BackgroundThe association between obesity and gastroesophageal reflux disease has a high
incidence and may be present in half of obese patients with surgical indication.
Bariatric operations can also induce reflux alone - differently from BMI factors -
and its mechanisms are dependent on the type of procedure performed.ObjectiveTo perform a literature review comparing the two procedures currently most used
for surgical treatment of obesity and analyze their relationship with the advent
of pre-existing reflux disease or its appearance only in postoperative period.MethodThe literature was reviewed in virtual database Medline/PubMed, SciELO, Lilacs,
Embase and Cochrane crossing the following MeSH descriptors: gastric bypass AND /
OR anastomosis, Roux-en-Y AND / OR gastroesophageal reflux AND / OR
gastroenterostomy AND / OR gastrectomy AND / OR obesity AND / OR bariatric surgery
AND / OR postoperative period. A total of 135 relevant references were considered
but only 30 were used in this article. Also was added the experience of the
authors of this article in handling these techniques on this field.ConclusionThe structural changes caused by surgical technique in vertical gastrectomy shows
greater commitment of antireflux mechanisms predisposing the induction of GERD
postoperatively compared to the surgical technique performed in the
gastrointestinal Bypass Roux-en-Y.