Weight Loss Surgery May Not Relieve Acid Reflux

WEDNESDAY, June 12, 2019 -- Reflux symptoms return in about half of patients who undergo gastric bypass, according to a study published online June 4 in Alimentary Pharmacology&Therapeutics. Dag Holmberg, from the Karolinska Institutet in...
Source: Drugs.com - Pharma News - Category: Pharmaceuticals Source Type: news

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Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print.
Source: Journal of Laparoendoscopic - Category: Surgery Authors: Source Type: research
ConclusionsForegut pathology is common in bariatric patients with subjective symptoms of GERD. Implementing a comprehensive protocol to objectively assess these patients leads to a significant clinical impact on which procedure these patients ultimately undergo.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
This study included patients who underwent primary laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG). The primary outcome of interest was incisional SSI occurring within 30  days. Surgeries performed in 2015 were used in a derivation cohort and the predictive tool was validated against the 2016 cohort. A forward selection algorithm was used to build a logistic regression model predicting probability of SSI.ResultsA total of 274,187 patients were included with 71.7% being LSG and 28.3% LRYGB. 0.7% of patients had a SSI in which 71.0% had an incisional SSI, and 29.9% had an organ/spa...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
One anastomosis gastric bypass (OAGB) is an accepted bariatric and metabolic surgery with certain important complications such as post-operative gastroesophageal reflux disease (GERD) and bile reflux (BR), which are not well addressed in literature.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
Sandeep Aggarwal, Amit Bhambri, Vitish Singla, Nihar Ranjan Dash, Atul SharmaJournal of Minimal Access Surgery 2020 16(2):175-178Mini-gastric bypass/one anastomosis gastric bypass (MGB/OAGB) is an emerging weight loss surgical procedure. There are serious concerns not only regarding the symptomatic biliary reflux into the stomach and the oesophagus but also the increased risk of malignancy after MGB/OAGB. A 54-year-old male, with a body mass index (BMI) of 46.1 kg/m2, underwent Robotic MGB at another centre on 22nd June 2016. His pre-operative upper gastrointestinal endoscopy was not done. He lost 58 kg within 18 months af...
Source: Journal of Minimal Access Surgery - Category: Surgery Authors: Source Type: research
ConclusionA tailored HIDA scan protocol with addition of a SPECT-CT scan, ingestion of a fatty meal and prolonged scanning duration results in enhanced bile reflux detection in post-bariatric surgical patients.
Source: Obesity Surgery - Category: Surgery Source Type: research
The main side effect of long-term laparoscopic sleeve gastrectomy (LSG) is the onset of severe gastroesophageal reflux disease (GERD).
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
Publication date: Available online 16 February 2020Source: The American Journal of SurgeryAuthor(s): Jon S. Thompson, Alexander Hewlett, Elizabeth Lyden, James R. Scott, Corrigan McBrideAbstractBackgroundPatient selection for the diverse surgical procedures for gastroparesis remains poorly defined. Our aim was to evaluate how patient factors have determined our surgical approach to gastroparesis.Methods95 patients undergoing 105 surgical procedures for gastroparesis were reviewed. Patient factors were compared across six surgical procedures: gastric neurostimulator, pyloroplasty, neurostimulator plus pyloroplasty, sleeve g...
Source: The American Journal of Surgery - Category: Surgery Source Type: research
ConclusionsComparative trials remain necessary between N-Sleeve and standard bariatric procedures to refine the specific indications of each of them and determine the eventual role of the N-Sleeve.
Source: Obesity Surgery - Category: Surgery Source Type: research
Publication date: Available online 6 February 2020Source: Cirugía Española (English Edition)Author(s): Jaime Ruiz-Tovar
Source: Cirugia Espanola - Category: Surgery Source Type: research
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