GERD after Bariatric Surgery. Can We Expect Endoscopic Findings?
Vilallonga, Ramon (Clinique Saint Michel)
Sanchez-Cordero, Sergi (Hospital d'Igualada)
Umpiérrez Mayor, Nicolas (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Molina, Alicia (Clínica Corachan (Barcelona, Catalunya))
Cirera de Tudela, Arturo (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Ruiz-Úcar, Elena (Hospital Universitario de Fuenlabrada ( Madrid))
Carrasco, Manel Armengol (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Universitat Autònoma de Barcelona

Date:	2021
Abstract:	Background and Objectives : Bariatric surgery remains the gold standard treatment for morbidly obese patients. Roux-en-y gastric bypass and laparoscopic sleeve gastrectomy are the most frequently performed surgeries worldwide. Obesity has also been related to gastroesophageal reflux disease (GERD). The management of a preoperative diagnosis of GERD, with/without hiatal hernia before bariatric surgery, is mandatory. Endoscopy can show abnormal findings that might influence the final type of surgery. The aim of this article is to discuss and review the evidence related to the endoscopic findings after bariatric surgery. Materials and Methods : A systematic review of the literature has been conducted, including all recent articles related to endoscopic findings after bariatric surgery. Our review of the literature has included 140 articles, of which, after final review, only eight were included. The polled articles included discussion of the endoscopy findings after roux-en-y gastric bypass and laparoscopic sleeve gastrectomy. Results: We found that the specific care of bariatric patients might include an endoscopic diagnosis when GERD symptoms are present. Conclusions: Recent evidence has shown that endoscopic follow-up after laparoscopic sleeve gastrectomy could be advisable, due to the pathological findings in endoscopic procedures in asymptomatic patients.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Gastroesophageal reflux disease ; Endoscopy ; Bariatric surgery ; Sleeve gastrectomy ; Gastric bypass ; Hiatal hernia ; Obesity ; GERD
Published in:	Medicina, Vol. 57 (may 2021) , ISSN 1648-9144

DOI: 10.3390/medicina57050506
PMID: 34067532

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