AI Article Synopsis
- Bariatric surgery, including procedures like sleeve gastrectomy and Roux-en-Y gastric bypass, is increasingly used to treat obesity but can negatively impact gastroesophageal reflux disease (GERD).
- Recent evidence indicates sleeve gastrectomy has the highest rates of new GERD cases, while Roux-en-Y gastric bypass and one anastomosis gastric bypass show lower rates; intragastric balloons are also linked to increased GERD risks.
- Patients considering bariatric surgery might benefit from an endoscopy before the procedure to select the best treatment option, and more research is needed to understand the effects of surgeries like endoscopic sleeve gastroplasty on GERD.
Article Abstract
Purpose Of Review: Bariatric surgery and endoluminal bariatric therapies (EBTs) form an increasingly utilized therapeutic approach to treat obese patients but may worsen gastroesophageal reflux disease (GERD). In this updated article, we review the evidence on the effects of bariatric procedures on GERD.
Findings: Recent evidence implicates sleeve gastrectomy with the highest rates of de novo GERD and Barrett's esophagus (BE), whereas malabsorptive-restrictive procedures such as Roux-en-Y gastric bypass (RYGB) and one anastomosis gastric bypass (OAGB) were shown to have significantly lower reported rates. The intragastric balloon (IGB) has been associated with increased likelihood of GERD, whereas insufficient evidence exists linking endoscopic sleeve gastroplasty (ESG) to GERD.
Summary: Gastroesophageal reflux disease may be treated with some bariatric procedures but is often developed de novo as a result of the change in anatomy. Patients set to undergo bariatric surgery may benefit from pre-procedural endoscopy to choose the more suitable therapy. Further studies with objective measurements of GERD post procedure may provide more insight into the effects of bariatric therapies on reflux, especially more novel ones such as ESG.
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| http://dx.doi.org/10.1007/s11938-020-00278-y | DOI Listing |
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