Tags

Type your tag names separated by a space and hit enter

Esophageal motility and reflux symptoms before and after bariatric surgery.
Obes Surg 2002; 12(1):72-6OS

Abstract

BACKGROUND

Surgical treatment is the most effective method for weight reduction in morbid obesity. The most common operations are gastric banding and gastric bypass. The effect of these interventions on esophageal function and gastroesophageal reflux symptoms has not been adequately investigated.

METHODS

Patients undergoing obesity surgery were prospectively included in an observational study. Before surgery, each of the 53 patients underwent pulmonary function tests, esophageal manometry, and gastroscopy. Drug medication and esophageal symptoms were recorded. "Non-sweet eater" patients with good compliance underwent laparoscopic adjustable gastric banding (LAGB). In "sweet-eating" or non-compliant patients, gastric bypass (GBP) was carried out.

RESULTS

Between July 1997 and April 2000, 53 patients (9 males and 44 females) were consecutively operated on. 32 patients (median BMI 46.4 kg/m2 +/- 5.4 SD) received LAGB, and 21 patients (BMI 54.0 kg/m2 +/- 10.7) GBP. Median follow-up was 22 months, and only 3 patients were lost to yearly follow-up. Preoperatively, 6 LAGB patients had reflux symptoms, which postoperatively resolved in 3 of them, while the other 3 noted no change. Three patients who had no preoperative reflux symptoms developed them after LAGB. In the GBP group, no patient had esophageal dysmotility or incompetent esophageal sphincter function pre- or postoperatively. The incidence of postoperative esophageal symptoms was independent of operative technique (Wilcoxon U-Test: p = 0.75).

CONCLUSION

The present results do not show any effect of gastric reduction surgery on postoperative esophageal function or gastroesophageal reflux symptoms.

Authors+Show Affiliations

Surgical Clinic, 2nd Department of Surgery, University of Cologne, Ostmerheimer Strasse 200, D-51109 Cologne, Germany. michael.korenkov@uni-koeln.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11868303

Citation

Korenkov, Michael, et al. "Esophageal Motility and Reflux Symptoms Before and After Bariatric Surgery." Obesity Surgery, vol. 12, no. 1, 2002, pp. 72-6.
Korenkov M, Köhler L, Yücel N, et al. Esophageal motility and reflux symptoms before and after bariatric surgery. Obes Surg. 2002;12(1):72-6.
Korenkov, M., Köhler, L., Yücel, N., Grass, G., Sauerland, S., Lempa, M., & Troidl, H. (2002). Esophageal motility and reflux symptoms before and after bariatric surgery. Obesity Surgery, 12(1), pp. 72-6.
Korenkov M, et al. Esophageal Motility and Reflux Symptoms Before and After Bariatric Surgery. Obes Surg. 2002;12(1):72-6. PubMed PMID: 11868303.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Esophageal motility and reflux symptoms before and after bariatric surgery. AU - Korenkov,Michael, AU - Köhler,Lothar, AU - Yücel,Nedim, AU - Grass,Guido, AU - Sauerland,Stefan, AU - Lempa,Maria, AU - Troidl,Hans, PY - 2002/3/1/pubmed PY - 2002/8/23/medline PY - 2002/3/1/entrez SP - 72 EP - 6 JF - Obesity surgery JO - Obes Surg VL - 12 IS - 1 N2 - BACKGROUND: Surgical treatment is the most effective method for weight reduction in morbid obesity. The most common operations are gastric banding and gastric bypass. The effect of these interventions on esophageal function and gastroesophageal reflux symptoms has not been adequately investigated. METHODS: Patients undergoing obesity surgery were prospectively included in an observational study. Before surgery, each of the 53 patients underwent pulmonary function tests, esophageal manometry, and gastroscopy. Drug medication and esophageal symptoms were recorded. "Non-sweet eater" patients with good compliance underwent laparoscopic adjustable gastric banding (LAGB). In "sweet-eating" or non-compliant patients, gastric bypass (GBP) was carried out. RESULTS: Between July 1997 and April 2000, 53 patients (9 males and 44 females) were consecutively operated on. 32 patients (median BMI 46.4 kg/m2 +/- 5.4 SD) received LAGB, and 21 patients (BMI 54.0 kg/m2 +/- 10.7) GBP. Median follow-up was 22 months, and only 3 patients were lost to yearly follow-up. Preoperatively, 6 LAGB patients had reflux symptoms, which postoperatively resolved in 3 of them, while the other 3 noted no change. Three patients who had no preoperative reflux symptoms developed them after LAGB. In the GBP group, no patient had esophageal dysmotility or incompetent esophageal sphincter function pre- or postoperatively. The incidence of postoperative esophageal symptoms was independent of operative technique (Wilcoxon U-Test: p = 0.75). CONCLUSION: The present results do not show any effect of gastric reduction surgery on postoperative esophageal function or gastroesophageal reflux symptoms. SN - 0960-8923 UR - https://www.unboundmedicine.com/medline/citation/11868303/Esophageal_motility_and_reflux_symptoms_before_and_after_bariatric_surgery_ L2 - https://dx.doi.org/10.1381/096089202321144621 DB - PRIME DP - Unbound Medicine ER -