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Obesity Surgery
Published in: Obesity Surgery 12/2015

01-12-2015 | Review Article

Gastroesophageal Reflux Disease and Sleeve Gastrectomy

Authors: John Melissas, Italo Braghetto, Juan Carlos Molina, Gianfranco Silecchia, Angelo Iossa, Antonio Iannelli, Mirto Foletto

Published in: Obesity Surgery | Issue 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.
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Metadata
Title
Gastroesophageal Reflux Disease and Sleeve Gastrectomy
Authors
John Melissas
Italo Braghetto
Juan Carlos Molina
Gianfranco Silecchia
Angelo Iossa
Antonio Iannelli
Mirto Foletto
Publication date
01-12-2015
Publisher
Springer US
Published in
Obesity Surgery / Issue 12/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-015-1906-1

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