Mocian Flavius, Coroș Marius
Third Department of Surgery, "George Emil Palade" University of Medicine, Pharmacy, Science and Technology, Târgu Mureș, Romania.
Wideochir Inne Tech Maloinwazyjne. 2021 Dec;16(4):648-655. doi: 10.5114/wiitm.2021.103948. Epub 2021 Feb 26.
This paper aims to revisit the relationship between gastroesophageal reflux disease and laparoscopic sleeve gastrectomy in obese patients by reviewing the recent available literature, in the form of a narrative review. The interpretation of the current evidence is challenged by the fact that published data are contradictory and comparison between studies is difficult. Most studies investigate the presence of gastroesophageal reflux disease by assessing only the symptoms reported by patients. A few studies have objectively investigated gastroesophageal reflux disease by functional tests and endoscopic evaluation. Also, the surgical technique of laparoscopic sleeve gastrectomy plays an important role in the incidence of postoperative gastroesophageal reflux disease. In conclusion, surgeons must be aware of the existence of gastroesophageal reflux disease and, at the same time, patients should be informed regarding the possible effect of laparoscopic sleeve gastrectomy on gastroesophageal reflux disease.
本文旨在通过叙述性综述的形式，回顾近期可得文献，重新审视肥胖患者胃食管反流病与腹腔镜袖状胃切除术之间的关系。已发表的数据相互矛盾且研究间难以比较，这一事实对当前证据的解读提出了挑战。大多数研究仅通过评估患者报告的症状来调查胃食管反流病的存在情况。少数研究通过功能测试和内镜评估对胃食管反流病进行了客观研究。此外，腹腔镜袖状胃切除术的手术技术在术后胃食管反流病的发生率中起着重要作用。总之，外科医生必须意识到胃食管反流病的存在，同时，应告知患者腹腔镜袖状胃切除术对胃食管反流病可能产生的影响。
