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Gastroesophageal Reflux Before Metabolic Surgery
Chirurgia (Bucharest, Romania : 1990)
|March 7, 2018
Summary
Gastroesophageal reflux disease (GERD) is common in obese patients undergoing bariatric surgery, even without symptoms. Preoperative screening for GERD is crucial for selecting appropriate procedures and managing outcomes in metabolic surgery patients.
Area of Science:
- Gastroenterology
- Bariatric Surgery
- Obesity Medicine
Background:
- Obesity rates have surged, increasing the demand for bariatric surgery.
- Gastroesophageal reflux disease (GERD) is prevalent in obese individuals.
- The status of GERD in asymptomatic patients undergoing metabolic surgery remains unclear.
Purpose of the Study:
- To identify GERD conditions and complications in patients undergoing metabolic surgery.
- To correlate GERD symptoms with preoperative radiological and endoscopic findings.
Main Methods:
- Prospective study of consecutive patients undergoing metabolic surgery (December 2015-May 2016).
- Clinical evaluation, radiological, and endoscopic investigations were performed.
- Exclusion of patients with prior anti-reflux or bariatric surgery.
Main Results:
- 448 patients enrolled; mean age 41.04 years, mean BMI 39.96 kg/m2.
- GERD symptoms present in 20.76%; esophagitis found in 31.03%.
- Hiatal hernia identified in 26.56% (endoscopy) and 25% (radiology); 62% of esophagitis patients were asymptomatic.
Conclusions:
- GERD is more prevalent than expected in asymptomatic obese patients undergoing metabolic surgery.
- Findings impact procedure selection and postoperative management.
- Preoperative GERD assessment is vital for bariatric surgery candidates.
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