Comparative evaluation of the effectiveness of gastric bypass and invaginational cardioplasty in patients with Gastroesophageal Reflux Disease after sleeve gastrectomy

Abstract

The aim of the study: comparing the effectiveness of Gastric Bypass and invaginational cardioplasty in patients after sleeve gastrectomy.Material and methods. Prospective clinical research including an analysis of the surgical treatment of the 40 patients diagnosed with Gastroesophageal Reflux Disease (GERD) after sleeve gastrectomy. A clinical and instrumental analysis and a GERD-HRQL questionnaire were conducted, evaluation of the effectiveness and safety of Gastric Bypass and invaginational cardioplasty.Results. During the observation of patients for 12 months, invaginational cardioplasty showed good tolerability, safety, and effectiveness in the treatment of GERD in comparison with gastric bypass surgery, which is confirmed by the results of the GERD-HRQL questionnaire, a reduced symptoms and an improvement in the endoscopic picture of the esophageal-gastric junction, as well as the results of gastric roentgenoscopy.Conclusion. The study showed a relatively high efficiency of invaginational cardioplasty in the treatment of gastroesophageal reflux disease in patients after sleeve gastrectomy, in comparison with gastric bypass surgery, in the early and long-term follow-up period.