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Gastroesophageal Reflux Disease After Sleeve Gastrectomy

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The Perfect Sleeve Gastrectomy

Abstract

Despite all advantages of sleeve gastrectomy (SG), there is increasing evidence that the long-term occurrence of gastroesophageal reflux disease (GERD) represents Achilles’ heel of this procedure.

The quality of studies available in the literature concerning the impact of SG on postoperative GERD is moderate, mainly due to a relative lack of prospective studies and the use of symptom reporting and retrospective chart analysis instead of standardized questionnaires. Some studies report changes in endoscopic features, but only a minority objectively analyzed patients by esophageal manometry and 24-h pH monitoring. Nevertheless, all recent studies with more than 5-year follow-up are concordant in showing an increase in GERD prevalence after SG, related both to the worsening of preoperative GERD and the appearance of de novo GERD. In particular, a few studies have shown an alarming BE prevalence of 15–18.8% at 5–10-year follow-up. Therefore, the policy of adopting systematic endoscopic exploration long term after SG seems to be judicious and appropriate especially in young patients.

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Authors and Affiliations

  1. Digestive Surgery and Liver Transplantation Unit, Centre Hospitalier Universitaire de Nice – Archet 2 Hospital, Nice, France

    Antonio Iannelli

  2. Université Côte d’Azur, Nice, France

    Antonio Iannelli

  3. Digestive and Bariatric Surgery Unit, Joseph Ducuing Hospital, Toulouse, France

    Francesco Martini

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  1. Antonio Iannelli
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Correspondence to Antonio Iannelli .

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Editors and Affiliations

  1. Department of Surgery, Sacré-Coeur Hospital, Montréal, QC, Canada

    Michel Gagner

  2. Bariatric Surgery, Gastro Obeso Center, Sao Paulo, Brazil

    Almino Ramos Cardoso

  3. Diagnomed, University of Buenos Aires, Buenos Aires, Argentina

    Mariano Palermo

  4. Emirates Specialty Hospital, Dubai, United Arab Emirates

    Patrick Noel

  5. CHU Montpellier, Saint Gely du Fesc, France

    David Nocca

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Iannelli, A., Martini, F. (2020). Gastroesophageal Reflux Disease After Sleeve Gastrectomy. In: Gagner, M., Cardoso, A., Palermo, M., Noel, P., Nocca, D. (eds) The Perfect Sleeve Gastrectomy. Springer, Cham. https://doi.org/10.1007/978-3-030-28936-2_17

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