Barrett's esophagus after sleeve gastrectomy: a systematic review and meta-analysis
| Autor: | Dennis Yang, Peter V. Draganov, Crystal Johnson-Mann, David S. Estores, Yazan Qumsiyeh, Sandeep A. Ponniah, Bashar J. Qumseya, Jeffrey Friedman, Alexander L. Ayzengart |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Sleeve gastrectomy medicine.medical_treatment Gastroenterology 03 medical and health sciences Barrett Esophagus 0302 clinical medicine Gastrectomy Internal medicine medicine Esophagitis Humans Radiology Nuclear Medicine and imaging Endoscopy Digestive System Esophagus Risk factor medicine.diagnostic_test Esophagogastroduodenoscopy business.industry Publication bias medicine.disease humanities Obesity Morbid medicine.anatomical_structure 030220 oncology & carcinogenesis Meta-analysis Barrett's esophagus GERD Gastroesophageal Reflux 030211 gastroenterology & hepatology business |
| Zdroj: | Gastrointestinal endoscopy. 93(2) |
| ISSN: | 1097-6779 |
| Popis: | Background and Aims Sleeve gastrectomy (SG) has become significantly more common in recent years. Gastroesophageal reflux disease (GERD) is a major concern in patients undergoing SG and is the major risk factor for Barrett’s esophagus (BE). We aimed to assess the prevalence of BE in patients who had undergone SG. Methods We searched the major search engines ending in July 2020. We included studies on patients who had undergone esophagogastroduodenoscopy (EGD) after SG. The primary outcome was the prevalence of BE in patients who had undergone SG. We assessed heterogeneity using I2 and Q statistics. We used funnel plots and the classic fail-safe test to assess for publication bias. We used random-effects modeling to report effect estimates. Results Our final analysis included 10 studies that included 680 patients who had undergone EGD 6 months to 10 years after SG. The pooled prevalence of BE was 11.6% (95% confidence interval [CI], 8.1%-16.4%; P Conclusions The prevalence of BE in patients who had EGD after SG appears to be high. There was no correlation with GERD symptoms. Most cases were observed after 3 years of follow-up. Screening for BE should be considered in patients after SG even in the absence of GERD symptoms postoperatively. |
| Databáze: | OpenAIRE |
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