Gastroesophageal Reflux Disease, Esophagitis, and Barrett's Esophagus 3 to 4 Years Post Sleeve Gastrectomy

被引:16
|
作者
Elkassem, Samer [1 ,2 ]
机构
[1] Med Hat Reg Hosp, Div Gen Surg, 116 Carry Dr,Suite 114, Medicine Hat, AB T1B 3Z8, Canada
[2] Univ Calgary, Fac Med, Calgary, AB, Canada
关键词
Sleeve gastrectomy; GERD; De novo reflux; Esophagitis; Barrett's esophagus; Endoscopy; Y GASTRIC BYPASS; MORBID-OBESITY; WEIGHT-LOSS; MANAGEMENT; DIAGNOSIS; SYMPTOMS; OUTCOMES; SOCIETY; SURGERY;
D O I
10.1007/s11695-021-05688-0
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background Sleeve gastrectomy (SG) has become the most popular bariatric procedure worldwide. However, SG is associated with de novo gastroesophageal reflux (GERD) and esophagitis, with concerns for progression into Barrett's esophagus (BE). The purpose of this study is to assess the clinical and endoscopic progression of GERD, esophagitis, and BE 3 to 4 years after SG. Methods Fifty-eight patients (pts) were assessed with endoscopy preoperative and at 3 to 4 years post SG, representing 44.9% follow-up. Endoscopy was offered to all SG pts regardless of symptoms. Outcomes including percent total weight loss (%TWL), PPI use, esophagitis progression, de novo reflux, and BE formation. Results At post-op follow-up, the %TWL was 23%. The average BMI dropped from 49.07 to 37.5. De novo reflux developed in 13 pts (30.9%). Of the 16 pts with GERD pre-op, 37.5% improved, 25% had stable disease, and 37.5% had worsening symptoms. The rate of esophagitis nearly doubled from 37.9% pre-op to 70.6% post-op. A majority of post-op pts had mild esophagitis (87.8%), with 12.1% with LA classes C and D. Asymptomatic esophagitis was found in 68.2% of post-op pts. The incidence of BE was 12.7% post-op, with de novo BE developing in 4 pts, representing 7.2%. Conclusion SG is associated with increased rates of asymptomatic esophagitis and de novo reflux at 3 to 4 years post-op. De novo BE was detected as well, highlighting the importance of post-op screening. The majority of pts with GERD pre-op have stable disease or improve.
引用
收藏
页码:5148 / 5155
页数:8
相关论文
共 50 条
  • [1] Gastroesophageal Reflux Disease, Esophagitis, and Barrett’s Esophagus 3 to 4 Years Post Sleeve Gastrectomy
    Samer Elkassem
    Obesity Surgery, 2021, 31 : 5148 - 5155
  • [2] Gastroesophageal Reflux Disease, Esophagitis, and Barrett's Esophagus Post Sleeve Gastrectomy: A Systematic Review and Meta-Analysis
    Musallam, Rami
    Rahman, Syed Hamaad
    Shweikeh, Faris
    Bennett, Alexis
    Beran, Azizullah
    Daaboul, Rania
    Sayeh, Wasef
    Mohan, Babu
    Abousaleh, Mohannad
    Simons-Linares, C. Roberto
    Mansoor, Emad
    Cooper, Gregory
    Shamia, Ahmed
    AMERICAN JOURNAL OF GASTROENTEROLOGY, 2023, 118 (10): : S379 - S379
  • [3] LOW RATES OF DISTAL ESOPHAGITIS & BARRETT'S ESOPHAGUS AFTER SLEEVE GASTRECTOMY Sleeve gastrectomy
    Billy, H.
    Chopan, M.
    Simpson, T.
    Chino, J.
    OBESITY SURGERY, 2022, 32 (SUPPL 2) : 349 - 349
  • [4] Gastroesophageal reflux disease and Barrett's esophagus
    Anand, O.
    Wani, S.
    Sharma, P.
    ENDOSCOPY, 2008, 40 (02) : 126 - 130
  • [5] Gastroesophageal reflux disease and Barrett's esophagus
    Falk, GW
    ENDOSCOPY, 2001, 33 (02) : 109 - 118
  • [6] Gastroesophageal reflux disease and Barrett's esophagus
    Rösch, T
    ENDOSCOPY, 2000, 32 (11) : 826 - 835
  • [7] Gastroesophageal reflux disease and Barrett’s esophagus
    Dino Vaira
    Luigi Gatta
    Chiara Ricci
    Valentina Castelli
    Giulia Fiorini
    Enkeleda Kajo
    Alberto Lanzini
    Internal and Emergency Medicine, 2011, 6 : 299 - 306
  • [8] Gastroesophageal reflux disease and Barrett's Esophagus
    Bergman, JJGHM
    ENDOSCOPY, 2005, 37 (01) : 8 - 18
  • [9] Gastroesophageal reflux disease and Barrett's esophagus
    Koop, H
    ENDOSCOPY, 2004, 36 (02) : 103 - 109
  • [10] Gastroesophageal reflux disease and Barrett's esophagus
    Vaira, Dino
    Gatta, Luigi
    Ricci, Chiara
    Castelli, Valentina
    Fiorini, Giulia
    Kajo, Enkeleda
    Lanzini, Alberto
    INTERNAL AND EMERGENCY MEDICINE, 2011, 6 (04) : 299 - 306