Skip to main content
SpringerLink
Log in

Que faire en cas de reflux gastro-oesophagien compliquant la sleeve gastrectomie ? Cas clinique et revue de la littérature

Gastro esophageal reflux disease complicating sleeve gastrectomy – what should we do? Case report and review of the literature

  • Article / Article
  • Published:
Obésité

Résumé

La chirurgie bariatrique est actuellement le traitement de référence pour l’obésité morbide. La gastrectomie en manchon (sleeve gastrectomy (SG)) est l’intervention la plus pratiquée en France car il s’agit d’une technique ne nécessitant pas de court circuit intestinal permettant ainsi de maintenir un accès au tube digestif par voie endoscopique. Par contre, avec un recul croissant, le reflux gastrooesophagien (RGO) apparaît comme une complication à long terme de la SG. Nous rapportons ici un cas de RGO invalidant survenu tardivement chez un patient obèse morbide opéré d’une SG cinq ans auparavant et nous en discutons le traitement chirurgical.

Abstract

Bariatric surgery is currently the treatment of choice for morbid obesity. Sleeve gastrectomy (SG) is a straightforward technique without intestinal bypass, therefore maintaining endoscopic access to the gastric tube. These advantages make this technique the most common procedure in France. However, longer follow-up after SG reveals an increasing rate of gastro-esophageal reflux disease (GERD), which can be a concerning long-term complication. We present the case of a patient with invalidating GERD, five years after undergoing a SG procedure for morbid obesity and discuss its surgical treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Références

  1. ObEpi-Roche, enquête épidémiologique de référence sur l’évolution de l’obésité et du surpoids en France. (http://eipf.bas.roche. com/fmfiles/re7199006/obepi2012/index.html)

  2. OMS | 10 faits sur l’obésité. WHO. (http://www.who.int/features/ factfiles/obesity/fr/index.html)

  3. Karlsson J, Taft C, Rydén A, et al (2007) Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes 31:1248–61

    Article  CAS  Google Scholar 

  4. Iannelli A, Schneck AS, Topart P, et al (2013) Laparoscopic sleeve gastrectomy followed by duodenal switch in selected patients versus single-stage duodenal switch for superobesity: case-control study. Surg Obes Relat Dis 9:531–8

    Article  PubMed  Google Scholar 

  5. French National Hospital Database (Programme De Médicalisation des Systèmes d’Information–PMSI). (http://www.atih. sante.fr).

  6. De Angelis F, Rizzello M, Cavallaro G, et al (2014) Residual Fundus or Neofundus After Laparoscopic Sleeve Gastrectomy: is Fundectomy Safe and Effective As Revision Surgery? IFSO Montreal (Abstract)

    Google Scholar 

  7. Cook MB, Corley DA, Murray LJ, et al (2014) Gastroesophageal Reflux in Relation to Adenocarcinomas of the Esophagus: A Pooled Analysis from the Barrett’s and Esophageal Adenocarcinoma Consortium (BEACON). PloS One 9:e103508

    Article  PubMed  PubMed Central  Google Scholar 

  8. Iannelli A, Schneck AS, Hébuterne X, et al (2013) Gastric pouch resizing for Roux-en-Y gastric bypass failure in patients with a dilated pouch. Surg Obes Relat Dis 9:260–7

    Article  PubMed  Google Scholar 

  9. Hayat JO, Wan A (2014) The effects of sleeve gastectomy on gastro-esophageal reflux and gastro-esophageal motility. Expert Rev Gastroenterol Hepatol 8:445–52

    Article  CAS  PubMed  Google Scholar 

  10. Levine MS, Carucci LR (2014) Imaging of bariatric surgery: normal anatomy and postoperative complications. Radiology 270:327–41

    Article  PubMed  Google Scholar 

  11. Jacobson BC, Somers SC, Fuchs CS, et al (2006) Body-mass index and symptoms of gastroesophageal reflux in women. N Engl J Med. 354:2340–8

  12. Soricelli E, Casella G, Rizzello M, et al (2010) Initial experience with laparoscopic crural closure in the management of hiatal hernia in obese patients undergoing sleeve gastrectomy. Obes Surg 20:1149–53

    Article  PubMed  Google Scholar 

  13. Lazoura O, Zacharoulis D, Triantafyllidis G, et al (2011) Symptoms of gastroesophageal reflux following laparoscopic sleeve gastrectomy are related to the final shape of the sleeve as depicted by radiology. Obes Surg 21:295–9

    Article  PubMed  Google Scholar 

  14. Iannelli A, Schneck AS, Noel P, et al (2011) Re-sleeve gastrectomy for failed laparoscopic sleeve gastrectomy: a feasibility study. Obes Surg 21:832–5

    Article  PubMed  Google Scholar 

  15. Noel P, Nedelcu M, Nocca D, et al (2014) Revised sleeve gastrectomy: another option for weight loss failure after sleeve gastrectomy. Surg Endosc 28:1096–102

    Article  PubMed  Google Scholar 

  16. Himpens J, Dobbeleir J, Peeters G. (2010) Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg 252: 319–24

    Article  PubMed  Google Scholar 

  17. Varban OA, Hawasli AA, Carlin AM, et al (2015) Variation in utilization of acid-reducing medication at 1 year following bariatric surgery: results from the Michigan Bariatric Surgery Collaborative. Surg Obes Relat Dis 11:222–8

    Article  PubMed  Google Scholar 

  18. DuPree CE, Blair K, Steele SR, et al (2014) Laparoscopic sleeve gastrectomy in patients with preexisting gastroesophageal reflux disease: a national analysis. JAMA Surg 149:328–34

    Article  PubMed  Google Scholar 

  19. Kim M, Navarro F, Eruchalu CN, et al (2014) Minimally invasive Roux-en-Y gastric bypass for fundoplication failure offers excellent gastroesophageal reflux control. Am Surg 80:696–703

    PubMed  Google Scholar 

  20. Meijia-Rivas MA, Herrera-Lopez A, Hernandez-Calleros J, et al (2008) Gastroesophageal reflux disease in morbid obesity: the effecct of Roux-en-Y gastric bypass. Obes Surg 18:1217–24

    Article  Google Scholar 

  21. Merrouche M, Sabaté JM, Jouet P, et al (2007) Gastro-esophageal reflux and esophageal motility disorders in morbidly obese patients before and after bariatric surgery. Obes Surg 17:894–900

    Article  PubMed  Google Scholar 

  22. Nelson LG, Gonzalez R, Haines K, et al (2005) Amelioration of gastroesophageal reflux symptoms following Roux-en-Y gastric bypass for clinically significant obesity. Am Surg 71:950–3

    PubMed  Google Scholar 

  23. Madalosso CA, Gurski RR, Callegari-Jacques SM, et al (2010) The impact of gastric bypass on gastroesophageal reflux disease in patients with morbid obesity: a prospective study based on the Montreal Consensus. Ann Surg 251:244–8

    Article  PubMed  Google Scholar 

  24. Iannelli A, Kassir R, Schneck AS, et al (2014) Hiatal hernia of the Roux-en-Y gastric bypass pouch 8 years after surgery. Obes Surg 24:1494–6

    Article  PubMed  Google Scholar 

  25. Kothari V, Shaligram A, Reynoso J, et al (2012) Impact on perioperative outcomes of concomitant hiatal hernia repair with laparoscopic gastric bypass. Obes Surg 22:1607–10

    Article  PubMed  Google Scholar 

  26. Gautier T, Sarcher T, Contival N, et al (2013) Indications and mid-term results of conversion from sleeve gastrectomy to Roux-en-Y gastric bypass. Obes Surg 23:212–5

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Service de chirurgie digestive, Hôpital Archet 2, CHU de Nice, 06202, Nice, France

    L. Benoit, D. Spitals, A. -S. Schneck, J. Gugenheim & A. Iannelli

  2. Inserm, U1065, équipe 8 « Complications Hépatiques de l’Obésité », 06204, Nice, France

    L. Benoit, D. Spitals, A. -S. Schneck, J. Gugenheim & A. Iannelli

  3. Université de Nice Sophia-Antipolis, 06107, Nice, France

    L. Benoit, D. Spitals, A. -S. Schneck, G. Baudin, J. Gugenheim & A. Iannelli

  4. Service d’imagerie médicale, Hôpital Archet 2, CHU de Nice, 06202, Nice, France

    G. Baudin

Authors
  1. L. Benoit
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. D. Spitals
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. -S. Schneck
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. G. Baudin
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. J. Gugenheim
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. A. Iannelli
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to A. Iannelli.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Benoit, L., Spitals, D., Schneck, A.S. et al. Que faire en cas de reflux gastro-oesophagien compliquant la sleeve gastrectomie ? Cas clinique et revue de la littérature. Obes 11, 146–150 (2016). https://doi.org/10.1007/s11690-015-0508-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11690-015-0508-3

Mots clés

Keywords

Search

Navigation