Evaluation of Gastroesophageal Reflux Disease After Bariatric Surgery | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 7, July 2025, Pages 180-185 PDF (364.26 K) | ||
| Document Type: Original Article | ||
| DOI: https://doi.org/10.21608/aimj.2025.446657 | ||
| Authors | ||
| Raed Hamed Mansour; Mostafa Abdel Aziz Elhawary; Osama Mustafa Abdel Razek; Mohamed Farag Elbasyony; Mahmoud Mohamed ghoname; Mohamed Hamza Elsisi; Moataz Yousry Soliman* | ||
| Department of Hepatology, Gastroenterology and Infectious Diseases, Faculty of Medicine, Al-Azhar University | ||
| Abstract | ||
| Background: Obesity is a global health challenge. Bariatric surgery is the most effective long-term solution for treating morbid obesity, addressing it through gastric volume restriction, malabsorption, and associated hormonal changes. Obese individuals are more likely to suffer from upper digestive diseases, including gastroesophageal reflux disease (GERD). Aim: This study aims to assess GERD in patients undergoing bariatric surgery. Patients and methods: This prospective study included 100 patients at Al-Azhar University hospitals over two years. Preoperative esophagogastroduodenoscopy (EGD) findings categorized patients into group 1 (normal EGD, n=28) and group 2 (GERD, n=72, graded using the Los Angeles classification (LA)). Postoperative EGD was performed after 12 months to assess GERD outcomes and complications. Results: Preoperative GERD prevalence was 72%, with 35% of patients having a hiatal hernia. Postoperatively, in group 1, 39.3% remained GERD-free, while 60.7% developed de novo GERD; all underwent Laparoscopic Sleeve Gastrectomy (LSG). In group 2, 43.1% experienced GERD resolution, while 56.9% had persistent GERD. Among 21 patients undergoing Laparoscopic Roux-en-Y Gastric Bypass (LRYGB), none experienced GERD worsening or de novo GERD. Of 79 LSG patients, 17 (21.6%) developed de novo GERD, while GERD disappeared or improved in 48 patients (60.7%). Conclusions: LRYGB significantly improved GERD outcomes, while LSG exhibited variable GERD results, including de novo GERD in some cases. | ||
| Keywords | ||
| Sleeve Gastrectomy; Roux-en-Y Gastric Bypass; GERD | ||
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