Gastroesophageal reflux disease symptoms after sleeve gastrectomy with anterior hemifundoplication: a pilot study
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View abstract on PubMed
Summary
This summary is machine-generated.Anterior fundoplication after laparoscopic sleeve gastrectomy (SG) significantly reduced gastroesophageal reflux disease (GORD) symptoms long-term. However, fundoplication dilatation occurred in some patients, necessitating conversion to other procedures.
Area Of Science
- Bariatric surgery outcomes
- Gastroesophageal reflux disease management
Background
- Gastroesophageal reflux disease (GORD) is a common complication following laparoscopic sleeve gastrectomy (SG).
- Evaluating surgical modifications to mitigate GORD post-SG is crucial.
Purpose Of The Study
- To assess the long-term efficacy of SG combined with anterior fundoplication (SGAF) in managing GORD symptoms.
- To compare GORD symptom control between SGAF and SG alone.
Main Methods
- A single-centre cohort study comparing patients who underwent SGAF versus SG alone.
- GORD symptoms were evaluated using a structured questionnaire over a 6-year follow-up period.
Main Results
- After 6 years, 71% of SGAF patients reported no GORD symptoms versus 17% of SG patients.
- GORD symptoms improved or remained stable in 81% of SGAF patients, compared to 41.5% of SG patients.
- Fundoplication dilatation occurred in 31% of SGAF patients, leading to conversion in some cases.
Conclusions
- SGAF offers superior symptomatic GORD control compared to SG alone in the long term.
- Fundoplication dilatation is a notable complication requiring further investigation and potential modification of surgical technique.
- Future strategies may involve reducing intragastric pressure and fundoplication volume to minimize dilatation.
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