The Improvement of Gastroesophageal Reflux Disease and Barrett’s after Bariatric Surgery

Tammy L. Kindel, Dmitry Oleynikov

Research output: Contribution to journalReview article

27 Scopus citations

Abstract

Obesity and gastroesophageal reflux disease (GERD) are prevalent in Western populations. In obese patients, high-resolution manometry often shows altered gastroesophageal pressure gradients, promoting retrograde gastric content flow into the esophagus and esophagogastric junction disruption, leading to a hiatal hernia. Hernia recurrence is higher in the obese, and recurrence is seen regardless of the operative approach used. Bariatric surgery is the gold-standard treatment for GERD in obese patients, and symptom improvement varies depending on the specific bariatric procedure performed, Roux-en-Y (RYGB), laparoscopic adjustable gastric banding (LAGB), or sleeve gastrectomy (SG). Studies have shown these surgeries significantly improve GERD, but RYGB had the greatest effect. Limited data is available examining the progression or regression of Barrett’s following bariatric surgery. We currently recommend RYGB for morbidly obese patients with Barrett’s esophagus.

Original languageEnglish (US)
Pages (from-to)718-720
Number of pages3
JournalObesity Surgery
Volume26
Issue number4
DOIs
StatePublished - Apr 1 2016

Keywords

  • Bariatric surgery
  • Barrett’s esophagus
  • GERD
  • Obesity
  • Reflux

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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