RT Journal Article
SR Electronic
T1 The effect of bariatric surgery on gastroesophageal reflux disease
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP 139
OP 144
DO 10.1503/cjs.030612
VO 57
IS 2
A1 Mustafa El-Hadi
A1 Daniel W. Birch
A1 Richdeep S. Gill
A1 Shahzeer Karmali
YR 2014
UL http://canjsurg.ca/content/57/2/139.abstract
AB Obesity is an epidemic that is known to play a role in the development of gastro-esophageal reflux disease (GERD). Studies have shown that increasing body mass index plays a role in the incompetence of the gastroesophageal junction and that weight loss and lifestyle modifications reduce the symptoms of GERD. As a method of producing effective and sustainable weight loss, bariatric surgery plays a major role in the treatment of obesity. We reviewed the literature on the effects of different types of bariatric surgery on the symptomatic relief of GERD and its complications. Roux-en-Y gastric bypass was considered an effective method to alleviate symptoms of GERD, whereas laparoscopic sleeve gastrectomy appeared to increase the incidence of the disease. Adjustable gastric banding was seen to initially improve the symptoms of GERD; however, a subset of patients experienced a new onset of GERD symptoms during long-term follow-up. The literature suggests that different surgeries have different impacts on the symptomatology of GERD and that careful assessment may be needed before performing bariatric surgery in patients with GERD.