Gastroesophageal Reflux Disease After Roux-en-Y Gastric Bypass: Pathophysiology and Management.
J Laparoendosc Adv Surg Tech A
; 34(2): 167-172, 2024 Feb.
Article
en En
| MEDLINE
| ID: mdl-38153398
ABSTRACT
Introduction:
Patients with obesity are often affected by gastroesophageal reflux disease (GERD). Roux-en-Y gastric bypass (RYGB) is considered the ideal operation for patients with severe obesity and GERD. Although the majority of patients improve their reflux with the operation, some might persist symptomatic and others can even develop de novo GERD. The aim of this study was to determine pathophysiologic factors involved in the development of GERD after RYGB surgery and define potential treatments for this condition. Materials andMethods:
Studies including patients with GERD before and after RYGB and/or analyzing possible GERD therapies were analyzed by the authors. Searches were conducted in PubMed, Cochrane Library, and Embase databases.Results:
GERD can persist, worsen, or develop after RYGB. There are certain technical elements of the operation identified as potential risk factors for GERD. Medical therapy is effective in the majority of patients. Both endoscopic and surgical procedures can also help resolving GERD after RYGB.Conclusions:
Although the majority of patients with GERD after RYGB can be effectively managed with medical therapy, some may require endoscopic or surgical treatment. Critical technical elements of RYGB should be considered to reduce the risk of postoperative GERD.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Derivación Gástrica
/
Reflujo Gastroesofágico
Límite:
Humans
Idioma:
En
Revista:
J Laparoendosc Adv Surg Tech A
Año:
2024
Tipo del documento:
Article
País de afiliación:
Argentina
Pais de publicación:
Estados Unidos