A prospective study of gastro-oesophageal reflux disease symptoms and quality of life 1-year post-laparoscopic sleeve gastrectomy

Robertson, Andrew; Cameron, A. F.; Joyce, Brian T.; Page, Phil Le; Tulloh, Bruce; Beaux, A. C. de; Lamb, Peter

doi:10.4103/jmas.jmas_43_18

Cited by 2 publications

References 10 publications

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Fifteen Years after Sleeve Gastrectomy: Gastroscopies, Manometries, and 24-h pH-Metries in a Long-Term Follow-Up: A Multicenter Study

et al. 2022

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Introduction: Sleeve gastrectomy (SG) is the most common bariatric operation with over 340,000 procedures per year. There are only few studies presenting follow-up results >10 years in the literature today. The aim of this study was the objective evaluation of long-term outcomes of at least 15 years after SG in non-converted patients. Methods: This study (multicenter cross-sectional; university-hospital based) includes all non-converted patients with primary SG before December 2005 at participating bariatric centers. The following methods were used: gastroscopy, esophageal manometry, 24-h pH-metry, and Gastrointestinal Quality of Life Index (GIQLI). Results: After removing converted patients, patients with bariatric procedures before SG, and deceased patients from the cohort, 20 of 53 participants have met the inclusion criteria. Of this group, 55% are suffering from symptomatic gastroesophageal reflux disease (GERD); 45% are without GERD. Esophagitis, hiatal hernias, Barrett’s esophagus, and enlarged sleeves were found in 44%, 50%, 13%, and 69% of patients during gastroscopy. Mean lower esophageal sphincter pressure was normal at 20.2 ± 14.1 mm Hg during manometry. Reflux activity in 24 h, number of refluxes, and DeMeester score were increased at 12.9 ± 9.7%, 98.0 ± 80.8, and 55.3 ± 36.3 during 24-h pH-metry. Patients with GERD scored significantly lower in the GIQLI than patients without GERD: 107.6 ± 18.4 versus 127.6 ± 14.4 (p = 0.04). Discussion/Conclusion: Fifteen years after primary SG, objective testing has shown that GERD, esophagitis, and Barrett’s esophagus are major issues for these patients. Surveillance endoscopies at 5-year intervals in all SG patients and 3-year intervals in patients with Barrett’s esophagus are recommended.

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Fifteen Years after Sleeve Gastrectomy: Gastroscopies, Manometries, and 24-h pH-Metries in a Long-Term Follow-Up: A Multicenter Study

et al. 2022

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Short term Quality of life outcomes of Metabolic/Bariatric surgery tourism; a single-centre survey-based study

Khan,

Ghumman,

Yunus

et al. 2024

Preprint

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Background Global obesity is a pervasive issue, affecting one in three adults by 2013. Metabolic/bariatric surgery (MBS) addresses weight loss needs but faces challenges in accessibility. MBS tourism, driven by factors like cost and wait times, constitutes 2% of global MBS volume, presenting ethical concerns. Methods A cross-sectional study at Evercare Hospital in Lahore, Pakistan, with patients who met the inclusion criteria and had MBS between June 2020 and September 2023 at the hospital by a single surgeon. Data was collected via a self-administered Google Forms questionnaire, including demographics, weight changes, and the Bariatric Quality of Life Index (BQLI), providing insights into impact of surgery on diverse patient groups. Statistical analysis was performed with significance set at p < 0.05. Parametric and non-parametric tests were used for comparisons along with correlation tests. Results 38.9% patients (105/270) responded to the questionnaire. The study included 105 patients MBS (69 local and 36 medical tourism). We found no significant difference in QOL, TWL%, BMI change, or post-surgical follow-up duration between MBS tourism patients and native patients. Both groups showed significant weight and BMI reductions (p < 0.001). A positive correlation was observed between TWL% and BQLI scores (r = 0.25, p = 0.01), and post-MBS quality of life was better in younger patients (r = -0.32, p < 0.001). Satisfaction rates were 75% for tourism patients and 59.4% for native patients. Conclusion MBS tourism offers comparable outcomes to MBS performed in home countries, suggesting that it can be a viable option for patients facing accessibility issues. Ensuring ethical practices and patient satisfaction remains crucial.

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A prospective study of gastro-oesophageal reflux disease symptoms and quality of life 1-year post-laparoscopic sleeve gastrectomy

Abstract: GORD symptoms improve for most patients' 1-year post-operatively. A small proportion of patients will develop troublesome GORD, but overall satisfaction remains high.

Cited by 2 publications

References 10 publications

Fifteen Years after Sleeve Gastrectomy: Gastroscopies, Manometries, and 24-h pH-Metries in a Long-Term Follow-Up: A Multicenter Study

Fifteen Years after Sleeve Gastrectomy: Gastroscopies, Manometries, and 24-h pH-Metries in a Long-Term Follow-Up: A Multicenter Study

Short term Quality of life outcomes of Metabolic/Bariatric surgery tourism; a single-centre survey-based study

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