Association between gastroesophageal reflux disease and laparoscopic sleeve gastrectomy.
Identifieur interne : 001572 ( Main/Curation ); précédent : 001571; suivant : 001573Association between gastroesophageal reflux disease and laparoscopic sleeve gastrectomy.
Auteurs : Patrice R. Carter [États-Unis] ; Karl A. Leblanc ; Mark G. Hausmann ; Kenneth P. Kleinpeter ; Sean N. Debarros ; Shannon M. JonesSource :
- Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery [ 1878-7533 ]
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Femelle (MeSH), Gastrectomie (méthodes), Humains (MeSH), Incidence (MeSH), Indice de masse corporelle (MeSH), Laparoscopie (MeSH), Mâle (MeSH), Obésité morbide (chirurgie), Obésité morbide (épidémiologie), Pyrosis (épidémiologie), Période postopératoire (MeSH), Reflux gastro-oesophagien (épidémiologie), Sujet âgé (MeSH), Études rétrospectives (MeSH).
- MESH :
- chirurgie : Obésité morbide.
- méthodes : Gastrectomie.
- épidémiologie : Obésité morbide, Pyrosis, Reflux gastro-oesophagien.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Incidence, Indice de masse corporelle, Laparoscopie, Mâle, Période postopératoire, Sujet âgé, Études rétrospectives.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Body Mass Index (MeSH), Female (MeSH), Gastrectomy (methods), Gastroesophageal Reflux (epidemiology), Heartburn (epidemiology), Humans (MeSH), Incidence (MeSH), Laparoscopy (MeSH), Male (MeSH), Middle Aged (MeSH), Obesity, Morbid (epidemiology), Obesity, Morbid (surgery), Postoperative Period (MeSH), Retrospective Studies (MeSH).
- MESH :
- epidemiology : Gastroesophageal Reflux, Heartburn, Obesity, Morbid.
- methods : Gastrectomy.
- surgery : Obesity, Morbid.
- Adult, Aged, Body Mass Index, Female, Humans, Incidence, Laparoscopy, Male, Middle Aged, Postoperative Period, Retrospective Studies.
Abstract
BACKGROUND
Gastroesophageal reflux disease (GERD) is a common co-morbidity identified in obese patients. It is well established that patients with GERD and morbid obesity experience a marked improvement in their GERD symptoms after Roux-en-Y gastric bypass. Conflicting data exist for adjustable laparoscopic gastric banding and GERD. Laparoscopic sleeve gastrectomy (LSG) has become a popular adjunct to bariatric surgery in recent years. However, very little data exist concerning LSG and its effect on GERD.
METHODS
A retrospective chart review was performed of 176 LSG patients from January 2006 to August of 2009. The preoperative and postoperative GERD symptoms were evaluated using follow-up surveys and chart review.
RESULTS
Of the 176 patients, 85.7% of patients were women, with an average age of 45 years (range 22-65). The average preoperative body mass index was 46.6 kg/m(2) (range 33.2-79.6). The average excess body weight lost at approximately 6, 12, 24 months was calculated as 54.2%, 60.7%, and 60.3%, respectively. Of the LSG patients, 34.6% had preoperative GERD complaints. Postoperatively, 49% complained of immediate (within 30 d) GERD symptoms, 47.2% had persistent GERD symptoms that lasted >1 month after LSG, and 33.8% of patients were taking medication specifically for GERD after LSG. The most common symptoms were heartburn (46%), followed by heartburn associated with regurgitation (29.2%).
CONCLUSION
In the present study, LSG correlated with the persistence of GERD symptoms in patients with GERD preoperatively. Also, patients who did not have GERD preoperatively had an increased risk of postoperative GERD symptoms.
DOI: 10.1016/j.soard.2011.01.040
PubMed: 21429818
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Hausmann</name></author><author><name sortKey="Kleinpeter, Kenneth P" sort="Kleinpeter, Kenneth P" uniqKey="Kleinpeter K" first="Kenneth P" last="Kleinpeter">Kenneth P. Kleinpeter</name></author><author><name sortKey="Debarros, Sean N" sort="Debarros, Sean N" uniqKey="Debarros S" first="Sean N" last="Debarros">Sean N. Debarros</name></author><author><name sortKey="Jones, Shannon M" sort="Jones, Shannon M" uniqKey="Jones S" first="Shannon M" last="Jones">Shannon M. Jones</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011 Sep-Oct</date><idno type="RBID">pubmed:21429818</idno><idno type="pmid">21429818</idno><idno type="doi">10.1016/j.soard.2011.01.040</idno><idno type="wicri:Area/Main/Corpus">001572</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001572</idno><idno type="wicri:Area/Main/Curation">001572</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001572</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Association between gastroesophageal reflux disease and laparoscopic sleeve gastrectomy.</title><author><name sortKey="Carter, Patrice R" sort="Carter, Patrice R" uniqKey="Carter P" first="Patrice R" last="Carter">Patrice R. Carter</name><affiliation wicri:level="1"><nlm:affiliation>Midwest Surgical Associates, 5201 South Willow Springs Road, Suite 180, LaGrange, IL 60304, USA. doctorpcarter@yahoo.com</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Midwest Surgical Associates, 5201 South Willow Springs Road, Suite 180, LaGrange, IL 60304</wicri:regionArea></affiliation></author><author><name sortKey="Leblanc, Karl A" sort="Leblanc, Karl A" uniqKey="Leblanc K" first="Karl A" last="Leblanc">Karl A. Leblanc</name></author><author><name sortKey="Hausmann, Mark G" sort="Hausmann, Mark G" uniqKey="Hausmann M" first="Mark G" last="Hausmann">Mark G. Hausmann</name></author><author><name sortKey="Kleinpeter, Kenneth P" sort="Kleinpeter, Kenneth P" uniqKey="Kleinpeter K" first="Kenneth P" last="Kleinpeter">Kenneth P. Kleinpeter</name></author><author><name sortKey="Debarros, Sean N" sort="Debarros, Sean N" uniqKey="Debarros S" first="Sean N" last="Debarros">Sean N. Debarros</name></author><author><name sortKey="Jones, Shannon M" sort="Jones, Shannon M" uniqKey="Jones S" first="Shannon M" last="Jones">Shannon M. Jones</name></author></analytic><series><title level="j">Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery</title><idno type="eISSN">1878-7533</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Body Mass Index (MeSH)</term><term>Female (MeSH)</term><term>Gastrectomy (methods)</term><term>Gastroesophageal Reflux (epidemiology)</term><term>Heartburn (epidemiology)</term><term>Humans (MeSH)</term><term>Incidence (MeSH)</term><term>Laparoscopy (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Obesity, Morbid (epidemiology)</term><term>Obesity, Morbid (surgery)</term><term>Postoperative Period (MeSH)</term><term>Retrospective Studies (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>Gastrectomie (méthodes)</term><term>Humains (MeSH)</term><term>Incidence (MeSH)</term><term>Indice de masse corporelle (MeSH)</term><term>Laparoscopie (MeSH)</term><term>Mâle (MeSH)</term><term>Obésité morbide (chirurgie)</term><term>Obésité morbide (épidémiologie)</term><term>Pyrosis (épidémiologie)</term><term>Période postopératoire (MeSH)</term><term>Reflux gastro-oesophagien (épidémiologie)</term><term>Sujet âgé (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Obésité morbide</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Gastroesophageal Reflux</term><term>Heartburn</term><term>Obesity, Morbid</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Gastrectomy</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Gastrectomie</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Obesity, Morbid</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Obésité morbide</term><term>Pyrosis</term><term>Reflux gastro-oesophagien</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Body Mass Index</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Laparoscopy</term><term>Male</term><term>Middle Aged</term><term>Postoperative Period</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Indice de masse corporelle</term><term>Laparoscopie</term><term>Mâle</term><term>Période postopératoire</term><term>Sujet âgé</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Gastroesophageal reflux disease (GERD) is a common co-morbidity identified in obese patients. It is well established that patients with GERD and morbid obesity experience a marked improvement in their GERD symptoms after Roux-en-Y gastric bypass. Conflicting data exist for adjustable laparoscopic gastric banding and GERD. Laparoscopic sleeve gastrectomy (LSG) has become a popular adjunct to bariatric surgery in recent years. However, very little data exist concerning LSG and its effect on GERD.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A retrospective chart review was performed of 176 LSG patients from January 2006 to August of 2009. The preoperative and postoperative GERD symptoms were evaluated using follow-up surveys and chart review.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Of the 176 patients, 85.7% of patients were women, with an average age of 45 years (range 22-65). The average preoperative body mass index was 46.6 kg/m(2) (range 33.2-79.6). The average excess body weight lost at approximately 6, 12, 24 months was calculated as 54.2%, 60.7%, and 60.3%, respectively. Of the LSG patients, 34.6% had preoperative GERD complaints. Postoperatively, 49% complained of immediate (within 30 d) GERD symptoms, 47.2% had persistent GERD symptoms that lasted >1 month after LSG, and 33.8% of patients were taking medication specifically for GERD after LSG. The most common symptoms were heartburn (46%), followed by heartburn associated with regurgitation (29.2%).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>In the present study, LSG correlated with the persistence of GERD symptoms in patients with GERD preoperatively. Also, patients who did not have GERD preoperatively had an increased risk of postoperative GERD symptoms.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21429818</PMID><DateCompleted><Year>2012</Year><Month>01</Month><Day>31</Day></DateCompleted><DateRevised><Year>2011</Year><Month>10</Month><Day>03</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-7533</ISSN><JournalIssue CitedMedium="Internet"><Volume>7</Volume><Issue>5</Issue><PubDate><MedlineDate>2011 Sep-Oct</MedlineDate></PubDate></JournalIssue><Title>Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery</Title><ISOAbbreviation>Surg Obes Relat Dis</ISOAbbreviation></Journal><ArticleTitle>Association between gastroesophageal reflux disease and laparoscopic sleeve gastrectomy.</ArticleTitle><Pagination><MedlinePgn>569-72</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.soard.2011.01.040</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Gastroesophageal reflux disease (GERD) is a common co-morbidity identified in obese patients. It is well established that patients with GERD and morbid obesity experience a marked improvement in their GERD symptoms after Roux-en-Y gastric bypass. Conflicting data exist for adjustable laparoscopic gastric banding and GERD. Laparoscopic sleeve gastrectomy (LSG) has become a popular adjunct to bariatric surgery in recent years. However, very little data exist concerning LSG and its effect on GERD.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective chart review was performed of 176 LSG patients from January 2006 to August of 2009. The preoperative and postoperative GERD symptoms were evaluated using follow-up surveys and chart review.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 176 patients, 85.7% of patients were women, with an average age of 45 years (range 22-65). The average preoperative body mass index was 46.6 kg/m(2) (range 33.2-79.6). The average excess body weight lost at approximately 6, 12, 24 months was calculated as 54.2%, 60.7%, and 60.3%, respectively. Of the LSG patients, 34.6% had preoperative GERD complaints. Postoperatively, 49% complained of immediate (within 30 d) GERD symptoms, 47.2% had persistent GERD symptoms that lasted >1 month after LSG, and 33.8% of patients were taking medication specifically for GERD after LSG. The most common symptoms were heartburn (46%), followed by heartburn associated with regurgitation (29.2%).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In the present study, LSG correlated with the persistence of GERD symptoms in patients with GERD preoperatively. Also, patients who did not have GERD preoperatively had an increased risk of postoperative GERD symptoms.</AbstractText><CopyrightInformation>Copyright © 2011 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Carter</LastName><ForeName>Patrice R</ForeName><Initials>PR</Initials><AffiliationInfo><Affiliation>Midwest Surgical Associates, 5201 South Willow Springs Road, Suite 180, LaGrange, IL 60304, USA. doctorpcarter@yahoo.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>LeBlanc</LastName><ForeName>Karl A</ForeName><Initials>KA</Initials></Author><Author ValidYN="Y"><LastName>Hausmann</LastName><ForeName>Mark G</ForeName><Initials>MG</Initials></Author><Author ValidYN="Y"><LastName>Kleinpeter</LastName><ForeName>Kenneth P</ForeName><Initials>KP</Initials></Author><Author ValidYN="Y"><LastName>deBarros</LastName><ForeName>Sean N</ForeName><Initials>SN</Initials></Author><Author ValidYN="Y"><LastName>Jones</LastName><ForeName>Shannon M</ForeName><Initials>SM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>03</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Surg Obes Relat Dis</MedlineTA><NlmUniqueID>101233161</NlmUniqueID><ISSNLinking>1550-7289</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Surg Obes Relat Dis. 2011 Sep-Oct;7(5):572-4</RefSource><PMID Version="1">21439913</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015992" MajorTopicYN="N">Body Mass Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005743" MajorTopicYN="Y">Gastrectomy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005764" MajorTopicYN="N">Gastroesophageal Reflux</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006356" MajorTopicYN="N">Heartburn</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010535" MajorTopicYN="N">Laparoscopy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009767" MajorTopicYN="N">Obesity, Morbid</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011184" MajorTopicYN="N">Postoperative Period</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2010</Year><Month>09</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2011</Year><Month>01</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>01</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>3</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>3</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>2</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21429818</ArticleId><ArticleId IdType="pii">S1550-7289(11)00068-2</ArticleId><ArticleId IdType="doi">10.1016/j.soard.2011.01.040</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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