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Gastroesophageal Reflux Disease and Sleeve Gastrectomy

  • Review Article
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Abstract

Gastroesophageal reflux disease (GERD) and/or hiatus hernia (HH) are one of the most common disorders of the upper gastrointestinal tract. Despite the positive effect of sleeve gastrectomy (SG) regarding weight loss and improvement in obesity co-morbidities, there are concerns about the development of de novo gastroesophageal reflux disease or worsening the existing GERD after this bariatric operation. Furthermore, controversy exists on the consequences of SG in lower esophageal sphincter function and about the ideal procedure when a hiatus hernia is preoperatively diagnosed or discovered during the laparoscopic SG. This review systematically investigates the incidence, the pathophysiology of GERD and/or HH in morbidly obese individuals before and after SG, and the treatment options for concomitant HH repair during laparoscopic sleeve gastrectomy.

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Author information

Authors and Affiliations

  1. Bariatric Unit, Heraklion University Hospital, University of Crete, 164 Erythreas Street, 714 09, Heraklion, Crete, Greece

    John Melissas

  2. Department of Surgery, Hospital Clínico “Dr Jose J. Aguirre”, Faculty of Medicine, University of Chile, Santiago, Chile

    Italo Braghetto & Juan Carlos Molina

  3. Division of General Surgery and Bariatric Centre of Excellence, Department of Medico-Surgical Sciences and Biotechnologies, “La Sapienza” University of Rome, Rome, Italy

    Gianfranco Silecchia & Angelo Iossa

  4. Centre Hospitalier Universitaire de Nice, Hôpital de l’Archet, Pôle Digestif, Nice, F-06202, France

    Antonio Iannelli

  5. Faculté de Médecine, Université de Nice-Sophia Antipolis, Nice, F-06107, France

    Antonio Iannelli

  6. Week Surgery, Bariatric Unit, Padova University Hospital, Padova, Italy

    Mirto Foletto

Authors
  1. John Melissas
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  2. Italo Braghetto
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  3. Juan Carlos Molina
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  4. Gianfranco Silecchia
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  5. Angelo Iossa
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  6. Antonio Iannelli
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  7. Mirto Foletto
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Correspondence to John Melissas.

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The authors declare that they have no competing interests.

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This article does not contain any studies with human participants or animals performed by any of the authors. No additional informed consent is required.

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Melissas, J., Braghetto, I., Molina, J.C. et al. Gastroesophageal Reflux Disease and Sleeve Gastrectomy. OBES SURG 25, 2430–2435 (2015). https://doi.org/10.1007/s11695-015-1906-1

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  • DOI: https://doi.org/10.1007/s11695-015-1906-1

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