Can Omentopexy Reduce the Incidence of Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy
Autor: | Ali Kabir, Saeid Shams Nosrati, Mohammad Sabzikarian, Mohammadali Pakaneh, Mohammad Kermansaravi, Abdolreza Pazouki |
---|---|
Rok vydání: | 2020 |
Předmět: |
Sleeve gastrectomy
medicine.medical_specialty Endocrinology Diabetes and Metabolism medicine.medical_treatment 030209 endocrinology & metabolism Gastroenterology Omentopexy 03 medical and health sciences 0302 clinical medicine Postoperative Complications Weight loss Gastrectomy Internal medicine medicine Humans Retrospective Studies Nutrition and Dietetics business.industry Incidence (epidemiology) Incidence Reflux Retrospective cohort study medicine.disease digestive system diseases humanities Obesity Morbid Treatment Outcome GERD Gastroesophageal Reflux 030211 gastroenterology & hepatology Surgery Female Laparoscopy medicine.symptom business Body mass index |
Zdroj: | Obesity surgery. 31(1) |
ISSN: | 1708-0428 |
Popis: | De novo gastroesophageal reflux disease (GERD) is one of the complications that may occur after laparoscopic sleeve gastrectomy (LSG). This study was conducted to examine whether omentopexy can be effective in reducing the incidence of GERD after LSG. A total of 201 patients (145 females) were compared in this retrospective cohort study, including Group A (n = 100) and Group B (n = 101), consisting of patients undergoing LSG with omentopexy and LSG without omentopexy, respectively. One year after surgery, the patients were evaluated by GERD-Q; those obtaining a score of eight or above also underwent upper endoscopy to confirm their de novo GERD. Thirty-seven patients had a GERD-Q score ≥ 8 and therefore underwent upper endoscopy. Seventeen patients had fully normal endoscopy results, and no significant differences was observed between the two groups in terms of the incidence of de novo GERD (P = 0.966). There were also no significant differences between the groups in terms of age (P = 0.517), sex (P = 0.193), diabetes (P = 0.979), and GERD-Q score (P = 0.880). The pre-operative mean weight (P = 0.003) and total weight loss (TWL) showed significant intergroup differences (P = 0.001). The mean body mass index (BMI) showed significant differences between the groups before the operation (P = 0.001) and 1 year after the surgery (P = 0.009). Excess BMI loss (EBMIL) was also significantly higher in Group A 1 year after the surgery (P = 0.004). Even after omitting confounder effect of BMI between two groups with and without omentopexy, GerdQ was not significantly different. Omentopexy does not have a significant effect on reducing the incidence of de novo GERD after LSG, even in individuals with higher BMI and weight. |
Databáze: | OpenAIRE |
Externí odkaz: |
načítá se...