Post-bariatric Surgery Changes in Secondary Esophageal Motility and Distensibility Parameters
- 20-12-2023
- Sleeve Gastrectomy
- Original Contributions
Published in:
- Authors
- Vitor Ottoboni Brunaldi
- Donna Maria Abboud
- Rami R. Abusaleh
- Karim Al Annan
- Farah Abdul Razzak
- Karthik Ravi
- Eric J. Vargas Valls
- Andrew C. Storm
- Omar M. Ghanem
- Barham K. Abu Dayyeh
- Published in
- Obesity Surgery | Issue 2/2024
Abstract
Introduction
Despite the increasing number of bariatric procedures over the recent years, the physiological changes in secondary esophageal motility and distensibility parameters after surgery remain unknown.
Methods
This is a retrospective, single-center cohort study comparing esophageal planimetry and gastroesophageal junction (GEJ) distensibility in post-bariatric surgery patients (Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), and conversion/revisional patients (DH)) and native-anatomy patients with obesity (NAC). Distensibility refers to the area achieved with a certain amount of pressure, and secondary peristalsis represents the esophageal response to an intended obstruction. Patients with pre-surgical dysmotility symptoms were excluded from the study.
Results
From November 2018 to January 2023, 167 patients were evaluated and eligible for this study (RYGB = 87, SG = 33, NAC = 22, DH = 25). In NAC cohort, 17/22 (77%) patients presented normal motility patterns compared to 35/87 (40%) RYGB, 12/33 (36%) SG, and 5/25 (20%) DH (p < 0.05 for all comparisons). The most common abnormal motility pattern for all three bariatric cohorts was absent contractions. DH patients generally had the highest mean maximum distensibility index averages, followed by SG, RYGB, and NAC.
Conclusion
Bariatric surgery affects esophageal and GEJ physiology, and it is associated with higher rates of secondary dysmotility. DH patients have even higher rates of dysmotility. Further studies assessing clinical data and their correlation with manometric and pH-metric findings are needed.
Graphical Abstract
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- Title
- Post-bariatric Surgery Changes in Secondary Esophageal Motility and Distensibility Parameters
- Authors
-
Vitor Ottoboni Brunaldi
Donna Maria Abboud
Rami R. Abusaleh
Karim Al Annan
Farah Abdul Razzak
Karthik Ravi
Eric J. Vargas Valls
Andrew C. Storm
Omar M. Ghanem
Barham K. Abu Dayyeh
- Publication date
- 20-12-2023
- Publisher
- Springer US
- Keywords
-
Sleeve Gastrectomy
Metabolic and Bariatric Surgery
Bariatric Surgery
Gastroesophageal Reflux Disease
Motility Disorder
Motility Disorder
Esophagogastroduodenoscopy
Endoscopy - Published in
-
Obesity Surgery / Issue 2/2024
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428 - DOI
- https://doi.org/10.1007/s11695-023-06959-8
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