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Can Omentopexy Reduce the Incidence of Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy

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Abstract

Background

De novo gastroesophageal reflux disease (GERD) is one of the complications that may occur after laparoscopic sleeve gastrectomy (LSG). This study was conducted to examine whether omentopexy can be effective in reducing the incidence of GERD after LSG.

Methods

A total of 201 patients (145 females) were compared in this retrospective cohort study, including Group A (n = 100) and Group B (n = 101), consisting of patients undergoing LSG with omentopexy and LSG without omentopexy, respectively. One year after surgery, the patients were evaluated by GERD-Q; those obtaining a score of eight or above also underwent upper endoscopy to confirm their de novo GERD.

Results

Thirty-seven patients had a GERD-Q score ≥ 8 and therefore underwent upper endoscopy. Seventeen patients had fully normal endoscopy results, and no significant differences was observed between the two groups in terms of the incidence of de novo GERD (P = 0.966). There were also no significant differences between the groups in terms of age (P = 0.517), sex (P = 0.193), diabetes (P = 0.979), and GERD-Q score (P = 0.880). The pre-operative mean weight (P = 0.003) and total weight loss (TWL) showed significant intergroup differences (P = 0.001). The mean body mass index (BMI) showed significant differences between the groups before the operation (P = 0.001) and 1 year after the surgery (P = 0.009). Excess BMI loss (EBMIL) was also significantly higher in Group A 1 year after the surgery (P = 0.004). Even after omitting confounder effect of BMI between two groups with and without omentopexy, GerdQ was not significantly different.

Conclusion

Omentopexy does not have a significant effect on reducing the incidence of de novo GERD after LSG, even in individuals with higher BMI and weight.

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Funding

This study was funded and supported by Iran University of Medical Sciences (IUMS); Grant no.98-1-4-14777.

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Authors and Affiliations

  1. Minimally Invasive Surgery Research Center, Iran University of Medical Sciences(IUMS), Tehran, Iran

    Saeid Shams Nosrati, Mohammadali Pakaneh, Ali Kabir & Mohammad Kermansaravi

  2. Minimally Invasive Surgery Research Center, Rasool-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran

    Abdolreza Pazouki

  3. Gastroenterology and Hepatology Department of Internal Medicine, Colorectal Research Center, Iran University of Medical Sciences, Tehran, Iran

    Mohammad Sabzikarian

Authors
  1. Saeid Shams Nosrati
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  2. Abdolreza Pazouki
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  3. Mohammad Sabzikarian
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  4. Mohammadali Pakaneh
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  5. Ali Kabir
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Corresponding author

Correspondence to Mohammad Kermansaravi.

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The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in the study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from the participants included in the study.

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Nosrati, S.S., Pazouki, A., Sabzikarian, M. et al. Can Omentopexy Reduce the Incidence of Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy. OBES SURG 31, 274–281 (2021). https://doi.org/10.1007/s11695-020-04923-4

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  • DOI: https://doi.org/10.1007/s11695-020-04923-4

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