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Erosive Esophagitis after Bariatric Surgery: Banded Vertical Gastrectomy versus Banded Roux-en-Y Gastric Bypass

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An Erratum to this article was published on 12 January 2011

Abstract

Background

Obesity is associated with gastroesophageal reflux disease. Roux-en-Y gastric bypass is the most performed bariatric procedure in the world, whereas sleeve gastrectomy is an emerging procedure. Both can be combined with the use of a Silastic® ring. The aim of this study was to compare the evolution of erosive esophagitis (EE) in patients who underwent Silastic® ring gastric bypass (SRGB) and Silastic® ring sleeve gastrectomy (SRSG) after a 1-year postoperative period.

Methods

We carried out a non-randomized, prospective, controlled clinical study. Sixty-five patients were enrolled based on the following inclusion criteria: female gender, age 20–60 years old, BMI 40–45 and written informed consent. The exclusion criteria were secondary obesity, alcohol or drug use, severe psychiatric disorder, binge-eating of sweets, and previous stomach or bowel surgery. The patients were divided into two groups—33 (51%) underwent SRSG and 32 (49%) patients underwent SRGB. All patients underwent an esophago-gastro-duodenoscopy during the preoperative period and at 12–14 months after the surgery.

Results

Preoperatively, 15 patients (23.8%) were found to have EE, six (19.4%) in the SRSG group and nine patients (28.1%) in the SRGB group (p = 0.7795). Postoperatively, there was an increase in the number of patients with EE in the SRSG group to 14 (45.2%) and a decrease in the SRGB group to two (6.3%), giving a total of 16 patients with EE (25.4%; p = 0.0007).

Conclusions

After 1 year of follow-up, we observed a worsening evolution of EE in the SRSG group, but improvement in the SRGB group.

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References

  1. Sjöström L, Narbro K, Sjöström D, et al. Swedish obese subjects study. Effects of bariatric surgery mortality Swedish obese subjects. N Engl J Med. 2007;357(8):741–52.

    Article  PubMed  Google Scholar 

  2. Buchwald H, Williams SE. Bariatric surgery worldwide 2003. Obes Surg. 2004;14(9):1157–64.

    Article  PubMed  Google Scholar 

  3. Lee CM, Cirangle PT, Jossart GH. Vertical gastrectomy for morbid obesity in 216 patients: report of two-year results. Surg Endosc. 2007;21:1810–6.

    Article  PubMed  Google Scholar 

  4. Baltasar A, Serra C, Perez N, et al. Laparoscopic sleeve gastrectomy: a multi-purpose bariatric operation. Obes Surg. 2005;15(8):1124–8.

    Article  PubMed  Google Scholar 

  5. Valezi AC, Brito EM, Souza JCL, et al. A importância do anel de silicone na derivação gástrica em Y de Roux para o tratamento da obesidade. Rev Col Bras Cir. 2008;35:18–22.

    Google Scholar 

  6. Miguel GPS, Azevedo JLMC, Gicovate-Neto C, et al. Glucose homeostasis and weight loss in morbidly obese patients undergoing banded sleeve gastrectomy: a prospective clinical study. Clinics. 2009;64:1093–8.

    Article  PubMed  Google Scholar 

  7. Suter M, Dorta G, Giusti V, et al. Gastro-esophageal reflux and esophageal motility disorders in morbidly obese patients. Obes Surg. 2004;14:959–66.

    Article  CAS  PubMed  Google Scholar 

  8. Mejía-Rivas MA, Herrera-López A, Hernández-Calleros J, et al. Gastroesophageal reflux disease in morbid obesity: the effect of Roux-en-Y gastric bypass. Obes Surg. 2008;18:1217–24.

    Article  PubMed  Google Scholar 

  9. Cottam D, Qureshi FG, Mattar SG, et al. Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc. 2006;20:859–63.

    Article  CAS  PubMed  Google Scholar 

  10. Sillecchia G, Boru C, Pecchia A, et al. Effectiveness of laparoscopic sleeve gastrectomy (first stage of biliopancreatic diversion with duodenal switch) on co-morbidities in super-obese high-risk patients. Obes Surg. 2006;16:1138–44.

    Article  Google Scholar 

  11. Moon Han S, Kim WW, Oh JH. Results of laparoscopic sleeve gastrectomy (LSG) at 1 year in morbidly obese Korean patients. Obes Surg. 2005;15:1469–75.

    Article  PubMed  Google Scholar 

  12. Vidal J, Ibarzabal A, Romero F, et al. Type 2 diabetes mellitus and the metabolic syndrome following sleeve gastrectomy in severely obese subjects. Obes Surg. 2008;18:1077–82.

    Article  CAS  PubMed  Google Scholar 

  13. Langer FB, Reza Hoda MA, Bohdjalian A, et al. Sleeve gastrectomy and gastric banding: effects on plasma ghrelin levels. Obes Surg. 2005;15(7):1024–29.

    Article  CAS  PubMed  Google Scholar 

  14. Cai J, Zheng C, Xu L, et al. Therapeutic effects of sleeve gastrectomy plus gastric remnant banding on weight reduction and gastric dilation: an animal study. Obes Surg. 2008;18:1411–7.

    Article  PubMed  Google Scholar 

  15. Greenstein AJ, Vine AJ, Jacob BP. When sleeve gastrectomy fails: adding a laparoscopic adjustable gastric band to increase restriction. Surg Endosc. 2009;23(4):884.

    Article  PubMed  Google Scholar 

  16. Braghetto I, Korn O, Valladares H, et al. Laparoscopic sleeve gastrectomy: surgical technique, indications and clinical results. Obes Surg. 2007;17:1442–50.

    Article  PubMed  Google Scholar 

  17. Alexander JW, Hawver LRM, Goodman HR. Banded sleeve gastrectomy—initial experience. Obes Surg. 2009;19:1591–6.

    Article  PubMed  Google Scholar 

  18. Lakdawala MA, Bhasker A, Mulchandani D, et al. Comparison between the results of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass in the Indian population: a retrospective 1 year study. Obes Surg. 2010;20:1–6.

    Article  PubMed  Google Scholar 

  19. Himpens J, Dapri G, Cadiere GB. A prospective randomized study between laparoscopic gastric banding and laparoscopic isolated sleeve gastrectomy: results after 1 and 3 years. Obes Surg. 2006;16:1450–6.

    Article  PubMed  Google Scholar 

  20. Bohdjalian A, Langer FB, Shakeri-Leidenmühler S. Sleeve gastrectomy as sole and definitive bariatric procedure: 5-year results for weight loss and ghrelin. Obes Surg. 2010;20:535–40.

    Article  PubMed  Google Scholar 

  21. Frezza EE, Ikramuddin S, Gourash W, et al. Symptomatic improvement in gastroesophageal reflux disease (GERD) following laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2002;16:1027–31.

    Article  CAS  PubMed  Google Scholar 

  22. Tai CM, Lee YC, Wu MS, et al. The effect of Roux-en-Y gastric bypass on gastroesophageal reflux disease in morbidly obese Chinese patients. Obes Surg. 2009;19:565–70.

    Article  PubMed  Google Scholar 

  23. Csendes JA, Burgos LAM, Smok SG, et al. Efecto del bypass gastric en la esofagitis erosiva en pacientes con obesidad mórbida. Rev Med Chile. 2006;134:285–90.

    Google Scholar 

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

    Article  PubMed  Google Scholar 

  25. Gagner M, Deitel M. Second international consensus for sleeve gastrectomy (ICSSG) questionnaire. Obes Surg. 2009;19:964.

    Article  Google Scholar 

  26. Angrisani L, Basso N, Foletto M, et al. Sleeve gastrectomy in Italy: a nationwide survey on 698 patients. Obes Surg. 2009;19:963.

    Google Scholar 

  27. Bernstine H, Tzioni-Yehoshua R, Groshar D. Gastric emptying is not affected by sleeve gastrectomy—scintigraphic evaluation of gastric emptying after sleeve gastrectomy without removal of the gastric antrum. Obes Surg. 2009;19:293–8.

    Article  PubMed  Google Scholar 

  28. Melissas J, Daskalakis M, Koukouraki S, et al. Sleeve gastrectomy—a food “limiting” operation. Obes Surg. 2008;18:1251–6.

    Article  PubMed  Google Scholar 

  29. Melissas J, Koukouraki S, Askoxylakis J, et al. Sleeve gastrectomy—a restrictive procedure? Obes Surg. 2007;17:57–62.

    Article  PubMed  Google Scholar 

  30. Braghetto I, Davanzo C, Korn O, et al. Scintigraphic evaluation of gastric emptying in obese patients submitted to sleeve gastrectomy compared to normal subjects. Obes Surg. 2009;19:1515–21.

    Article  PubMed  Google Scholar 

  31. DeVault KR, Castell DO. Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease. Am J Gastroenterol 2005; 190–200.

  32. Korenkov M, Sauerland S, Shah S, et al. Is routine preoperative upper endoscopy in gastric banding patients really necessary? Obes Surg. 2006;16:45–7.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors would like to thank Drs. Marcos Machado Reuter Motta and José Manoel Binda, endoscopists from HUCAM-UFES, for performing the EGDs.

Conflict of Interest Disclosure

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Federal University of Espírito Santo–UFES, Vitória, ES, Brazil

    Gustavo Peixoto Soares Miguel, Paulo Henrique Oliveira de Souza, João de Siqueira Neto, Felipe Mustafa, Évelyn Saiter Zambrana & Perseu Seixas de Carvalho

  2. Federal University of São Paulo–Unifesp, São Paulo, SP, Brazil

    João Luiz Moreira Coutinho Azevedo

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  1. Gustavo Peixoto Soares Miguel
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  2. João Luiz Moreira Coutinho Azevedo
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  3. Paulo Henrique Oliveira de Souza
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Corresponding author

Correspondence to Gustavo Peixoto Soares Miguel.

Additional information

An erratum to this article can be found at http://dx.doi.org/10.1007/s11695-010-0345-2

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Miguel, G.P.S., Azevedo, J.L.M.C., de Souza, P.H.O. et al. Erosive Esophagitis after Bariatric Surgery: Banded Vertical Gastrectomy versus Banded Roux-en-Y Gastric Bypass. OBES SURG 21, 167–172 (2011). https://doi.org/10.1007/s11695-010-0321-x

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