Journal of Basic and Clinical Pathophysiology

Journal of Basic and Clinical Pathophysiology

Gastroesophageal reflux rate after laparoscopic sleeve gastrectomy during 2 years

Document Type : Research Paper

Authors
Nasser Malekpour Alamdari 1
Elahe Sotoudeh 2
Seyed Hossein Hajimirzaei 3
Maryam Abbasi 2
1 Critical Care Quality Improvement Research Center, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of General Surgery, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Committee of Research Ethics, Deputy Minister of Research and Technology, Ministry of Health, Tehran, Iran
10.22070/jbcp.2024.19029.1177
Abstract
Background and Objective: Studies have shown that sleeve gastrectomy surgery increases the symptoms of gastroesophageal reflux disease (GERD). The aim of this study was to evaluate the incidence of postoperative reflux.
Materials and Methods: Patients who underwent sleeve gastrectomy at Shahid Modarres Hospital and had preoperative endoscopy available were evaluated. Endoscopic findings were recorded according to the Los Angeles criteria and the endoscopic results one year after sleeve gastrectomy were compared with the preoperative findings.
Results: The present study was performed on 200 patients who underwent sleeve gastrectomy with a mean age of 31.2 ± 7.28 years and a mean weight of 121.98 ± 18.21 kg. Among patients, 153 (76.5%) were female and 47 (23.5%) were male. The results of the study showed that according to the endoscopic findings before the operation, 101 patients (50.5%) were normal. 52 patients (26%) had GERD A, 32 patients (16%) had GERD B, 15 patients (7.5%) had GERD C, that after the surgery 91 patients (45.5%) was normal. 53 patients (26.5%) had GERD A, 35 patients (17.5%) had GERD B and 21 patients (10.5%) had GERD C. In fact, 49.5% of patients had GERD before surgery and 54.4% of patients had GERD after surgery. However, 25.7% of normal preoperative patients had reflux, which can be said that the incidence of reflux after laparoscopic sleeve gastrectomy was 25.7%. Comparison of reflux grades before and after surgery did not show a significant difference.
Conclusion: It seems that the frequency of reflux changes before and after surgery was not significantly different.
Keywords
Obesity
Restrictive surgery
Sleeve gastrectomy
Esophageal reflux
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Journal of Basic and Clinical Pathophysiology
Volume 12, Issue 2
October 2024
Pages 11-16