Erschienen in:
01.12.2015 | Review Article
Gastroesophageal Reflux Disease and Sleeve Gastrectomy
verfasst von:
John Melissas, Italo Braghetto, Juan Carlos Molina, Gianfranco Silecchia, Angelo Iossa, Antonio Iannelli, Mirto Foletto
Erschienen in:
Obesity Surgery
|
Ausgabe 12/2015
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Abstract
Gastroesophageal reflux disease (GERD) and/or hiatus hernia (HH) are one of the most common disorders of the upper gastrointestinal tract. Despite the positive effect of sleeve gastrectomy (SG) regarding weight loss and improvement in obesity co-morbidities, there are concerns about the development of de novo gastroesophageal reflux disease or worsening the existing GERD after this bariatric operation. Furthermore, controversy exists on the consequences of SG in lower esophageal sphincter function and about the ideal procedure when a hiatus hernia is preoperatively diagnosed or discovered during the laparoscopic SG. This review systematically investigates the incidence, the pathophysiology of GERD and/or HH in morbidly obese individuals before and after SG, and the treatment options for concomitant HH repair during laparoscopic sleeve gastrectomy.