Review
Surgery
Wenhui Chen, Jia Feng, Cunchuan Wang, Yucheng Wang, Wah Yang, Zhiyong Dong
Summary: After undergoing SG+HHR treatment, patients experienced a significant reduction in GERD symptoms, improvement in esophagitis, and decrease in GERD-HRQL. SG+HHR has a positive impact on GERD remission, reduction in esophagitis, and improvement in GERD-HRQL.
Article
Surgery
Ben Indja, Daniel L. Chan, Michael L. Talbot
Summary: This study analyzed patients with post-sleeve reflux who were treated with HHR, RYGB, or OADS, and assessed PPI use and reflux symptoms using questionnaires. The results showed that HHR effectively controlled reflux symptoms in the early post-operative period, while there was no significant difference in symptomatic reflux and PPI use among the different surgical methods in the mid-term follow-up. Additionally, OADS performed better in terms of GerdQ score.
Article
Surgery
Anne P. Ehlers, Aaron J. Bonham, Amir A. Ghaferi, Jonathan F. Finks, Arthur M. Carlin, Oliver A. Varban
Summary: Repairing a hiatal hernia during laparoscopic sleeve gastrectomy (SG) can reduce or prevent gastroesophageal reflux disease (GERD) symptoms in the post-operative period. The impact of different hiatal hernia repair techniques on GERD symptoms after SG is unclear.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Jose Vicente Ferrer, Asuncion Acosta, Ester Martin Garcia-Alementa, Antonio Torres Garcia, Daniel del Castillo, Margarida Vives Espelta, Ismael Diez del Val, Javier Ortiz Lacorzana, F. Xavier Gonzalez-Argente, Alberto Pagan, Sagrario Martinez, Monica Garcia, Maria de los Angeles Mayo-Ossorio, Juana Morante, Julia de Manuel Moreno, Sergio Ortiz Isabial, Antonio Picardo, J. Daniel Sanchez, Raquel Sanchez, Hermelinda Pardellas, Ramon Vilallonga
Summary: The study aimed to investigate the incidence of reflux symptoms, esophagitis, hiatal hernia, and their relationship with weight regain in patients 5 years after undergoing sleeve gastrectomy (SG). The results showed a high rate of persistent and de novo cases of esophagitis and hiatal hernia, many of which were asymptomatic, 5 years after SG. Weight regain and increased gastric capacity were risk factors for esophagitis, even in asymptomatic patients. Therefore, regular gastroscopy is recommended 5 years after SG, regardless of symptoms.
SURGERY FOR OBESITY AND RELATED DISEASES
(2022)
Article
Surgery
Ahmad M. Hider, Aaron J. Bonham, Arthur M. Carlin, Jonathan F. Finks, Amir A. Ghaferi, Oliver A. Varban, Anne P. Ehlers
Summary: Concurrent hiatal hernia repair (HHR) during laparoscopic sleeve gastrectomy (LSG) can improve gastroesophageal reflux disease (GERD) symptoms, especially when using the posterior repair technique, while anterior repair does not show significant benefits.
SURGERY FOR OBESITY AND RELATED DISEASES
(2023)
Article
Medicine, General & Internal
Majid A. Alsahafi, Najla A. Alajhar, Amjad O. Almahyawi, Hadeel H. Alsulami, Wejdan A. Alghamdi, Lama A. Alharbi, Afnan S. Alsulami, Jumana T. Aljehani, Saad S. Alkhowaiter, Mahmoud H. Mosli
Summary: This study retrospectively investigated the prevalence of hiatal hernia (HH) and its association with age, gender, and body mass index (BMI) in patients who underwent esophagogastroduodenoscopy (EGD). The results showed that the prevalence of HH was 29.8% among all patients, and there was no significant association between HH and gender, age, or BMI.
SAUDI MEDICAL JOURNAL
(2023)
Article
Surgery
Jose-Tarcisio Dias da Silva, Fernando Santa-Cruz, Joyce Maria S. Cavalcanti, Marina Viana Padilha, Lucas R. R. Coutinho, Luciana T. T. Siqueira, Alvaro A. B. Ferraz
Summary: The purpose of this study was to determine the incidence of gastric tube abnormalities after SG and its relationship with esophagitis progression. The study found that abnormalities of the gastric tube are common after SG and seem to contribute partially to the high rates of GERD and esophagitis after this surgery.
Article
Surgery
Luciano Poggi, Grazia M. Bernui, Diego A. Romani, Agustin F. Gavidia, Luis A. Poggi
Summary: The study found that sleeve gastrectomy (SG) surgery in obese patients is associated with an increased risk of gastroesophageal reflux disease (GERD) and a higher rate of esophageal dysmotility.
Article
Surgery
Ozan Sen, Umit Sekmen, Ahmet G. Turkcapar
Summary: By comparing patients who underwent LSG and LSG with concomitant hiatal hernia repair, our study found that the rates of symptomatic and de novo GERD were higher in the LSG+HH group than in the LSG alone group.
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
(2022)
Review
Gastroenterology & Hepatology
Francisco A. Guzman-Pruneda, Stacy A. Brethauer
Summary: Despite being the most commonly performed bariatric operation worldwide, sleeve gastrectomy is associated with the development or worsening of pre-existing GERD postoperatively. However, there is a lack of information concerning the most appropriate preoperative workup and the factors that may contribute to the occurrence of reflux symptoms.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Medicine, General & Internal
Muhammed Said Dalkilic, Hasan Erdem, Mehmet Gencturk, Merih Yilmaz, Abdullah Sisik
Summary: This article presents a case of early intrathoracic sleeve migration (ITSM) due to incomplete repair of a hiatal hernia during laparoscopic sleeve gastrectomy (LSG). The patient experienced vomiting attacks after the operation, which led to the need for laparoscopic exploration. During reoperation, acute entrapment of the upper portion of the sleeve that had migrated through the hiatus was observed. Undoing the suture and not attempting additional hiatal repair was sufficient to alleviate the symptoms. The patient had successful weight loss without reflux and proton pump inhibitor complaints at follow-up.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Article
Surgery
Ozan Sen, Seref Oray, Ahmet Gokhan Turkcapar
Summary: The aim of this study was to determine the prevalence of HP in patients before LSG and investigate the association between HP and GERD. The results showed no difference in GERD between patients with or without HP infection before LSG.
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
(2022)
Article
Gastroenterology & Hepatology
Koy Min Chue, Daniel Wen Xiang Goh, Cheryl Min En Chua, Bin Chet Toh, Lester Wei Lin Ong, Wai Keong Wong, Chin Hong Lim, Jeremy Tian Hui Tan, Baldwin Po Man Yeung
Summary: This study aims to assess the impact of various preoperative clinical and endoscopic characteristics on the development of postoperative gastroesophageal reflux disease (GERD) and erosive esophagitis (EE) following laparoscopic sleeve gastrectomy (LSG). The results showed that the presence of a hiatal hernia and the Hill's classification were significantly associated with the development of postoperative GERD and EE.
JOURNAL OF GASTROINTESTINAL SURGERY
(2022)
Article
Surgery
Jacques A. Greenberg, Federico Palacardo, Rodrigo C. L. Edelmuth, Caitlin E. Egan, Yeon Joo Lee, Gregory Dakin, Rasa Zarnegar, Cheguevara Afaneh, Omar Bellorin
Summary: Intraoperative measurements of lower esophageal sphincter (LES) including cross-sectional area, distensibility index, pressure, and high-pressure zone length were correlated with post-sleeve gastroesophageal reflux disease (GERD) symptoms after robotic sleeve gastrectomy. Patients with new or worsening GERD symptoms had higher distensibility index and lower LES pressure after surgery. An increase in GEJ CSA, pressure, and distensibility index, and a decrease in GEJ length can be expected during robotic sleeve gastrectomy.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Rachel Sillcox, Saurabh Khandelwal, Mary Kate Bryant, Benjamin Vierra, Roger Tatum, Robert Yates, Judy Y. Y. Chen
Summary: Patients who undergo vertical sleeve gastrectomy (VSG) are at risk of postoperative gastroesophageal reflux disease (GERD). Abnormal preoperative pH studies and esophageal motility disorders are associated with higher rates of postoperative reflux after VSG. A DeMeester score greater than 24.8 predicts the occurrence of postoperative reflux in patients with abnormal preoperative pH studies.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)