Esophagitis After Bariatric Surgery: Large Cross-sectional Assessment of an Endoscopic Database.
Adult
Bariatric Surgery
/ adverse effects
Body Mass Index
Case-Control Studies
Cross-Sectional Studies
Databases, Factual
Endoscopy, Digestive System
Esophagitis
/ diagnosis
Female
Gastroesophageal Reflux
/ diagnosis
Humans
Male
Middle Aged
Obesity, Morbid
/ epidemiology
Postoperative Complications
/ diagnosis
Prevalence
Retrospective Studies
Risk Factors
Bariatric surgery
Erosive esophagitis
GERD
Hiatal hernia
PPI
Roux-en-Y gastric bypass
Sleeve gastrectomy
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
01 2020
01 2020
Historique:
pubmed:
5
10
2019
medline:
28
8
2020
entrez:
5
10
2019
Statut:
ppublish
Résumé
Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are common bariatric surgeries that can alter physiological barriers against gastroesophageal reflux disease (GERD). We investigated the prevalence and potential physiologic underpinnings of erosive esophagitis (EE) after bariatric surgery in a large cohort with long-term follow-up. This is a retrospective analysis of 517 patients who underwent an esophagogastroduodenoscopy after SG or RYGB. A matched case-control sub-study was conducted to compare physiologic contributors of GERD after SG with a pre-operative cohort using high-resolution manometry. Consecutive post-SG and post-RYGB patients (body mass index (BMI) 34 ± 9.1 kg/m EE is more prevalent after SG compared with RYGB in a pre-bariatric surgery cohort with GERD. SG is associated with significant esophageal physiologic changes conducive to GERD and its clinical consequences.
Identifiants
pubmed: 31584148
doi: 10.1007/s11695-019-04164-0
pii: 10.1007/s11695-019-04164-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
161-168Commentaires et corrections
Type : CommentIn
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