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Published in:

01-02-2018 | Review Article

Detecting Bile Reflux—the Enigma of Bariatric Surgery

Authors: Thomas A. Eldredge, Jennifer C. Myers, George K. Kiroff, Jonathan Shenfine

Published in: Obesity Surgery | Issue 2/2018

Abstract

Duodeno-gastro-esophageal reflux, or bile reflux, is a condition for which there is no diagnostic gold standard, and it remains controversial in terms of carcinoma risk. This is pertinent in the context of an increasingly overweight population who are undergoing weight-loss operations that theoretically further increase the risk of bile reflux. This article reviews investigations for bile reflux based on efficacy, patient tolerability, cost, and infrastructure requirements. At this time, whilst no gold standard exists, hepatobiliary scintigraphy is the least invasive investigation with good-patient tolerability, sensitivity, and reproducibility to be considered first-line for diagnosis of bile reflux. This review will guide clinicians investigating bile reflux.

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Title: Detecting Bile Reflux—the Enigma of Bariatric Surgery
Authors: Thomas A. Eldredge
Jennifer C. Myers
George K. Kiroff
Jonathan Shenfine
Publication date: 01-02-2018
Publisher: Springer US
Published in: Obesity Surgery / Issue 2/2018
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-017-3026-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Detecting Bile Reflux—the Enigma of Bariatric Surgery

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

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