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26381

Influence of Sleeve Gastrectomy on Gastro-Esophageal Reflux Disease

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Last updated: 30 Jan 2023

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Abstract

Background: bariatric operations can induce reflux by affecting organs motor functions depending on the type of procedure performed. Laparoscopic sleeve gastrectomy (LSG) relatively new option of morbid obesity treatment, simpler to perform, short learning curve, and shorter duration (procedure time and hospital stay). Objectives: The aim of this work was to evaluate upper gastrointestinal symptoms before and after sleeve gastrectomy on short term follow up period of 6 months post-operatively and to assess the relation between Gastro-Esophageal Reflux Disease and sleeve gastrectomy. Patients and Methods: This follow up study included 50 morbidly obese patients treated with laparoscopic sleeve gastrectomy during the period from May 2018 to October 2018. Rome III Criteria and upper GI Endoscopy evaluation was done preoperatively then 6 months postoperatively concerning upper GI symptoms. Results: Before LSG 60% asymptomatic, 40 % GERD, 6.7 % dyspepsia (PDS predominance). UGI endoscopy showed 40% no significant findings, 60% gastritis, 20% esophagitis, 13.3% duodenitis, DU 6.7%. 40% H-pylori positive and 60% negative. After 6 months follow-up, 93.3% complained of upper GI symptoms, 66.7 % prevalence of dyspepsia (p<0.001). GERD symptoms disappear in 83.3%. 20% increased Vomiting of all patients associated with GERD (p =0.030). 13.3% increased Dysphagia (p =0.125) associated with dyspepsia. 100% correlation between GERD and hiatus hernia (p<0.001) and 66.7% between vomiting and incompetent cardia (p=0.029). Conclusion: Improvement of Gastro-Esophageal Reflux Disease after Sleeve Gastrectomy in patients complaining of GERD pre-operatively, although there is incidence of post-operative hiatus hernia and develop of gastrointestinal symptoms . Recommendation: further studies have to be applied.

DOI

10.21608/ejhm.2019.26381

Keywords

Obesity, Laparoscopic sleeve gastrectomy, upper gastrointestinal symptoms, GERD, Dyspepsia

Authors

First Name

Ashraf Abd El-Hameed

Last Name

Abd El-Moneim

MiddleName

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Affiliation

Department of General surgery, Faculty of Medicine, Al-Azhar University

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First Name

Abd El-Fattah

Last Name

Morsi

MiddleName

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Affiliation

Department of General surgery, Faculty of Medicine, Al-Azhar University

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Orcid

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First Name

Tamer Abdu Mohammed

Last Name

Megahed

MiddleName

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Affiliation

Department of General surgery, Faculty of Medicine, Al-Azhar University

Email

tamer.a.m390@gmail.com

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Orcid

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Volume

74

Article Issue

5

Related Issue

4679

Issue Date

2019-01-01

Receive Date

2019-02-01

Publish Date

2019-01-01

Page Start

1,156

Page End

1,164

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_26381.html

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https://ejhm.journals.ekb.eg/service?article_code=26381

Order

26

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Article

Created At

22 Jan 2023