Reflux, Sleeve Dilation, and Barrett’s Esophagus after Laparoscopic Sleeve Gastrectomy: Long-Term Follow-Up

Reflux, Sleeve Dilation, and Barrett’s Esophagus after Laparoscopic Sleeve Gastrectomy:... Background Laparoscopic sleeve gastrectomy (SG) has be- troscopies, and questionnaires focusing on reflux (GIQLI, come the most frequently performed bariatric procedure RSI) in SG patients with a follow-up of more than 10 years worldwide. De novo reflux might impact patients’ quality of who did not suffer from symptomatic reflux or hiatal hernia life, requiring lifelong proton pump inhibitor medication. It preoperatively. also increases the risk of esophagitis and formation of Results From a total of 53 patients, ten patients after adjust- able gastric banding were excluded. From the remaining 43, Barrett’s metaplasia. Besides weight regain, gastroesophageal reflux disease (GERD) is the most common reason for con- six patients (14.0%) were converted to RYGB due to intrac- table reflux over a period of 130 months. Ten out of the re- version to Roux-en-Y gastric bypass. maining non-converted patients (n = 26) also suffered from symptomatic reflux. Gastroscopies revealed de novo hiatal * Gerhard Prager hernias in 45% of the patients and Barrett’s metaplasia in 15%. SG patients suffering from symptomatic reflux scored significantly higher in the RSI (p = 0.04) and significantly Daniel Moritz Felsenreich lower in the GIQLI (p = 0.02) questionnaire. Conclusions This study shows a Obesity Surgery Springer Journals

Reflux, Sleeve Dilation, and Barrett’s Esophagus after Laparoscopic Sleeve Gastrectomy: Long-Term Follow-Up

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Copyright © 2017 by Springer Science+Business Media New York
Medicine & Public Health; Surgery
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