Pathophysiology of Reflux Following Bariatric Surgery

Katharine A. Ozeki; Sravanya Gavini

doi:10.1177/26345161211067765

Pathophysiology of Reflux Following Bariatric Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

Gastroesophageal reflux is one of the most common gastrointestinal disorders worldwide and is associated with central obesity. While bariatric surgery is the most effective means of achieving sustainable weight loss and should alleviate reflux, reflux can develop or worsen following bariatric surgery. We reviewed the available literature to summarize the potential pathophysiological mechanisms that can explain reflux outcomes following the 3 most common bariatric surgeries: laparoscopic adjustable gastric banding (LABG), laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (RYGB). Overall, LABG and LSG have been shown to predispose to reflux while RYGB is associated with improvement of GERD.

Original language	English (US)
Pages (from-to)	350-356
Number of pages	7
Journal	Foregut
Volume	1
Issue number	4
DOIs	https://doi.org/10.1177/26345161211067765
State	Published - Dec 2021

Keywords

GERD
Roux-en-Y gastric bypass
bariatric surgery
pathophysiology of reflux
reflux

ASJC Scopus subject areas

Gastroenterology
Surgery
Oncology

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title = "Pathophysiology of Reflux Following Bariatric Surgery",

abstract = "Gastroesophageal reflux is one of the most common gastrointestinal disorders worldwide and is associated with central obesity. While bariatric surgery is the most effective means of achieving sustainable weight loss and should alleviate reflux, reflux can develop or worsen following bariatric surgery. We reviewed the available literature to summarize the potential pathophysiological mechanisms that can explain reflux outcomes following the 3 most common bariatric surgeries: laparoscopic adjustable gastric banding (LABG), laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (RYGB). Overall, LABG and LSG have been shown to predispose to reflux while RYGB is associated with improvement of GERD.",

keywords = "GERD, Roux-en-Y gastric bypass, bariatric surgery, pathophysiology of reflux, reflux",

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AU - Ozeki, Katharine A.

AU - Gavini, Sravanya

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PY - 2021/12

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N2 - Gastroesophageal reflux is one of the most common gastrointestinal disorders worldwide and is associated with central obesity. While bariatric surgery is the most effective means of achieving sustainable weight loss and should alleviate reflux, reflux can develop or worsen following bariatric surgery. We reviewed the available literature to summarize the potential pathophysiological mechanisms that can explain reflux outcomes following the 3 most common bariatric surgeries: laparoscopic adjustable gastric banding (LABG), laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (RYGB). Overall, LABG and LSG have been shown to predispose to reflux while RYGB is associated with improvement of GERD.

AB - Gastroesophageal reflux is one of the most common gastrointestinal disorders worldwide and is associated with central obesity. While bariatric surgery is the most effective means of achieving sustainable weight loss and should alleviate reflux, reflux can develop or worsen following bariatric surgery. We reviewed the available literature to summarize the potential pathophysiological mechanisms that can explain reflux outcomes following the 3 most common bariatric surgeries: laparoscopic adjustable gastric banding (LABG), laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (RYGB). Overall, LABG and LSG have been shown to predispose to reflux while RYGB is associated with improvement of GERD.

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Pathophysiology of Reflux Following Bariatric Surgery

Abstract

Keywords

ASJC Scopus subject areas

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