Current Management and Treatment Paradigms of Gastroesophageal Reflux Disease following Sleeve Gastrectomy

被引:1
|
作者
Masood, Muaaz [1 ]
Low, Donald E. [2 ]
Deal, Shanley B. [3 ]
Kozarek, Richard A. [1 ,4 ]
机构
[1] Virginia Mason Franciscan Hlth, Ctr Digest Hlth, Div Gastroenterol & Hepatol, Seattle, WA 98101 USA
[2] Virginia Mason Franciscan Hlth, Ctr Digest Hlth, Div Thorac Surg, Seattle, WA 98101 USA
[3] Virginia Mason Franciscan Hlth, Ctr Weight Management, Div Gen & Bariatr Surg, Seattle, WA 98101 USA
[4] Virginia Mason Franciscan Hlth, Benaroya Res Inst, Ctr Intervent Immunol, Seattle, WA 98101 USA
关键词
gastroesophageal; reflux; GERD; esophagitis; morbid; obesity; bariatric; gastric; sleeve; gastrectomy; Y GASTRIC BYPASS; MORBIDLY OBESE-PATIENTS; WEIGHT-LOSS; BARIATRIC SURGERY; BALLOON DILATION; FUNDOPLICATION; CONVERSION; GASTROPLASTY; METAANALYSIS; PREVALENCE;
D O I
10.3390/jcm13051246
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Obesity is associated with serious comorbidities and economic implications. Bariatric surgery, most commonly Roux-en-Y gastric bypass and sleeve gastrectomy, are effective options for weight loss and the improvement of obesity-related comorbidities. With the growing obesity epidemic, there has been a concomitant rise in bariatric surgeries, particularly in sleeve gastrectomy, which has been the most widely performed bariatric surgery since 2013. Gastroesophageal reflux disease (GERD) is highly prevalent in obese individuals, can significantly impact quality of life and may lead to serious complications. Obesity and GERD both improve with weight loss. However, as the incidence of sleeve gastrectomy rises, recent data have revealed a risk of exacerbation of pre-existing GERD or the development of de novo GERD following sleeve gastrectomy. We performed a detailed review of GERD post-sleeve gastrectomy, including its overall incidence, pathophysiology and current treatment paradigms.
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页数:21
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