Does Sleeve Gastrectomy Increase the Risk of Barret’s Esophagus?

Purpose Sleeve gastrectomy (SG) is the most commonly performed bariatric surgical procedure worldwide. However, the impact of SG on Barrett’s esophagus (BE) remains unknown. The main objective was to determine the rate of BE 5 years after SG. Materials and Methods Patients, operated in 2012 by SG in...

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Veröffentlicht in:Obesity surgery 2021, Vol.31 (1), p.101-110
Hauptverfasser: Lallemand, L., Duchalais, E., Musquer, N., Jacobi, D., Coron, E., des Varannes, S. Bruley, Mirallié, E., Blanchard, C.
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Sprache:eng
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Zusammenfassung:Purpose Sleeve gastrectomy (SG) is the most commonly performed bariatric surgical procedure worldwide. However, the impact of SG on Barrett’s esophagus (BE) remains unknown. The main objective was to determine the rate of BE 5 years after SG. Materials and Methods Patients, operated in 2012 by SG in one center, who preoperatively and postoperatively (5 years) underwent upper gastrointestinal endoscopy (UGIE), 24-h pH monitoring, and esophageal manometry, were included. Results A total of 59 (81.4% of females) patients were included. Preoperative mean age and body mass index were 45.2 ± 11.7 years and 45.2 ± 8.1 kg/m 2 respectively. Preoperative 24-h pH monitoring reported gastroesophageal reflux disease (GERD) in 18 (30.5%) patients. The mean total body weight loss at 5 years was 16.1 ± 11.2%. No significant difference was observed between preoperative and postoperative de Meester’s score (20.2 ± 27.1 and 21.0 ± 21.5 respectively ( p  = 0.91)) nor between preoperative and postoperative number of acid reflux episodes per 24 h (65.1 ± 
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-020-04875-9