Department of Percutaneous Surgery, DAICIM Foundation (Teaching, Research, Assistance in Minimal Invasive Surgery), Buenos Aires, Argentina.
Department of General Surgery, Sanatorio de la Mujer, Rosario, Argentina.
J Laparoendosc Adv Surg Tech A. 2021 Sep;31(9):978-982. doi: 10.1089/lap.2021.0478. Epub 2021 Aug 12.
Modifications of gastric anatomy, function, and of the esophagogastric junction secondary to sleeve gastrectomy (SG) can worsen the symptoms of gastroesophageal reflux disease (GERD). Its late diagnosis and poor treatment can lead to serious complications. In recent years, attempts have been made to optimize preoperative studies and improve surgical techniques to prevent this problem. The aim of this study was to update on the presence of GERD and their symptoms post-SG. A literature review of articles based on randomized clinical trials on the presence of GERD after SG was carried out, in a period of 10 years. A result of 336 articles was obtained, of which 327 were discarded and 9 were included. The variables of GERD post-SG were analyzed according to their symptoms ("improved," "worsened," and "unchanged"), "remission," or appearance "." GERD is a frequently associated pathology in obese patients. Several authors reported that symptoms worsen after SG, and has been diagnosed de novo. The application of exhaustive preoperative studies and a correct surgical technique could reduce its incidence.
袖状胃切除术（SG）后胃解剖结构、功能和食管胃交界区的改变可使胃食管反流病（GERD）的症状恶化。其晚期诊断和治疗不佳可导致严重并发症。近年来，人们试图优化术前研究并改进手术技术以预防这一问题。本研究旨在更新 SG 后 GERD 及其症状的存在情况。对 10 年内基于 SG 后 GERD 的随机临床试验的文章进行了文献回顾。得到了 336 篇文章的结果，其中 327 篇被丢弃，9 篇被纳入。根据症状（“改善”、“恶化”和“无变化”）、“缓解”或“出现”对 SG 后 GERD 的变量进行了分析。GERD 是肥胖患者常合并的一种疾病。一些作者报告说，SG 后症状恶化，并被新诊断为 GERD。详尽的术前研究和正确的手术技术的应用可以降低其发生率。
