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Postoperative problems 2011: fundoplication and obesity surgery.

W O Rohof1, R Bisschops, J Tack

  • 1Department of Gastroenterology and Hepatology, Academic Medical Center, Amsterdam, the Netherlands.

Gastroenterology Clinics of North America
|November 22, 2011
PubMed
Summary
This summary is machine-generated.

Surgical treatments for GERD and obesity can cause GI motility issues. This review details common complications like dysphagia and dumping syndrome after these procedures.

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Area of Science:

  • Gastroenterology
  • Bariatric Surgery
  • Gastroesophageal Reflux Disease (GERD)

Background:

  • GERD and obesity are prevalent conditions often treated surgically.
  • Surgical interventions for GERD and obesity significantly alter upper GI tract physiology.
  • Increasing numbers of patients experience post-surgical GI motility symptoms.

Purpose of the Study:

  • To review the primary complications following antireflux surgery.
  • To identify common motility-related complications after obesity surgery.
  • To inform clinicians about potential adverse effects of these procedures.

Main Methods:

  • Literature review of complications associated with antireflux and obesity surgeries.
  • Analysis of patient presentations at a motility outpatient clinic.
  • Synthesis of information on physiological impacts and functional changes.

Main Results:

  • Antireflux surgery complications include dysphagia, gas bloat, persistent GERD, and dyspepsia.
  • Obesity surgery commonly leads to dumping syndrome and esophageal dysmotility.
  • These complications significantly impact the proximal gastrointestinal tract function.

Conclusions:

  • Surgical treatments for GERD and obesity, while effective, carry significant risks of GI motility complications.
  • Understanding these post-operative issues is crucial for managing patients presenting to motility clinics.
  • Further research may focus on mitigating or managing these iatrogenic gastrointestinal disorders.