Incidence of Esophageal Reflux after Laparoscopic Sleeve Gastrectomy for Morbid Obesity

Background: Obesity is considered as an epidemic globally, which associated with gastroesophageal reflux disease (GERD). Bariatrics surgery tends to reduce GERD manifestations. However, some reports noticed development of GERD after bariatric surgery; the problem which not addressed well in our comm...

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Autores principales:	Ahmed Orouk, Ahmed Sayyouh, Nagah Salem
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	bariatric sleeve gastrectomy obesity gastroesophageal reflux Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/948c1bd526c64492ad44d6653667ac1e
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spelling	oai:doaj.org-article:948c1bd526c64492ad44d6653667ac1e2021-12-02T14:02:00ZIncidence of Esophageal Reflux after Laparoscopic Sleeve Gastrectomy for Morbid Obesity2636-41742682-378010.21608/ijma.2020.26707.1112https://doaj.org/article/948c1bd526c64492ad44d6653667ac1e2020-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_92423_0e4ced9dbbec6891526c3927b8bd1cdb.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Obesity is considered as an epidemic globally, which associated with gastroesophageal reflux disease (GERD). Bariatrics surgery tends to reduce GERD manifestations. However, some reports noticed development of GERD after bariatric surgery; the problem which not addressed well in our community. Aim of the work: To estimate incidence of postoperative GERD after laparoscopic sleeve gastrectomy (SG) in patients with no history of GERD symptoms prior to surgery. Patients and Methods: Fifty morbidly obese patients who were scheduled for laparoscopic SG with no history of preoperative symptoms suggesting GERD and normal upper gastrointestinal endoscopy were included. All were assessed clinically and radiologically and followed-up for clinical or endoscopic GERD manifestations. Results: Females were predominant (76.0%). Weight, body mass index and waist/hip ratio were significantly reduced after SG. Postoperative complications were leak (2.0%), wound infection (2.0%), bleeding (2.0%), stricture (4.0%) with overall rate of 8.0%. Incidence of GERD was 22.0% (11 patients; 4 grade A, 5 grade B and 2 grade C). There was significant increase of Waist/hip ratio (both pre-and postoperatively) in patients who developed GERD when compared to those who did not develop GERD. In addition, there was significant increase of sleep related problems and stricture in patients who developed GERD when compared to those did not develop GERD (63.6%, 18.2% vs 17.9%, 0.0% respectively).Conclusion: the incidence of GERD after SG was 22.0%. It was of mild or moderate nature, which denotes safety of SG. The procedure is also associated with marked weight reduction.Ahmed OroukAhmed SayyouhNagah SalemAl-Azhar University, Faculty of Medicine (Damietta)articlebariatricsleeve gastrectomyobesitygastroesophagealrefluxMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 3, Pp 493-502 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	bariatric sleeve gastrectomy obesity gastroesophageal reflux Medicine (General) R5-920
spellingShingle	bariatric sleeve gastrectomy obesity gastroesophageal reflux Medicine (General) R5-920 Ahmed Orouk Ahmed Sayyouh Nagah Salem Incidence of Esophageal Reflux after Laparoscopic Sleeve Gastrectomy for Morbid Obesity
description	Background: Obesity is considered as an epidemic globally, which associated with gastroesophageal reflux disease (GERD). Bariatrics surgery tends to reduce GERD manifestations. However, some reports noticed development of GERD after bariatric surgery; the problem which not addressed well in our community. Aim of the work: To estimate incidence of postoperative GERD after laparoscopic sleeve gastrectomy (SG) in patients with no history of GERD symptoms prior to surgery. Patients and Methods: Fifty morbidly obese patients who were scheduled for laparoscopic SG with no history of preoperative symptoms suggesting GERD and normal upper gastrointestinal endoscopy were included. All were assessed clinically and radiologically and followed-up for clinical or endoscopic GERD manifestations. Results: Females were predominant (76.0%). Weight, body mass index and waist/hip ratio were significantly reduced after SG. Postoperative complications were leak (2.0%), wound infection (2.0%), bleeding (2.0%), stricture (4.0%) with overall rate of 8.0%. Incidence of GERD was 22.0% (11 patients; 4 grade A, 5 grade B and 2 grade C). There was significant increase of Waist/hip ratio (both pre-and postoperatively) in patients who developed GERD when compared to those who did not develop GERD. In addition, there was significant increase of sleep related problems and stricture in patients who developed GERD when compared to those did not develop GERD (63.6%, 18.2% vs 17.9%, 0.0% respectively).Conclusion: the incidence of GERD after SG was 22.0%. It was of mild or moderate nature, which denotes safety of SG. The procedure is also associated with marked weight reduction.
format	article
author	Ahmed Orouk Ahmed Sayyouh Nagah Salem
author_facet	Ahmed Orouk Ahmed Sayyouh Nagah Salem
author_sort	Ahmed Orouk
title	Incidence of Esophageal Reflux after Laparoscopic Sleeve Gastrectomy for Morbid Obesity
title_short	Incidence of Esophageal Reflux after Laparoscopic Sleeve Gastrectomy for Morbid Obesity
title_full	Incidence of Esophageal Reflux after Laparoscopic Sleeve Gastrectomy for Morbid Obesity
title_fullStr	Incidence of Esophageal Reflux after Laparoscopic Sleeve Gastrectomy for Morbid Obesity
title_full_unstemmed	Incidence of Esophageal Reflux after Laparoscopic Sleeve Gastrectomy for Morbid Obesity
title_sort	incidence of esophageal reflux after laparoscopic sleeve gastrectomy for morbid obesity
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/948c1bd526c64492ad44d6653667ac1e
work_keys_str_mv	AT ahmedorouk incidenceofesophagealrefluxafterlaparoscopicsleevegastrectomyformorbidobesity AT ahmedsayyouh incidenceofesophagealrefluxafterlaparoscopicsleevegastrectomyformorbidobesity AT nagahsalem incidenceofesophagealrefluxafterlaparoscopicsleevegastrectomyformorbidobesity
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Incidence of Esophageal Reflux after Laparoscopic Sleeve Gastrectomy for Morbid Obesity

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