gastrectomy continues to be the most commonly performed bariatric operation worldwide. Development or worsening of pre-existing GERD has been recognized as a significant issue postoperatively.
With the growing obesity epidemic and concomitant rise in bariatric surgery, particularly sleeve gastrectomy, there are robust data that sleeve gastrectomy is associated with an exacerbation of pre-existing GERD and the development of de novo GERD due to several pathophysiological mechanisms.
