Increase in gastroesophageal reflux disease symptoms and erosive esophagitis 1 year after laparoscopic sleeve gastrectomy among obese adults

Tai, Chi‐Ming; Huang, Chih‐Kun; Lee, Yi–Chia; Chang, Chi‐Yang; Lee, Ching‐Tai; Lin, Jaw‐Town

doi:10.1007/s00464-013-3022-4

Cited by 86 publications

(48 citation statements)

References 4 publications

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“…In the cohort study by Himpens et al (34), GERD occurred at a rate of 23.6% at six years after surgery. The highest reflux rate following surgery in the literature is 31%, as reported by Tai et al (35).…”

Section: Sleeve Gastrectomymentioning

confidence: 83%

Which diseases are risk factors for developing gastroesophageal reflux disease?

Akyüz

Soyer²

2017

Turk J Gastroenterol

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Gastroesophageal reflux disease (GERD) is known to present with various extraesophageal symptoms and complications. In contrast, several diseases affecting the motility of the esophagus and some approaches that alter the upper gastrointestinal tract anatomy may result in GERD. Certain diseases and conditions often mentioned with GERD will be briefly discussed in this section. Systemic SclerosisEsophageal motility is impaired in 70-90% of patients with systemic sclerosis (1-3). On histological examination, smooth muscle atrophy and fibrosis causing motor activity abnormalities in two-thirds of the distal esophagus are often determined (4). Motility studies have shown that the amplitude of peristaltic contractions decreases or that there is no peristaltic contraction in this region (5-7). Abnormal peristalsis and decreased lower esophageal sphincter (LES) pressure reduce acid clearance and prolong the contact of acid with the mucosa (8). As a result, GERD develops in patients with scleroderma. In many cross-sectional studies using different methodologies, the prevalence of GERD has been reported to be at rates of up to 70% (9-15). Diabetes MellitusFurthermore, various factors showing tendency to GERD were identified in diabetes mellitus. Among these,• Reduced salivary secretion associated with diabetic neuropathy, • Delayed gastric emptying, • Decreased acid clearance due to reduced motor activity of the esophagus/stomach related motor/autonomic neuropathy, • Increased sensory thresholds associated with sensory nerve damage of the esophagus, • Acid regurgitation caused by the increased frequency of transient LES relaxations related to neuropathy, CholecystectomyThe reservoir function of the gallbladder disappears after cholecystectomy, and bile flow becomes continuous (20,21). Qualitative changes may appear at the levels of gastrointestinal hormones (22,23). Consequently, alterations in the qualitative bile content and more frequent transient LES relaxation may occur (24). Moreover, it was thought that reflux symptoms in these patients worsen with increased biliary symptoms after cholecystectomy due to a high-fat diet intake and weight gain. Alterations in the motility of the upper gastrointestinal tract and delayed stomach emptying caused by duodenal adhesions may also contribute to GERD (25). There was no significant increase in reflux after cholecystectomy in the limited number of studies based on these data. Uyanıkoğlu et al. (26) used the impedance method and reported increased reflux after surgery and that the pH was <4% higher than that before surgery; however, it was similar to the control group. In another study, Lin et al. (27) compared patients with hernia surgery and cholecystectomy. Reduction in the reflux symptom score was 35% in patients, while it was 39% in controls (p=0.11). Sleeve GastrectomyMechanisms that may induce increased GERD in patients with GERD with sleeve gastrectomy include hypotensive LES (28), blunting of the angle of His (29), decreased gastric compliance (30), delayed gastric em...

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Section: Sleeve Gastrectomymentioning

confidence: 83%

Which diseases are risk factors for developing gastroesophageal reflux disease?

Akyüz

Soyer²

2017

Turk J Gastroenterol

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“…The surgical complications most commonly encountered are: fistula, which usually occurs at the angle Table 2 Table 2 Table 2 Table 2 Table 2 Table 3 Table 3 Table 3 Table 3 Table 3 Table 4 Table 4 Table 4 Table 4 Table 4 Distribution of patients according to the quality of life after treatment. of Hiss, is difficult to treat, with an incidence ranging from 0.7 to 5.3% 14,17 ; stenosis, especially in the angular notch, due to failure when preparing the gastric tube 27 ; portals infection; hernia; cholelithiasis 3.8% 15; gastroesophageal reflux disease 28,29 ; and dilatation of the gastric pouch after two years of operation and weight regain 15,28,30,31 . The reduction of the stomach promotes reduced food intake and reduced parietal cells, resulting in decreased production of hydrochloric acid, which is important in the absorption of iron.…”

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

Avaliação da qualidade de vida tardia após gastroplastia vertical

Pimenta

Moura

Filho³

et al. 2013

Rev. Col. Bras. Cir.

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Long-term quality of life after vertical sleeve gastroplasty Long-term quality of life after vertical sleeve gastroplasty Long-term quality of life after vertical sleeve gastroplasty Long-term quality of life after vertical sleeve gastroplasty Long-term quality of life after vertical sleeve gastroplasty We conducted a historical cohort study including patients with morbid obesity the in the Unified Health System (SUS), registered in the database of the General University Hospital, University of Cuiabá. All patients underwent vertical sleeve gastroplasty and were followed for at least one year after the operation. The study variables were: quality of life, weight loss, improvement of hypertension and diabetes, and mortality. Results Results ResultsResults Results: The sample comprised 41 patients, 13 (31.7%) men and 28 (61.3%) women, mean age was 37 years, the average weight was 136.4 kg and mean BMI 50.3 kg/m 2 ; mean follow-up was 19.1 months (12-32). There was a significant reduction in weight (96.7 kg, p < 0.001) and BMI (35.835 kg/m 2 , p < 0.001). The rate of blood pressure decreased from 56% to 31.7%, and diabetes from 14.6% to 4.8% (p < 0.001). Quality of life improved in 92.5% of patients. ConclusionConclusion Conclusion Conclusion Conclusion: There was an improvement in the quality of life in the majority of patients, achieved by means of weight loss and clinical improvement of diabetes and hypertension.

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“…An association between obesity and GERD symptoms has been reported; however, study results have been inconsistent and it is not known whether an association persists after adjusting for other known GERD risk factors 11 . Overweight and obesity are strong independent risk factor of GERD symptoms and oesophageal erosions.…”

Section: Reflux Oeshpahgitismentioning

confidence: 94%

Obesity Medical Management

Ahmed¹,

Ahmed²

2014

Int. J. Res. Ayurveda Pharm.

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Obesity is becoming a substantial health problem in the world, especially the industrialized countries. It is associated with serious medical, psychological, economical and social implications, virtually affecting all age groups. In this review, we focus on the definition of obesity, its classification, causes, current status and management. The causes of obesity are given in a short review of the pathophysiology of obesity including hypertrophic versus hyper-cellular obesity, hormonal influences on appetite, odour detection threshold and leptin. The main problems associated with obesity are co morbidities including hypertension, diabetes mellitus, obstructive sleep apnoea, reflux oeshpahgitis, cancer and osteoarthritis. Obesity management methods reviewed are medical (non-surgical) treatment including weight-loss programs, pharmacologic therapy where conventional and herbal medicines are used. Examples of the herbal medicines including, Guarana (Paullinia cupana), Guar Gum (Cyamopsis tetragonoloba), Ginseng (Panax ginseng), Flaxseed (Linum usitatissimum), Ginger, Green tea and glucomannan were discussed.

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Increase in gastroesophageal reflux disease symptoms and erosive esophagitis 1 year after laparoscopic sleeve gastrectomy among obese adults

Cited by 86 publications

References 4 publications

Which diseases are risk factors for developing gastroesophageal reflux disease?

Which diseases are risk factors for developing gastroesophageal reflux disease?

Avaliação da qualidade de vida tardia após gastroplastia vertical

Obesity Medical Management

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