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[Reflux after baratric operations].
Journal article

[Reflux after baratric operations].

  • Tutuian R Departement Gastroenterologie, Unversitätsklinik für Viszerale Chirurgie und Medizin, Universitätsspital Bern, Switzerland. radu.tutuian@insel.ch
  • 2013-02-07
Published in:
  • Therapeutische Umschau. Revue therapeutique. - 2013
Aftercare
Bariatric Surgery
Gastroesophageal Reflux
Humans
Obesity
Postoperative Care
English Obesity and gastro-esophageal reflux disease (GERD) are two of the major health problems of the industrialized world. Both condition have increased prevalence, pathophysiological and endoscopic studies identified obesity a major risk factor in the development of GERD. Conversely, successful weight reduction improves GERD symptoms and diminishes the use of acid suppressive medication. Bariatric interventions are not all equal when it comes to controlling GERD symptoms, lesions and use of medication. Gastric banding has a variable influence on GERD, while most patients report improved reflux symptoms, up to 20% of patient can develop "de novo" reflux symptoms following gastric banding. Gastric sleeve resection increases reflux symptoms, in particular in patients with an ideal, tubular gastroplasty and those with proximal (fundic) pouch. Roux-en-Y gastric bypass has a positive effect of GERD, reducing symptoms and use of acid suppressive medications. From an esophageal perspective, gastric bypass is the preferred bariatric procedure to treat and prevent GERD in morbidly obese patients.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/138835
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