Prevention and treatment of gerd in patients with obesity undergoing gastroplication

2021 ◽  
pp. 16-24
Author(s):  
Oleg Vladimirovich Galimov ◽  
Vladislav Olegovich Khanov ◽  
Ramil Ravilevich Sagitdinov ◽  
Ksenya Vladilenovna Nasyrova ◽  
Telman Ramiz ogly Ibragimov ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Early Postoperative Period ◽  
Overweight And Obesity ◽  
Gastric Plication ◽  
Advantages And Disadvantages ◽  
Laparoscopic Gastric Plication ◽  
Prevention And Treatment ◽  
Dyspeptic Symptoms

The aim of the study was to study the advantages and disadvantages of laparoscopic gastric plication with the prevention and treatment of gastroesophageal reflux disease in the treatment of patients with overweight and obesity. From 2018 to the present, 24 patients have been observed who underwent laparoscopic gastric plication with the prevention and treatment of gastroesophageal reflux disease, of which 19 (79.2 %) women and 5 (20.8 %) men. The average age of patients is 41 ± 3.5 years. Indication for surgery: BMI > 35 kg/m² and the presence of GERD with unsuccessful conservative treatment or BMI > 35 kg/m² and the presence of HH with symptoms of GERD. The experience of surgical treatment of these 24 patients allows us to speak about the effectiveness of the use of gastroplication surgery with the prevention and treatment of gastroesophageal reflux disease with a combination of obesity and GERD. Dyspeptic symptoms are expected in some patients and are stopped in the early postoperative period with medication. The return of BMI to baseline in 3 (12.5 %) patients requires further study.

scholarly journals PRE AND POSTOPERATIVE PH MONITORING AND WEIGHT LOSS ANALYSIS IN PATIENTS UNDERGOING GASTRIC PLICATION IN ASSOCIATION WITH FUNDOPLICATION

2017 ◽  
Vol 30 (4) ◽  
pp. 244-247 ◽  
Author(s):  
Flávio Heuta IVANO ◽  
Luciana Pereira MESQUITA ◽  
Cristiane Megumi SIMAMURA ◽  
Gustavo Massaki KUWAKI ◽  
Julielli Taques COLMAN ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Weight Loss ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Body Mass ◽  
Reflux Disease ◽  
Excess Weight Loss ◽  
Ph Monitoring ◽  
Gastric Plication ◽  
Laparoscopic Gastric Plication

ABSTRACT Background : Obese patients with gastroesophageal reflux disease with pathological pH monitoring result may benefit from surgical treatment which is based on the fundoplication technique in association with laparoscopic gastric plication. The Nissen surgery is the gold standard for surgical treatment of gastroesophageal reflux disease, whereas laparoscopic gastric plication is a restrictive surgery that consists of the invagination of the greater curvature, resulting in weight loss. Aim: To compare pre and postoperative pHmetry results and to evaluate weight loss in patients submitted to gastroplasty with fundoplication. Method: Sixteen patients with class I body mass index with symptoms of gastroesophageal reflux with changes of stomach pH and/or erosive esophagitis seen in endoscopy were selected The evaluation of the weight and 24-h pH monitoring was performed preoperatively and postoperatively. The weight, body mass index, percentage of excess weight loss and DeMeester score of patients that underwent the surgery were evaluated pre and postoperatively. Results: Regarding pH monitoring, the average preoperative DeMeester index was 28.7, which was followed by a significant postoperative average reduction to 2.8 (p<0,001). Regarding the weight reduction, the average of weight loss was 13.6 kg and body mass index of 5.3 kg/m2 (p<0.001). Furthermore, the average percentage of excess weight loss was 53.9% (standard deviation=26.2). Conclusion: The combination of Nissen surgery and gastric plication is a viable procedure and appears to be an acceptable option for the treatment of gastroesophageal reflux disease in obese patients, especially patients with obesity class I.

Frequency and clinical implications of supraesophageal and dyspeptic symptoms in gastroesophageal reflux disease

2012 ◽  
Vol 24 (6) ◽  
pp. 665-674 ◽  
Author(s):  
Fermín Mearin ◽  
Julio Ponce ◽  
Marta Ponce ◽  
Agustín Balboa ◽  
Miguel A. Gónzalez ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Clinical Implications ◽  
Dyspeptic Symptoms

Diminished Retention of Food in the Proximal Stomach Correlates with Increased Acidic Reflux in Patients with Gastroesophageal Reflux Disease and Dyspeptic Symptoms

2004 ◽  
Vol 49 (5) ◽  
pp. 750-756 ◽  
Author(s):  
José Ruver L. Herculano, Jr. ◽  
Luiz E. A. Troncon ◽  
Lilian R. O. Aprile ◽  
Eder R. Moraes ◽  
Marie Secaf ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Proximal Stomach ◽  
Dyspeptic Symptoms

scholarly journals TYPE OF FUNDOPLICATION FOR LAPAROSCOPICHIATAL HERNIA REPAIR, COMPLICATED BY GASTROESOPHAGEAL REFLUX DISEASE

2021 ◽  
pp. 29-39
Author(s):  
A. G. Grintcov ◽  
R. V. Ishenko ◽  
I. V. Sovpel ◽  
I. E. Sedakov ◽  
O. V. Sovpel ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Postoperative Period ◽  
Reflux Disease ◽  
Intraoperative Complications ◽  
Early Postoperative Period ◽  
Long Term Outcomes

Purpose. To analyze short-term and long-term outcomes of surgical treatment of the patients with hiatal hernia complicated by gastroesophageal reflux disease, depending on the choice of fundoplication method.Materials and methods. A retrospective analysis of the short and long-term outcomes of the treatment of 171 patients suffering hiatal hernia complicated by gastroesophageal reflux disease was performed. All patients were underwent laparoscopic hiatal hernia repair supplemented by Nissen fundoplication - 109 patients or Toupet fundoplication – 62 patients.Results. In the Nissen fundoplication group the incidence of intraoperative complications was 9.2% (11 patients), postoperative complications – 8.3% (9 patients), dysphagia in the early postoperative period was noted in 24 (22%) patients. In 5 years after surgery, gastroesophageal reflux was observed in 6 (5.5%) patients, anatomical recurrence in 13 (11.9%) patients. Dysphagia in the late postoperative period was noted in 7.3% (8 patients). In the Toupet fun doplication group the incidence of intraoperative complications was 11.3% (7 patients), the incidence of postoperative complications was 6.5% (4 patients), functional dysphagia in the early postoperative period was noted in 8 (12.9%) patients. In 5 years after surgery, gastroesophageal reflux was observed in 8 (12.9%) patients, anatomical relapse in 13 (11.9%) patients. Persistent long-term dysphagia in the late postoperative period was noted in 2(3.2%) patients.Findings. The choice of fundoplication method did not significantly affect on the duration of surgery, the frequency of intraoperative and postoperative complications, duration hospital stay, the incidence of early functional postoperative dysphagia, the number of unsatisfactory results in the long term period, including recurrence and dysphagia.

Diet Advancement after Weight Loss Surgery

2018 ◽  
Author(s):  
Laura Andromalos
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Gastrointestinal Tract ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Postoperative Period ◽  
Reflux Disease ◽  
Weight Loss Surgery ◽  
Early Postoperative Period ◽  
Defecatory Dysfunction

Diet advancement after bariatric surgery has not been standardized across various bariatric programs. It is generally agreed that patients should advance through a textured progression while the gastrointestinal tract heals; however, the content of each diet stage is open for interpretation. The postoperative diet is intended to promote healing and weight loss while minimizing diet-related complications. This review presents the literature regarding the progression of patients through a postoperative bariatric surgery diet, macro- and micronutrient needs in the early postoperative period, and management of common diet-related complications, including nausea, dumping syndrome, gastroesophageal reflux disease, and defecatory dysfunction. This review contains 5 tables and 45 references Key words: Bariatric surgery, bariatric surgery diet, postoperative diet, macro-nutrient needs, micro-nutrient needs, diet-related complications

scholarly journals MODERN METHODS FOR DIAGNOSING PATHOLOGY OF THE CARDIO-ESOPHAGEAL TRANSITION IN CHILDREN

2020 ◽  
Vol 23 (1) ◽  
pp. 42-47
Author(s):  
Igor V. Poddubny ◽  
Valentin V. Sytkov ◽  
Ivan E. Smirnov ◽  
Yuliya D. Vorobyeva ◽  
Kirill N. Tolstov
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Literature Search ◽  
Pediatric Patients ◽  
Web Of Science ◽  
Diagnostic Methods ◽  
Advantages And Disadvantages ◽  
Modern Methods ◽  
Anatomical Localization

The pathology of the esophagus is diverse, therefore, disorders of the structural and functional state of the esophagus require different approaches both in the diagnosis of its pathology and in treatment. The review presents data on innovative diagnostic methods for the pathology of the cardio-esophageal transition in pediatric patients. The methods used were literature search in the databases PubMed, Medlit, RSCI, Scopus, Web of Science, EMBASE. Modern ideas about the neurophysiology of the gastroesophageal transition, the mechanisms of its antireflux function, and the pathogenesis of various pathologies of this anatomical localization, mainly gastroesophageal reflux disease (GERD), are described in both infants and school children. The features of the clinical picture of GERD depending on the age of the patient and the nature of the reflux agent are presented. The phenotypes of reflux disease are determined. The characteristics and modifications of existing original methods for studying the cardio-esophageal transition (both their advantages and disadvantages) are described in detail. The approaches to the possible optimization of management of this group of patients are proposed.

Respiratory Manifestations of Gastroesophageal Reflux Disease in Pediatric Patients

1996 ◽  
Vol 105 (1) ◽  
pp. 23-32 ◽  
Author(s):  
Nancy M. Bauman ◽  
Anthony D. Sandler ◽  
Richard J. H. Smith
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Surgical Management ◽  
Reflux Disease ◽  
Respiratory Symptoms ◽  
Pediatric Patients ◽  
Treatment Protocol ◽  
Infants And Children ◽  
Presenting Symptoms ◽  
Advantages And Disadvantages

Respiratory manifestations of gastroesophageal reflux disease (GERD) are being recognized with increasing frequency. We present the evaluation and management of four infants and children with unusual respiratory symptoms attributed to GERD. The advantages and disadvantages of diagnostic studies of GERD are discussed, and an evaluation and treatment protocol is presented. Treatment must be tailored to the nature and severity of the patient's presenting symptoms and includes conservative, pharmacologic, and/or surgical management.

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