Evolution of gastroesophageal reflux after laparoscopic vertical gastrectomy. A radiographic, manometric and pH-metric study

Angulo, David Ruíz de; Griñó, P; Escandell, M Ángeles Ortiz; Munítiz, Vicente; Vázquez, Pedro José Gil; Flores, Domingo Pérez; Haro, Luisa F. Martínez de; Hernández, A.M.; Paricio, Pascual Parrilla

doi:10.17235/reed.2019.5972/2018

Cited by 3 publications

(28 citation statements)

References 21 publications

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“…Thirty-seven articles were fully analyzed, and 21 further articles were excluded. Finally, 16 articles published between February 2013 and September 2019 were included [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33], as shown in the PRISMA flow diagram (Fig. 1) [14].…”

Section: Resultsmentioning

confidence: 99%

“…Manometric and pH-metric data were obtained from 402 and 547 patients, respectively [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33]. Hiatal hernia was diagnosed preoperatively in 32 patients [19,21,23,26,29,32], and in four cases it was repaired. In one patient by cruroplasty, even if it was not specified whether anterior or posterior [21], and in the other three cases, the type of hiatal repair was not specified [32] (Table 4).…”

Section: Resultsmentioning

confidence: 99%

“…Oversewing of the staple line was performed in four studies (132 patients) [18][19][20]27]. Distance of gastrectomy from the pylorus ranged between 2 and 6 cm (Table 4) [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33]. The mean preoperative and postoperative BMI ranged between 38.8 and 48.97 kg/m 2 and 28.2 and 40.7 kg/m 2 , respectively, but postoperative BMI was reported only in eight studies [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33].…”

Section: Resultsmentioning

confidence: 99%

“…Fourteen articles out of 16 assessed esophageal motility prior to and after LSG analyzing the lower esophageal sphincter (LES) characteristics and esophageal body peristalsis [18][19][20][21][22][23][24][25][26][27][28][29][30][31]. Conventional manometry was performed in eight studies, [18][19][20][21][22][23][24][25], while in another four studies data were obtained from high-resolution manometry (HRM) [26][27][28][29].…”

Section: Esophageal Manometrymentioning

confidence: 99%

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Manometric and pH-monitoring changes after laparoscopic sleeve gastrectomy: a systematic review

Balla

Meoli

Palmieri

et al. 2021

Langenbecks Arch Surg

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Purpose Aim of this systematic review is to assess the changes in esophageal motility and acid exposure of the esophagus through esophageal manometry and 24-hours pH-monitoring before and after laparoscopic sleeve gastrectomy (LSG). Methods Articles in which all patients included underwent manometry and/or 24-hours pH-metry or both, before and after LSG, were included. The search was carried out in the PubMed, Embase, Cochrane, and Web of Science databases, revealing overall 13,769 articles. Of these, 9702 were eliminated because they have been found more than once between the searches. Of the remaining 4067 articles, further 4030 were excluded after screening the title and abstract because they did not meet the inclusion criteria. Thirty-seven articles were fully analyzed, and of these, 21 further articles were excluded, finally including 16 articles. Results Fourteen and twelve studies reported manometric and pH-metric data from 402 and 547 patients, respectively. At manometry, a decrease of the lower esophageal sphincter resting pressure after surgery was observed in six articles. At 24-hours pH-metry, a worsening of the DeMeester score and/or of the acid exposure time was observed in nine articles and the de novo gastroesophageal reflux disease (GERD) rate that ranged between 17.8 and 69%. A meta-analysis was not performed due to the heterogeneity of data. Conclusions After LSG a worsening of GERD evaluated by instrumental exams was observed such as high prevalence of de novo GERD. However, to understand the clinical impact of LSG and the burden of GERD over time further long-term studies are necessary.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Esophageal Manometrymentioning

confidence: 99%

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Manometric and pH-monitoring changes after laparoscopic sleeve gastrectomy: a systematic review

Balla

Meoli

Palmieri

et al. 2021

Langenbecks Arch Surg

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“…La técnica quirúrgica no ha sufrido modificaciones desde el inicio de nuestra actividad y algunos detalles se han descrito en estudios previos 5 , 6 . Se calculó el %EWL, según la fórmula del Metropolitan Life Ensurance, y el %TWL de cada paciente en ambos grupos y se compararon las medias entre casos y controles.…”

Section: Métodosunclassified

Influencia del confinamiento por COVID-19 en los resultados ponderales durante el primer año tras la gastrectomía vertical

et al. 2020

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Influence of the lockdown due to COVID-19 on weight-loss results during the first year after sleeve gastrectomy

Angulo

Román

Munítiz

et al. 2021

Cirugía Española (English Edition)

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Evolution of gastroesophageal reflux after laparoscopic vertical gastrectomy. A radiographic, manometric and pH-metric study

Cited by 3 publications

References 21 publications

Manometric and pH-monitoring changes after laparoscopic sleeve gastrectomy: a systematic review

Manometric and pH-monitoring changes after laparoscopic sleeve gastrectomy: a systematic review

Influencia del confinamiento por COVID-19 en los resultados ponderales durante el primer año tras la gastrectomía vertical

Influence of the lockdown due to COVID-19 on weight-loss results during the first year after sleeve gastrectomy

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