Optimizing bariatric surgery outcomes: a novel preoperative protocol in a bariatric population with gastroesophageal reflux disease

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

Related Links:

AbstractThis video shows the case of a 64-year-old morbidly obese woman, with a non-adjustable gastric band, who consulted for weight regain and gastroesophageal reflux disease (GERD) symptoms and was converted to Roux-en-Y gastric bypass (RYGB). The operative technique included extensive lysis of adhesions, complete band dissection, partial gastrectomy of the fundus and body due to band erosion and conversion to RYGB.
Source: Obesity Surgery - Category: Surgery Source Type: research
Objective: The aim of the study was to compare the rates of nutrients consumption in children and adolescents with gastroesophageal reflux disease (GERD) compared to the control group without the disease. Methods: Based on symptom evaluation and esophageal pH-impedance recordings patients were allocated on to GERD and control groups. All patients underwent esophagogastroscopy. Levels of nutrients consumption were assessed with the use of food frequency questionnaire in the regard to the presence of the disease, esophagitis, and z score body mass index (BMI). Results: Data of 219 children and adolescents were availa...
Source: Journal of Pediatric Gastroenterology and Nutrition - Category: Gastroenterology Tags: Original Articles: Gastroenterology Source Type: research
Obesity and esophageal cancer: GERD, Barrett´s esophagus, and molecular carcinogenic pathways. Expert Rev Gastroenterol Hepatol. 2020 May 22;:1-9 Authors: Schlottmann F, Dreifuss NH, Patti MG Abstract Introduction: Increases in the rates of esophageal adenocarcinoma (EAC) have paralleled rises in the prevalence of overweight and obesity. Despite not being fully understood, obesity-related EAC seems to have different carcinogenic pathways.Areas covered: This comprehensive review will thoroughly evaluate the current literature, describing the underlying mechanisms that help understanding the strong...
Source: Expert Review of Gastroenterology and Hepatology - Category: Gastroenterology Tags: Expert Rev Gastroenterol Hepatol Source Type: research
Severe asthma is a high-burden disease. Real-world data on mepolizumab in patients with severe eosinophilic asthma is needed to assess whether the data from randomised controlled trials are applicable in a broader population. The Australian Mepolizumab Registry (AMR) was established with an aim to assess the use, effectiveness and safety of mepolizumab for severe eosinophilic asthma in Australia. Patients (n=309) with severe eosinophilic asthma (median age 60 years, 58% female) commenced mepolizumab. They had poor symptom control (median Asthma Control Questionnaire (ACQ)-5 score of 3.4), frequent exacerbations (media...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Asthma and allergy Original Articles: Asthma Source Type: research
Vertical sleeve gastrectomy (VSG) has been associated with gastroesophageal reflux (GER) symptoms and, in adults, with a development of Barrett ’s esophagus (BE). Adults with Barrett’s esophagus identified at baseline prior to bariatric operation are generally advised against VSG operations. The role of preoperative esophagogastroduodenoscopy (EGD) in adolescents preparing for bariatric surgery is not clearly defined. The goal of this s tudy was to report the frequency of abnormalities identified on EGD performed at baseline in adolescents undergoing VSG for severe obesity.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
Bariatric surgery is a proven, efficacious, and durable treatment for obesity and weight-related diseases. In addition to other metabolic effects, surgery can have both a positive and negative clinical impact on GERD. The spectrum of surgical procedures currently offered have varying degrees of improvement or worsening of pre-existing symptoms or development of new symptoms. Of the most commonly performed bariatric procedures, Roux en-Y gastric bypass has been shown to be highly effective in treatment of GERD1, likely through a combination of weight loss and subsequent decrease of intra-abdominal pressure, as well as separ...
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
Tertiary-care referral hospital.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
AbstractBackgroundThe incidence of de novo gastroesophageal reflux disease (GERD) after LSG is substantial. However, an objective correlation with the structural gastric and EGJ changes has not been demonstrated yet. We aimed to prospectively evaluate the effects of laparoscopic sleeve gastrectomy (LSG) on the structure and function of the esophagogastric junction (EGJ) and stomach.MethodsInvestigations were performed before and after>  50% reduction in excess body weight (6–12 months after LSG). Subjects with GERD at baseline were excluded. Magnetic Resonance Imaging (MRI), high-resolution manometry (...
Source: Obesity Surgery - Category: Surgery Source Type: research
Laparoscopic sleeve gastrectomy (LSG) is currently the most commonly performed bariatric procedure worldwide. However, the incidence of gastroesophageal reflux disease (GERD) following LSG is high.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Review articles Source Type: research
Conclusion: GERD may improve in obese patients who underwent laparoscopic sleeve gastrectomy (LSG); however, the most favorable effect is likely to be found after Roux-en-Y gastric bypass surgery. Prospero registration number: CRD42018090074.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Study Protocol Systematic Review Source Type: research
More News: Acid Reflux | Bariatric Surgery | Eating Disorders & Weight Management | Endoscopy | Gastrectomy | Gastric Bypass | Gastroenterology | Gastroesophageal Reflux Disease | GERD | Laparoscopy | Obesity | Panendoscopy | Pathology | Study | Surgery | Upper Endoscopy