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01-08-2021 | Sleeve Gastrectomy | Original Contributions

Laryngopharyngeal Reflux Among Patients Undergoing Bariatric Surgery

Authors: Purushotman Ramasamy, Vigneswaran Kumarasamy, Avatar Singh Mohan Singh, Mohd Zulkiflee B. Abu Bakar, Prepageran Narayanan, Shubash Shander Ganapathy, Umasangar Ramasamy, C. Rajkumar Vinayak

Published in: Obesity Surgery | Issue 8/2021

Abstract

Purpose

The effect of altered subsphincteric gastric volume and pressure after bariatric surgery on laryngopharyngeal reflux (LPR) remains largely unknown. This was a cross-sectional pilot study conducted between January 2018 and January 2019 to identify changes in LPR symptoms and signs in bariatric surgery patients presurgery and postsurgery.

Materials and Methods

Thirty-four patients listed for bariatric surgery in a single tertiary referral center were recruited, where 31 (77.4% female, mean age 46.3 ± 8.9 years) fulfilled the eligibility criteria. Of the eligible patients, 54.8% and 45.2% underwent sleeve gastrectomy (SG) and gastric bypass (GB), respectively. LPR symptoms were assessed using the self-reported reflux symptom index (RSI). Video-recorded endolaryngeal signs were scored using the reflux finding score (RFS) by two blinded otolaryngologists. Patients’ presurgical and 3-month postsurgical body mass index (BMI), RSI, and RFS were determined. Patients were deemed as having LPR when RSI > 13 or RFS > 7.

Results

There was a significant correlation between the postsurgical RSI and RFS changes (Pearson’s r = 0.474, p = 0.007). Of the 31 patients, 12.9% (RSI) and 6.4% (RFS) recovered from preexisting LPR, whereas 22.6% (RSI) and 3.2% (RFS) developed new de novo LPR postsurgery. The postsurgical mean RFS change improved significantly in the GB group compared with that of the SG group (p < 0.05).

Conclusion

LPR is best assessed clinically using a multimodal approach (RSI and RFS). Bariatric surgery may worsen or lead to de novo LPR. Recognizing the LPR outcomes in these patients is paramount for optimal voice, speech, and swallowing functions.

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Title: Laryngopharyngeal Reflux Among Patients Undergoing Bariatric Surgery
Authors: Purushotman Ramasamy
Vigneswaran Kumarasamy
Avatar Singh Mohan Singh
Mohd Zulkiflee B. Abu Bakar
Prepageran Narayanan
Shubash Shander Ganapathy
Umasangar Ramasamy
C. Rajkumar Vinayak
Publication date: 01-08-2021
Publisher: Springer US
Keywords: Sleeve Gastrectomy
Bariatric Surgery
Bariatric Surgery
Gastroesophageal Reflux Disease
Laryngopharyngeal Reflux
Published in: Obesity Surgery / Issue 8/2021
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-021-05492-w

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Laryngopharyngeal Reflux Among Patients Undergoing Bariatric Surgery

Abstract

Purpose

Materials and Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Materials and Methods

Results

Conclusion

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