Efficacy of Nissen Sleeve Gastrectomy on Mid-term Barrett's Esophagus Regression.

Bariatric metabolic surgery Barrett’s esophagus GERD Gastric bypass Nissen fundoplication Nissen sleeve gastrectomy

Journal

Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714

Informations de publication

Date de publication:
06 Jan 2024
Historique:
received: 14 06 2023
accepted: 26 12 2023
revised: 25 11 2023
medline: 7 1 2024
pubmed: 7 1 2024
entrez: 6 1 2024
Statut: aheadofprint

Résumé

Sleeve gastrectomy is the most commonly performed bariatric operation globally. The main complication is GERD. In the medium term, it can increase the incidence of Barrett's esophagus (BE), which is a risk factor for esophageal adenocarcinoma. Following conventional sleeve gastrectomy, BE is noted in up to 16% of patients postoperatively. Recently, Nissen sleeve gastrectomy (NSG) has been shown to reduce the frequency of postoperative GERD compared to conventional sleeve gastrectomy. This study aims to evaluate the impact of NSG on the incidence and remission of BE in the long term. This bicentric retrospective study included 692 patients who received NSG from September 2013 to July 2021. All patients underwent preoperative upper GI endoscopy and were then scheduled to receive upper GI endoscopy between 1 and 2 years and then between 3 and 5 years postoperatively. BE was systematically confirmed by biopsies. Seventy-four patients had endoscopic suspicion of BE, which was confirmed on 54/692 patients by histology. The BE lesions consisted of 18.5% intestinal metaplasia and 75.9% fundal metaplasia. Among these 54 patients, 38 underwent endoscopic investigation within 2 years postoperatively. The biopsies showed healed BE in 25/38 patients (64.1%). At 5 years, two patients had proven BE. Concerning the incidence of BE post NSG: 234 performed the follow-up endoscopy within 2 years. The incidence of de novo BE is nil. The NSG is associated with healing of known BE in approximately two-thirds of patients at 2-year follow-up. This is consistent with the GERD improvement that has been shown with NSG.

Identifiants

pubmed: 38183594
doi: 10.1007/s11695-023-07034-y
pii: 10.1007/s11695-023-07034-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Pierre Brinas (P)

Bariatric Surgery Unit, University Hospital of Rangueil, 1 Av. du Professeur Jean Poulhès, 31400, Toulouse, France. pierre.brinas@gmail.com.

Saadeddine Joumaa (S)

Bariatric Surgery Unit, University Hospital of Saint Eloi, 80 Av. Augustin Fliche, 34090, Montpellier, France.

Andrew Currie (A)

Bariatric Surgery Unit Epsom and St Helier Hospitals NHS Trust, Dorking Rd, Epsom, KT18 7EG, UK.

Mégane Boixière (M)

Bariatric Surgery Unit, University Hospital of Saint Eloi, 80 Av. Augustin Fliche, 34090, Montpellier, France.

Jean Christophe Valat (JC)

Gastroenterology Unit, University Hospital of Saint Eloi, 80 Av. Augustin Fliche, 34090, Montpellier, France.

Marius Nedelcu (M)

Bariatric Surgery Unit, ELSAN Clinique Saint Michel, Avenue d'orient, 83100, Toulon, France.

Ion Donici (I)

Bariatric Surgery Unit, University Hospital of Nimes, 4 rue du Professeur Robert Debré, 30900, Nimes, France.

Thomas Gautier (T)

Bariatric Surgery Unit, Clinique Saint Jean, 2 place de l'Europe, 34430, Saint Jean de Vedas, France.

David Nocca (D)

Bariatric Surgery Unit, University Hospital of Saint Eloi, 80 Av. Augustin Fliche, 34090, Montpellier, France.

Classifications MeSH