Bariatric Surgery and Gastroesophageal Reflux

被引：17
作者：
Schlottmann, Francisco [1 ,2 ]
Herbella, Fernando A. M. [3 ]
Patti, Marco G. [1 ]
机构：
[1] Univ North Carolina Chapel Hill, Ctr Esophageal Dis & Swallowing, Dept Med & Surg, 4030 Burnett Womack Bldg 101 Manning Dr,CB 7081, Chapel Hill, NC 27599 USA
[2] Univ Buenos Aires, Hosp Aleman Buenos Aires, Dept Surg, Buenos Aires, DF, Argentina
[3] Univ Fed Sao Paulo, Escola Paulista Med, Dept Surg, Sao Paulo, Brazil
来源：
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES | 2018年 / 28卷 / 08期
关键词：
morbid obesity; sleeve gastrectomy; Roux-en-Y gastric bypass; gastroesophageal reflux; pressure gradient; esophageal manometry; ambulatory pH monitoring; LAPAROSCOPIC SLEEVE GASTRECTOMY; Y GASTRIC BYPASS; MORBID-OBESITY; HIATAL-HERNIA; WEIGHT-LOSS; DISEASE; PATHOPHYSIOLOGY;
D O I：
10.1089/lap.2018.0396
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
The epidemic of morbid obesity in the United States has reached dramatic proportions. Because of the associated comorbidities and because life style changes and exercise have limited effect, bariatric surgery has been used more often during the last 10 years as it has been shown to be safe and effective in decreasing weight and resolving comorbidities. Recently many studies have focused on a potential complication of bariatric surgery, gastroesophageal reflux disease, mostly because of the increasing use of sleeve gastrectomy. This article reviews the pathophysiology of reflux in morbid obese patients, the proper work-up before a bariatric operation, and the selection of the procedure based on the individual patient's characteristics.
引用
收藏
页码：953 / 955
页数：3
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