Obesity Surgery

, Volume 23, Issue 7, pp 987–991 | Cite as

Sleeve Gastrectomy and Gastro-oesophageal Reflux Disease: a Complex Relationship

  • Kamal K. MahawarEmail author
  • Neil Jennings
  • Shlok Balupuri
  • Peter K. Small


Sleeve gastrectomy is rapidly becoming popular as a standalone bariatric operation. At the same time, there are valid concerns regarding its long-term durability and postoperative gastro-oesophageal reflux disease. Though gastric bypass remains the gold standard bariatric operation, it is not suitable for all patients. Sleeve gastrectomy is sometimes the only viable option. Patients with inflammatory bowel disease, liver cirrhosis, significant intra-abdominal adhesions involving small bowel and those reluctant to undergo gastric bypass could fall in this category. It is widely recognised that some patients report worsening of their gastro-oesophageal reflux disease after sleeve gastrectomy. Still, others develop de novo reflux. This review examines if it is possible to identify these patients prior to surgery and thus prevent postoperative gastro-oesophageal reflux disease after sleeve gastrectomy.


Bariatric surgery Sleeve gastrectomy Gastro-oesophageal reflux disease Obesity surgery 



Gastro-oesophageal reflux disease


Hiatus hernia


Roux-en-Y gastric bypass


Sleeve gastrectomy


Lower oesophageal sphincter


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Kamal K. Mahawar
    • 1
    Email author
  • Neil Jennings
    • 1
  • Shlok Balupuri
    • 1
  • Peter K. Small
    • 1
  1. 1.Bariatric UnitSunderland Royal HospitalSunderlandUK

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