Persistent Gastroesophageal Reflux Disease After RYGB: What Shall we do Next?

IF 1.2 4区医学 Q3 SURGERY

Surgical Innovation Pub Date : 2024-10-15 DOI:10.1177/15533506241292707

Dimitra V Peristeri, Sai Sandeep Singh Rowdhwal

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引用次数: 0

Abstract

Background: Roux-en-Y gastric bypass (RYGB) is considered the weight loss procedure of choice for obese patients with gastroesophageal reflux disease (GORD). The long-term prevalence of GORD after RYGB for obesity is underestimated as many post-RYGB patients can still complain of severe reflux symptoms, refractory to medications.

Methods: This is a narrative review using the patient, intervention, comparison, outcome and study strategy. The literature search was undertaken using PubMed, Medline, and Google Scholar databases with the following MeSH terms: Gastroesophageal reflux disease, GORD, Obesity, Gastric bypass, Roux-en-Y gastric bypass, complication, and fundoplication.

Results: Twelve original papers and case report studies on 57 patients who met the inclusion criteria were suitable for the present review. Reporting styles on successful treatment outcomes were heterogeneous. Treatment options for these patients are limited but include further surgical or endoscopic interventions. Careful follow-up and appropriate management are paramount for this population.

Conclusion: There is significant paucity in the available evidence on managing GORD after RYGB. This narrative review provides a detailed overview of the underlying causes, discusses the various endoscopic and surgical therapy options, and suggests strategies to provide tailored and appropriate therapy for this complex group of patients.

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RYGB 术后持续存在的胃食管反流病：下一步该怎么办？

背景：Roux-en-Y胃旁路术（RYGB）被认为是患有胃食管反流病（GORD）的肥胖患者的首选减肥手术。RYGB治疗肥胖症后，GORD的长期发病率被低估了，因为许多RYGB术后患者仍会出现严重的反流症状，对药物治疗难以奏效：这是一篇叙述性综述，采用了患者、干预、比较、结果和研究策略。文献检索使用 PubMed、Medline 和 Google Scholar 数据库，并使用以下 MeSH 术语：胃食管反流病、GORD、肥胖症、胃旁路术、Roux-en-Y 胃旁路术、并发症和胃底折叠术：符合纳入标准的 57 名患者的 12 篇原创论文和病例报告研究适合本综述。成功治疗结果的报告方式各不相同。这些患者的治疗方案有限，但包括进一步的手术或内窥镜干预。对于这类患者来说，仔细随访和适当的管理至关重要：关于 RYGB 术后胃食管反流的现有证据非常缺乏。这篇叙述性综述详细概述了潜在的病因，讨论了各种内镜和手术治疗方案，并提出了为这类复杂患者提供量身定制的适当治疗的策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Innovation 医学-外科

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).