Affiliation:
1. Collegium Medicum, The Jan Kochanowski University, 25-369 Kielce, Poland
Abstract
Introduction: The incidence of obesity is increasing in developed societies, and surgical treatment is one treatment option. The most common surgical treatment for obesity is laparoscopic sleeve gastrectomy (LSG). Gastroesophageal reflux disease (GERD) is a complication of both obesity and the surgical treatment of obesity. Materials and methods: In this study, the PubMed database was searched using the keywords “GERD” and “bariatric surgery”, and 987 papers published between 1 July 2017 and 30 June 2022 were retrieved. Results: Nine papers met the inclusion criteria and were included in the meta-analysis. The articles were analyzed for the de novo occurrence of GERD after the treatment of its symptoms, the occurrence of erosive esophagitis, and Barrett’s esophagus. In addition, interesting conclusions are presented from the papers that did not meet the inclusion criteria but shed light on the pathophysiology of GERD in obese patients undergoing LSG. Conclusion: In conclusion, the authors draw attention to the need for endoscopic surveillance in patients undergoing LSG, even in the absence of clinical signs of GERD.
Funder
Minister of Education and Science
Reference31 articles.
1. (2022, October 31). Available online: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
2. Treatment of obesity;Thompson;Mayo Clin. Proc.,2007
3. 2022 American Society for Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO): Indications for Metabolic and Bariatric Surgery;Eisenberg;Surg. Obes. Relat. Dis.,2022
4. Surgical management of morbid obesity;Schneider;Diabetes Care,2005
5. Polskie rekomendacje w zakresie chirurgii bariatrycznej i metabolicznej;Major;Med. Prakt. Chir.,2016