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Gastroesophageal Reflux Disease

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Global Bariatric Surgery

Abstract

The prevalence of GERD is estimated to be between 10% and 20% in the Western world, with a higher predilection in developed countries. Obesity itself has been shown to be an independent risk factor for GERD, with an observed dose-response relationship between frequency of heartburn or regurgitation and higher BMI. A report of the US National Health and Education Survey (NHANES) found that approximately 66% of the US adult population is either overweight or obese, with this number on the rise annually. Roughly 5% of the total global health-care cost is allocated toward treating obese patients, as there is clearly a rising economic burden associated with obesity. The direct health-care costs associated with GERD in all patient populations are estimated to be around $9–$10 billion annually. Indirect costs such as decrease in work productivity, disability, and absent workdays should also be considered. Given the limited effectiveness of lifestyle modifications and medications, bariatric surgery has been shown to be the only modality with long-term sustained weight loss, reduction in morbidity, and improvement in all-cause mortality.

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Authors and Affiliations

  1. Department of Surgery, University of South Alabama Medical Center, Mobile, AL, USA

    Isaac C. Payne & William O. Richards

  2. Department of Medicine, University of South Alabama Medical Center, Mobile, AL, USA

    Andrew C. Berry

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  1. Isaac C. Payne
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Correspondence to William O. Richards .

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  1. University of Illinois at Chicago, Chicago, IL, USA

    Rami Lutfi

  2. University of Buenos Aires, Buenos Aires, Argentina

    Mariano Palermo

  3. Saint-Pierre University Hospital, European School of Laparoscopic Surgery, Brussels, Belgium

    Guy-Bernard Cadière

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Payne, I.C., Berry, A.C., Richards, W.O. (2018). Gastroesophageal Reflux Disease. In: Lutfi, R., Palermo, M., Cadière, GB. (eds) Global Bariatric Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-93545-4_39

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