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GERD after Bariatric Surgery. Can We Expect Endoscopic Findings?
Ramon Vilallonga1,2, Sergi Sanchez-Cordero3, Nicolas Umpiérrez Mayor4
1Endocrine, Metabolic and Bariatric Unit, Department of General and Digestive Surgery, Center of Excellence for the EAC-BC, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain.
Endoscopic follow-up after bariatric surgery, particularly laparoscopic sleeve gastrectomy, is recommended. This is due to potential pathological findings, even in patients without gastroesophageal reflux disease (GERD) symptoms.
Area of Science:
- Gastroenterology
- Bariatric Surgery
- Endoscopy
Background:
- Bariatric surgery is the primary treatment for morbid obesity.
- Obesity is linked to gastroesophageal reflux disease (GERD).
- Preoperative GERD and hiatal hernia management is crucial before bariatric procedures.
Purpose of the Study:
- To review and discuss endoscopic findings following bariatric surgery.
- To evaluate the impact of endoscopic findings on surgical choices.
Main Methods:
- A systematic literature review was performed.
- Included 140 articles, with 8 selected for final analysis.
- Focused on endoscopy findings after Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy.
Main Results:
- Endoscopic diagnosis is important for bariatric patients with GERD symptoms.
- Specific endoscopic findings can influence surgical decisions.
Conclusions:
- Endoscopic follow-up after laparoscopic sleeve gastrectomy may be advisable.
- Pathological findings can occur in asymptomatic patients, necessitating follow-up.
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