Predictive value of preoperative DeMeester score on conversion to Roux-en-Y gastric bypass for gastroeosophageal reflux disease after sleeve gastrectomy

2020 ◽  
Vol 16 (9) ◽  
pp. 1219-1224 ◽  
Author(s):  
Marie De Montrichard ◽  
Tristan Greilsamer ◽  
David Jacobi ◽  
Stanislas Bruley des Varannes ◽  
Eric Mirallié ◽  
...  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Daniel Leslie ◽  
Eric Wise ◽  
Adam Sheka ◽  
Hisham Abdelwahab ◽  
Ryan Irey ◽  
...  

2019 ◽  
Vol 30 (4) ◽  
pp. 1273-1279 ◽  
Author(s):  
Daniel M. Felsenreich ◽  
Felix B. Langer ◽  
Christoph Bichler ◽  
Magdalena Eilenberg ◽  
Julia Jedamzik ◽  
...  

Abstract Background Laparoscopic sleeve gastrectomy (SG) is the most frequently performed bariatric procedure today. While an increasing number of long-term studies report the occurrence of Barrett’s esophagus (BE) after SG, its treatment has not been studied, yet. Objectives The aim of this study was to evaluate Roux-en-Y gastric bypass (RYGB) as treatment for BE and reflux after SG. Setting University hospital setting, Austria Methods This multi-center study includes all patients (n = 10) that were converted to RYGB due to BE after SG in Austria. The mean interval between SG and RYGB was 42.7 months. The follow-up after RYGB in this study was 33.4 months. Gastroscopy, 24 h pH-metry, and manometry were performed and patients were asked to complete the BAROS and GIQLI questionnaires. Results Weight and BMI at the time of SG was 120.8 kg and 45.1 kg/m2. Eight patients (80.0%) went into remission of BE after the conversion to RYGB. Two patients had RYGB combined with hiatoplasty. The mean acid exposure time in 24 h decreased from 36.8 to 3.8% and the mean DeMeester score from 110.0 to 16.3. Patients scored 5.1 on average in the BAROS after conversion from SG to RYGB which denotes a very good outcome. Conclusions RYGB is an effective therapy for patients with BE and reflux after SG. Its outcomes in the current study were BE remission in the majority of cases as well as a decrease in reflux activity. Further studies with larger cohorts are necessary to confirm these findings.


2017 ◽  
Vol 27 (7) ◽  
pp. 1651-1658 ◽  
Author(s):  
Chetan D Parmar ◽  
Kamal K Mahawar ◽  
Maureen Boyle ◽  
Norbert Schroeder ◽  
Shlok Balupuri ◽  
...  

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