The short-term effect of laparoscopic sleeve gastrectomy with his angle reconstruction (LSG-His) on gastroesophageal reflux disease
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Laparoscopic sleeve gastrectomy with acute angle of His reconstruction (LSG-His) significantly reduces gastroesophageal reflux disease (GERD) symptoms and improves excess weight loss compared to conventional laparoscopic sleeve gastrectomy (LSG). Further long-term studies are needed.
Area Of Science
- Bariatric Surgery
- Gastroenterology
- Obesity Management
Background
- Laparoscopic sleeve gastrectomy (LSG) is a common bariatric procedure for obesity.
- Postoperative gastroesophageal reflux disease (GERD) is a significant complication following LSG.
- A novel technique, LSG with acute angle of His reconstruction (LSG-His), aims to mitigate GERD.
Purpose Of The Study
- To evaluate the short-term efficacy of LSG-His compared to conventional LSG.
- To assess the impact on GERD symptoms and weight loss outcomes.
Main Methods
- Single-center retrospective observational cohort study.
- 83 patients analyzed: 39 underwent conventional LSG, 44 underwent LSG-His (with diaphragmatic fundopexy).
- GERD symptoms assessed using RD-Q and GERD-Q at baseline and 3, 6, 12, 24 months postoperatively.
- Weight loss measured by %EWL and total weight loss.
Main Results
- LSG-His group showed sustained reduction in GERD symptoms across all time points (p<0.001 vs LSG).
- At 24 months, GERD prevalence was 14% (LSG-His) vs 46% (LSG) by GERD-Q, and 7% (LSG-His) vs 41% (LSG) by RD-Q (p<0.001).
- %EWL was significantly higher in the LSG-His group at all measured follow-up points (3, 6, 12, 24 months).
Conclusions
- LSG-His is associated with lower GERD rates and higher %EWL compared to standard LSG at 24 months.
- Total weight loss outcomes were comparable between the groups.
- Long-term prospective studies with objective reflux assessment are warranted due to short-term follow-up.
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
Related Concept Videos
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Gastroesophageal Reflux Disease (GERD) involves the recurrent backflow of the stomach or duodenal contents into the esophagus, leading to troublesome symptoms and potential esophageal mucosal damage. Although GERD is often referred to as a disease, it is more accurately described as a syndrome, as it encompasses a range of symptoms and complications rather than a singular pathological entity, impacting a large number of individuals as the most prevalent upper gastrointestinal problem. Roughly...
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Vagotomy: This procedure aims to reduce gastric acid secretion by cutting a portion of the vagus nerve. While effective, its frequency has declined due to the availability of effective acid-suppressing medications. It may be performed with or...
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...