Gastroesophageal Reflux Disease and Sleeve Gastrectomy

被引：79
作者：
Melissas, John [1 ]
Braghetto, Italo [2 ]
Molina, Juan Carlos [2 ]
Silecchia, Gianfranco [3 ,4 ]
Iossa, Angelo [3 ,4 ]
Iannelli, Antonio [5 ,6 ]
Foletto, Mirto [7 ]
机构：
[1] Univ Crete, Heraklion Univ Hosp, Bariatr Unit, 164 Erythreas St, Iraklion 71409, Crete, Greece
[2] Univ Chile, Hosp Clinico Dr Jose J Aguirre, Dept Surg, Fac Med, Santiago, Chile
[3] Univ Roma La Sapienza, Div Gen Surg, I-00185 Rome, Italy
[4] Univ Roma La Sapienza, Bariatr Ctr Excellence, Dept Med Surg Sci & Biotechnol, I-00185 Rome, Italy
[5] CHU Nice, Hop Archet, Pole Digestif, F-06202 Nice, France
[6] Univ Nice Sophia Antipolis, Fac Med, F-06107 Nice, France
[7] Padova Univ Hosp, Bariatr Unit, Week Surg, Padua, Italy
来源：
OBESITY SURGERY | 2015年 / 25卷 / 12期
关键词：
Bariatric surgery; Sleeve gastrectomy; Hiatus hernia; Gastroesophageal reflux disease; GERD; Y GASTRIC BYPASS; LOWER ESOPHAGEAL SPHINCTER; HIATAL-HERNIA REPAIR; OBESE-PATIENTS; MORBIDLY OBESE; SYMPTOMS; MESH; IMPROVEMENT; MANAGEMENT; CONVERSION;
D O I：
10.1007/s11695-015-1906-1
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
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.
引用
收藏
页码：2430 / 2435
页数：6
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