Rates of reflux before and after laparoscopic sleeve gastrectomy for severe obesity.

Abstract:

BACKGROUND:A current management dilemma in laparoscopic sleeve gastrectomy (LSG) patients is the development of significant gastroesophageal reflux symptoms after surgery. Treatment is typically directed towards reducing acid reflux despite the surgical removal of parietal cell mass. In contrast, laparoscopic Roux-en-Y gastric bypass (LRYGB) has been known to reduce or resolve preoperative reflux symptoms. The objective of this study was to determine the incidence of preoperative and postoperative reflux of LSG and LRYGB patients, and review reflux treatment type and response. METHODS:A retrospective chart review was performed for patients undergoing either LSG or LRYGB between January 2010 and December 2012 as part of the Weight Wise program, Royal Alexandra Hospital, Edmonton, Canada. RESULTS:A total of 387 cases were included in our review. We observed a significant reduction in BMI postoperatively for both LSG and LRYGB groups (p < 0.001). Between surgical groups, preoperative proton-pump inhibitor (PPI) use was not significantly different; however, at 1 month (p < 0.05) to 1-2 years (p < 0.001), there was significantly increased PPI use in patients after LSG in comparison to LRYGB. Of the LSG patients that continued their PPI treatment after surgery, 58% increased, 42% continued the same, and 0% decreased their dose 1 year after surgery. CONCLUSIONS:Reflux symptoms are significantly increased after LSG in comparison to LRYGB patients. In addition, LSG patients more frequently require initiation of reflux treatment after surgery than that of LRYGB patients. Patients reported postoperative reflux symptom relief with acid-suppressant therapies.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Sheppard CE,Sadowski DC,de Gara CJ,Karmali S,Birch DW

doi

10.1007/s11695-014-1480-y

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

763-8

issue

5

eissn

0960-8923

issn

1708-0428

journal_volume

25

pub_type

杂志文章
  • Effect of Resection Distance from Pylorus on Weight Loss Outcomes in Laparoscopic Sleeve Gastrectomy.

    abstract:BACKGROUND:Despite the established efficacy and safety of laparoscopic sleeve gastrectomy (LSG), controversy still exists on optimal operative technique, the resection distance from pylorus (DP) being among the most controversial issues. This study aimed to examine the effect of resection distance from pylorus on % exc...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03923-3

    authors: Avlanmis O,Isil RG,Burcu B

    更新日期:2019-09-01 00:00:00

  • Subcostal Transversus Abdominis Plane Block for Laparoscopic Sleeve Gastrectomy, Is It Worth the Time?

    abstract:BACKGROUND:Obesity is a complex and multifactorial disease whose incidence has increased, making it a serious public health issue. Laparoscopic sleeve gastrectomy (LSG) is one of the most common surgical procedures that is chosen for bariatric surgery. Decreasing postoperative pain in these patients which will increase...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03984-4

    authors: Coşkun M,Yardimci S,Arslantaş MK,Altun GT,Uprak TK,Kara YB,Cingi A

    更新日期:2019-10-01 00:00:00

  • Obesity and Metabolic Surgery Society of India (OSSI) Recommendations for Bariatric and Metabolic Surgery Practice During the COVID-19 Pandemic.

    abstract::Bariatric and metabolic surgery (BMS), the only effective option for patients with obesity with or without comorbidities, has been stopped temporarily due to the ongoing novel corona virus disease (COVID-19) pandemic. However, there has been a recent change in the governmental strategy of dealing with this virus from ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04940-3

    authors: Aggarwal S,Mahawar K,Khaitan M,Raj P,Wadhawan R,Dukkipati N,Kular KS,Prasad A,Bhasker AG,Soni V,Madhok B,Baig S,Palaniappan R,Shivaram HV,Goel D,Bindal V,Saggu S,Shrivastava R,Shah S,Dhorepatil S,Khullar R

    更新日期:2020-12-01 00:00:00

  • Esophageal Squamous Cell Carcinoma After Adjustable Gastric Banding.

    abstract::The prevalence of morbid obesity has been increasing worldwide. Therefore, multiple laparoscopic adjustable gastric bandings (LAGBs) have been placed in Belgium in the nineties. The procedure was considered as minimal invasive with low morbidity rates. However, some publication cases suggest a possible association bet...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03708-8

    authors: Janse P,Nafteux P,Lannoo M,Steger PH,Sirbu F

    更新日期:2019-03-01 00:00:00

  • Trends in Bariatric Surgery: Procedure Selection, Revisional Surgeries, and Readmissions.

    abstract:BACKGROUND:There are limited data quantifying national trends, post-operative readmissions, and revisional surgeries for bariatric procedures. We hypothesized that there is a trend away from Roux en Y gastric bypass (RYGB) and laparoscopic adjustable gastric bands (LAGB) in favor of vertical sleeve gastrectomies (VSG)....

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1974-2

    authors: Abraham A,Ikramuddin S,Jahansouz C,Arafat F,Hevelone N,Leslie D

    更新日期:2016-07-01 00:00:00

  • When mood worsens after gastric bypass surgery: characterization of bariatric patients with increases in depressive symptoms following surgery.

    abstract:BACKGROUND:Depression levels generally decrease substantially following bariatric surgery; however, little is known about bariatric patients who might experience increases in depression following surgery. We examined the frequency of bariatric patients who experienced discernible increases in depression levels followin...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1402-z

    authors: Ivezaj V,Grilo CM

    更新日期:2015-03-01 00:00:00

  • 30-Day Outcomes of Revisional Bariatric Stapling Procedures: First Report Based on MBSAQIP Data Registry.

    abstract:INTRODUCTION:The number of bariatric revisional cases has nearly doubled since 2011, and now comprises 13.6% of the total number of cases. The objective of this study is to evaluate the outcomes and safety of the two most common stapling revisional procedures, namely, sleeve and gastric bypass in comparison to primary ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3140-0

    authors: El Chaar M,Stoltzfus J,Melitics M,Claros L,Zeido A

    更新日期:2018-08-01 00:00:00

  • Simultaneous gastric band removal and sleeve gastrectomy: a comparison with front-line sleeve gastrectomy.

    abstract::The placement of a gastric band (GB) prior to a sleeve gastrectomy (LSG) would increase postoperative complications, whether it is withdrawn or not at the time of the LSG. The purpose of this retrospective study was to evaluate and compare postoperative morbidity and outcome weight for simultaneous GB removal (RGB) an...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0689-x

    authors: Rebibo L,Mensah E,Verhaeghe P,Dhahri A,Cosse C,Diouf M,Regimbeau JM

    更新日期:2012-09-01 00:00:00

  • Prevalence of undiagnosed and inadequately treated type 2 diabetes mellitus, hypertension, and dyslipidemia in morbidly obese patients who present for bariatric surgery.

    abstract:BACKGROUND:Pharmacotherapy is considered the primary treatment modality for diabetes mellitus (DM), hypertension (HTN), and dyslipidemia (DYS). We sought to investigate the status of DM, HTN, and DYS in patients who seek bariatric surgery. METHODS:Demographic and comorbidity history were prospectively collected on 1,5...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1196-z

    authors: Mostaedi R,Lackey DE,Adams SH,Dada SA,Hoda ZA,Ali MR

    更新日期:2014-06-01 00:00:00

  • Pulmonary Changes in Obesity: surgical implications. A Literature Review.

    abstract::Obesity affects approximately one-third of the population of the United States. Pulmonary complications are common following upper abdominal surgery, and constitute the most frequent postoperative complication in the obese surgical patient. This literature review addresses the pathophysiology of the pulmonary changes ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089291765560953

    authors: Macgregor AM

    更新日期:1991-09-01 00:00:00

  • The intragastric balloon - smoothing the path to bariatric surgery.

    abstract:BACKGROUND:Intragastric balloon placement in association with diet for weight reduction is steadily gaining popularity. However, long-term follow-up studies on the effect of this method in maintaining weight loss are lacking. This study evaluated the long-term outcome following balloon removal in morbidly obese patient...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206777822188

    authors: Melissas J,Mouzas J,Filis D,Daskalakis M,Matrella E,Papadakis JA,Sevrisarianos N,Charalambides D

    更新日期:2006-07-01 00:00:00

  • Impact of Oral-Cecal Transit Time on the Interpretation of Lactulose Breath Tests After RYGB: a Personalized Approach to the Diagnosis of SIBO.

    abstract:BACKGROUND:Traditionally, small intestinal bacterial overgrowth (SIBO) is diagnosed when there is an early peak in breath hydrogen or methane. Given unclear intestinal transit time in Roux-en-Y gastric bypass (RYGB) patients, it is unknown if the traditional approach at diagnosing SIBO is adequate in this patient popul...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3575-3

    authors: Jirapinyo P,Makuvire TT,Dong WY,Chan WW,Thompson CC

    更新日期:2019-03-01 00:00:00

  • Results of silastic ring vertical gastroplasty more than 6 years after surgery: analysis of a cohort of 214 patients.

    abstract:BACKGROUND:Among the different techniques of surgical treatment for morbid obesity, silastic ring vertical gastroplasty (SRVG) is an alternative, effective and easily reproducible technique. The aim of this study is to evaluate a cohort of patients >6 years after SRVG for morbid obesity. METHODS:From 1991 to 1996, 273...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892042386995

    authors: Closset J,Mehdi A,Barea M,Buedts K,Gelin M,Houben JJ

    更新日期:2004-10-01 00:00:00

  • Short- and Long-Term Effects of Abdominal Lipectomy on Weight and Fat Mass in Females: a Systematic Review.

    abstract::Adipose tissue is considered as an endocrine organ, which is developed in specific depots, distinguished either as subcutaneous or visceral. Lipectomy, by means of liposuction or abdominoplasty, is a common plastic surgery procedure, which can remove substantial amounts of subcutaneous fat. This systematic review aims...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-015-1797-1

    authors: Seretis K,Goulis DG,Koliakos G,Demiri E

    更新日期:2015-10-01 00:00:00

  • Intragastric injection of botulinum toxin A for the treatment of obesity.

    abstract:BACKGROUND:Botulinum toxin A (BTX-A) is a powerful and long-acting inhibitor of muscular contractions in both striated and smooth muscles. Hypothetically, BTX-A should inhibit the acetylcholine-mediated peristalsis, which is mainly responsible for gastric motility, and thereby induce slowed gastric emptying, earlier sa...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-007-9135-x

    authors: Mittermair R,Keller C,Geibel J

    更新日期:2007-06-01 00:00:00

  • Early clinical and surgical results of biliopancreatic diversion.

    abstract:BACKGROUND:Scopinaro biliopancreatic diversion (BPD) for morbid obesity results in significant longterm weight loss and reduction or resolution of obesity-associated co-morbidities. The aim of our work was to describe the early results after BPD. METHODS:59 morbidly obese patients (BMI >40) underwent open BPD from Dec...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892054222740

    authors: de Luis DA,Pacheco D,Izaola O,Romero A,Marcos JL,Pelaz J,Barrera A,Cabezas G,Terroba MC,Cuellar L,Anta A

    更新日期:2005-06-01 00:00:00

  • 30-day readmission rates at a high volume bariatric surgery center: laparoscopic adjustable gastric banding, laparoscopic gastric bypass, and vertical banded gastroplasty-Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Recent studies suggest that weight loss operations may actually increase the costs to society due to increased hospital readmission rates. The purpose of this study was to determine the 30-day readmission rates following bariatric operations at a high volume bariatric surgery program. METHODS:Records for al...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9210-3

    authors: Saunders JK,Ballantyne GH,Belsley S,Stephens D,Trivedi A,Ewing DR,Iannace V,Capella RF,Wasielewski A,Moran S,Schmidt HJ

    更新日期:2007-09-01 00:00:00

  • Gastro-clip gastroplasty: a very long-term complication.

    abstract::For most surgeons, the gastro-clip gastroplasty is an unfamiliar operation. It was performed during the mid 1980s as an alternative to more complex bariatric operations. However, the device had problems. Because of its rigid nature, it occasionally eroded into the stomach and chest. Many of these devices required remo...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089204772787455

    authors: Chang CG,Provost DA

    更新日期:2004-01-01 00:00:00

  • A technique for prevention of port complications after laparoscopic adjustable silicone gastric banding.

    abstract:BACKGROUND:Laparoscopic adjustable gastric banding is a safe and effective treatment method for morbid obesity. Injection port dislocation, tube perforation and access port infection are generally classified among the minor complications, although they can require a reoperation at the port-site or even at the level of ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089202762552791

    authors: Fabry H,Van Hee R,Hendrickx L,Totté E

    更新日期:2002-04-01 00:00:00

  • Effect of Laparoscopic Roux-en-Y Gastric Bypass Surgery on Thyroid Hormone Levels in Chinese Patients, Could It Be a Risk for Thyroid Nodules?

    abstract:OBJECTIVES:The study aimed to evaluate the changes in thyroid function and the risk of thyroid tumors after Roux-en-Y gastric bypass (RYGB) surgery. MATERIALS AND METHODS:This was a retrospective study of 117 patients with type 2 diabetes (T2D) and obesity who underwent laparoscopic RYGB (LRYGB) and were followed up f...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2684-8

    authors: Zhang H,Liu W,Han X,Yu H,Zhang P,Jia W

    更新日期:2017-10-01 00:00:00

  • The role of ultrasound in the diagnosis of hepatic steatosis in morbidly obese patients.

    abstract:BACKGROUND:Hepatic steatosis is prevalent in obese patients. Although it requires histology for diagnosis, ultrasound may indicate its presence. We evaluated the importance of ultrasound in the diagnosis of steatosis in morbidly obese patients, and considered its clinical relevance for patients with BMI of 35-40 kg/m(2...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089204323093408

    authors: Mottin CC,Moretto M,Padoin AV,Swarowsky AM,Toneto MG,Glock L,Repetto G

    更新日期:2004-05-01 00:00:00

  • IFSO Position Statement on the Role of Esophago-Gastro-Duodenal Endoscopy Prior to and after Bariatric and Metabolic Surgery Procedures.

    abstract::One of the roles of the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) is to provide guidance on the management of patients seeking surgery for adiposity-based chronic diseases. The role of endoscopy around the time of endoscopy is an area of clinical controversy. In 2018, IFSO comm...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-020-04720-z

    authors: Brown WA,Johari Halim Shah Y,Balalis G,Bashir A,Ramos A,Kow L,Herrera M,Shikora S,Campos GM,Himpens J,Higa K

    更新日期:2020-08-01 00:00:00

  • Laparoscopic Roux-en-Y gastric bypass: differences in outcome between attendings and assistants of different training backgrounds.

    abstract:BACKGROUND:Laparoscopic Roux-en-Y gastric bypass (LRYGBP) is associated with a significant learning curve. We hypothesize that differences in surgeon and assistant training backgrounds may significantly impact outcomes during the learning curve. METHODS:Retrospective analysis was performed on patients undergoing LRYGB...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892055002374

    authors: Hsu GP,Morton JM,Jin L,Safadi BY,Satterwhite TS,Curet MJ

    更新日期:2005-09-01 00:00:00

  • Gastric Band Removal in Revisional Bariatric Surgery, One-Step Versus Two-Step: a Systematic Review and Meta-analysis.

    abstract::We aimed to systematically review the literature comparing the safety of one-step versus two-step revisional bariatric surgery from laparoscopic adjustable gastric banding (LAGB) to Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). There is debate on the safety of removing the gastric band and performing rev...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s11695-016-2082-7

    authors: Dang JT,Switzer NJ,Wu J,Gill RS,Shi X,Thereaux J,Birch DW,de Gara C,Karmali S

    更新日期:2016-04-01 00:00:00

  • Conversional surgery: single-step conversion of laparoscopic adjustable gastric band to laparoscopic sleeve gastrectomy.

    abstract:BACKGROUND:Although some patients attain good outcomes after adjustable gastric band (LAGB), a certain quantity have experienced complications and insufficient weight loss. The objective of this study is to assess the safety and outcome of laparoscopic sleeve gastrectomy (LSG) as a conversion surgery after a failed LAG...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1358-z

    authors: Al Sharqawi N,Al Sabah S,Al Mulla A,Al Anezi K,Jumaa T

    更新日期:2014-10-01 00:00:00

  • Incidental Gastrointestinal Stromal Tumors (GISTs) and Bariatric Surgery: A Review.

    abstract::The number of bariatric procedures has increased notably, with incidental findings such as gastrointestinal stromal tumors (GISTs) being observed in 2%. The number of studies dealing with incidental findings during bariatric surgery (BS), especially GISTs, is scarce. This review aims to summarize the evidence about GI...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-020-04853-1

    authors: Fernández JA,Frutos MD,Ruiz-Manzanera JJ

    更新日期:2020-11-01 00:00:00

  • Application of HARM Score to Measure Surgical Quality and Outcomes in Bariatric Patients.

    abstract:BACKGROUND:The HospitAl stay, Readmission, and Mortality rates (HARM) score is a quality indicator that is easily determined from routine administrative data. However, the HARM score has not yet been applied to patients undergoing bariatric surgery. OBJECTIVE:The aims of the present study were to adjust the HARM score...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3253-5

    authors: Janik MR,Mustafa RR,Rogula TG,Alhaj Saleh A,Abbas M,Khaitan L

    更新日期:2018-09-01 00:00:00

  • Monitoring of Liver Function Tests after Roux-en-Y Gastric Bypass: An Examination of Evidence Base.

    abstract::There is no consensus on the monitoring of liver function tests after Roux-en-Y gastric bypass (RYGB). Since the main objective of such monitoring would be to diagnose early those who will eventually develop liver failure after RYGB, we performed a systematic review on this topic. An extensive search of literature rev...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-016-2280-3

    authors: Mahawar KK,Parmar C,Graham Y,De Alwis N,Carr WR,Jennings N,Small PK

    更新日期:2016-10-01 00:00:00

  • Sleep apnea: is routine preoperative screening necessary?

    abstract:BACKGROUND:Because perioperative complications of unrecognized obstructive sleep apnea (OSA) can be severe, many bariatric surgery programs routinely screen all patients. However, many obese non-bariatric surgery patients do not get screened. We wanted to evaluate the need for routine preoperative OSA screening. METHO...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0806-x

    authors: Nepomnayshy D,Hesham W,Erickson B,MacDonald J,Iorio R,Brams D

    更新日期:2013-03-01 00:00:00

  • Treatment choice and psychometric characteristics: differences between patients who choose bariatric surgical treatment and those who do not.

    abstract:BACKGROUND:Among the treatment options offered to patients with severe obesity are surgery and psychotherapy plus dieting. The treatment choice may reflect differences in the psychology of these patients. The objective was to assess the psychopathological differences between patients with obesity who choose surgery and...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206779319509

    authors: Bancheri L,Patrizi B,Kotzalidis GD,Mosticoni S,Gargano T,Angrisani P,Tatarelli R,Girardi P

    更新日期:2006-12-01 00:00:00