• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Study of gastroesophageal reflux in patients submitted laparoscopic sleeve gastrectomy: correlation between symptoms and nuclear tests

Nelida Diaz, Juan Francisco Ruiz Rabelo, PhD, Elena Navarro Rodriguez, MD, Luisa Mena, Juan Antonio Vallejo, Antonio Membrives Obrero, Francisco Javier Briceno Delgado. Hospital Universitario Reina Sofia

Introduction: Gastroesophageal reflux after sleeve gastrectomy is a controversial issue. Sleeve gastrectomy has demonstrated great effectiveness. Nevetheless the posibility to develop “the novo” gastroesophageal reflux disease (GERD) due to the impact on esophagogastric union and its functionality is one of the major criticism of this technique. The aim of this study is to analyze the correlation between GERD symptoms and the study of gastroesophageal and bile reflux after sleeve gastrectomy.

Patients and methods: 34 consecutive patients were included in this study. Inclusion criteria were: age between 18 and 65 years old, BMI > 40 kg/m2.  It was discarded preoperative GERD or hiatal hernia by conducted interview, pHmetry, manometry and endoscopy. Patients were submitted sleeve gastrectomy by the same surgery team. Water-soluble contrast esophagogastric transit was done between 48 and 72 hours post surgery. Six months after surgery patients filled in GERD-Q and Rome III criteria questionaires, validated and adapted to be used in Spanish. After that they were performed a gastroesophageal reflux scintigraphy and biliar Tc99m-scintigraphy to evaluate both gastroesophageal and bile reflux.

Results. Preoperative median BMI was 52,37 kg/m2 and mean age was 41,18 years old. 41,1% of patients were man and 58,8% were women. A 11,8% of patients had GER in scintigraphy, and another 5,9% of them showed bile reflux at biliar Tc99m scintigraphy.. In respect of gastrointestinal symptoms, 10 patients presented symptoms of GERD  on the GERD-Q. Regarding ROME-III criteria, 6 patients had functional heartburn criteria and 5 had functional dispepsia criteria.

All patients that showed gastroesophagueal reflux in the scintigraphy had also clinical criteria for GERD on the GERD-Q (75% had criteria for severe GERD and 25% for GERD), in addition the severity of the symptoms was related to the number of reflux episodes during the examination. Respect ROME III criteria 1 (25%) patient fulfilled criteria for functional dispepsia and 3 of them (75%) for functional heartburn criteria.

Patients that showed biliary reflux did not have gastrointestinal symptoms for any of the diseases contained in ROME III criteria.

Conclusions: The integrity of the OG junction is a major factor for esophagitis and Barret’s esophagus. The correlation between GERD symptoms and follow-up testings may help us detect those patients with reflux, in order to recommend endoscopy monitoring. Our study showed good correlation between GERD symptoms and scintigraphy. Nevertheless we found some cases of biliary reflux without symptoms, which are difficult to interpret.

90

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons