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Sleeve Gastrectomy and Gastro-oesophageal Reflux Disease: a Complex Relationship

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Abstract

Sleeve gastrectomy is rapidly becoming popular as a standalone bariatric operation. At the same time, there are valid concerns regarding its long-term durability and postoperative gastro-oesophageal reflux disease. Though gastric bypass remains the gold standard bariatric operation, it is not suitable for all patients. Sleeve gastrectomy is sometimes the only viable option. Patients with inflammatory bowel disease, liver cirrhosis, significant intra-abdominal adhesions involving small bowel and those reluctant to undergo gastric bypass could fall in this category. It is widely recognised that some patients report worsening of their gastro-oesophageal reflux disease after sleeve gastrectomy. Still, others develop de novo reflux. This review examines if it is possible to identify these patients prior to surgery and thus prevent postoperative gastro-oesophageal reflux disease after sleeve gastrectomy.

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Abbreviations

GORD:

Gastro-oesophageal reflux disease

HH:

Hiatus hernia

RYGB:

Roux-en-Y gastric bypass

SG:

Sleeve gastrectomy

LOS:

Lower oesophageal sphincter

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Authors and Affiliations

  1. Bariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK

    Kamal K. Mahawar, Neil Jennings, Shlok Balupuri & Peter K. Small

Authors
  1. Kamal K. Mahawar
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  2. Neil Jennings
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  3. Shlok Balupuri
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  4. Peter K. Small
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Correspondence to Kamal K. Mahawar.

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Mahawar, K.K., Jennings, N., Balupuri, S. et al. Sleeve Gastrectomy and Gastro-oesophageal Reflux Disease: a Complex Relationship. OBES SURG 23, 987–991 (2013). https://doi.org/10.1007/s11695-013-0899-x

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