Our Summary
Obesity is a major health issue in the United States and can lead to early preventable death. One way to combat obesity is through a surgical procedure known as a sleeve gastrectomy, but it can sometimes lead to increased acid reflux. The researchers in this study looked at different ways to deal with this acid reflux both before and after the surgery.
They found several different methods that could help, including things like magnetic sphincter augmentation and radiofrequency ablation procedures, which basically help reinforce the natural structures in the body that stop acid reflux. They also looked at the possibility of a second surgery if the initial sleeve gastrectomy didn’t work effectively, or if a different type of bypass surgery was needed.
They also looked at doing an anti-reflux procedure at the same time as the sleeve gastrectomy, which included things like anti-reflux gastroplasty and limited fundoplication.
The researchers concluded that there are many techniques that can help lessen acid reflux by either supporting the natural body structures that prevent it, or by adding to these structures with a surgical procedure. They also suggested that people with severe acid reflux should not have a sleeve gastrectomy. They found that new techniques that include a plication (a type of surgical fold) at the time of the initial surgery show some improvement, but more research is needed. They also found that the only surefire way to treat severe acid reflux after a sleeve gastrectomy is to convert to a different type of gastric bypass surgery.
FAQs
- What is a sleeve gastrectomy and how does it relate to obesity?
- What methods did researchers find that could help combat acid reflux after a sleeve gastrectomy?
- What did the researchers conclude about the treatment of severe acid reflux in patients who have undergone a sleeve gastrectomy?
Doctor’s Tip
Overall, it is important for patients considering a gastric sleeve to discuss the potential risks and side effects, including acid reflux, with their doctor. It is important to follow all post-operative guidelines and attend follow-up appointments to monitor and manage any potential complications. Making lifestyle changes, such as maintaining a healthy diet and regular exercise, can also help improve outcomes after surgery.
Suitable For
Patients who are typically recommended for a gastric sleeve surgery are those who have a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, high blood pressure, or sleep apnea. It is important for patients to have tried other weight loss methods such as diet and exercise before considering surgery.
Patients who have a history of severe acid reflux or gastroesophageal reflux disease (GERD) may not be good candidates for a gastric sleeve surgery, as it can potentially worsen these conditions. In these cases, other weight loss surgery options may be more suitable.
Overall, the decision to undergo a gastric sleeve surgery should be made in consultation with a healthcare provider who can assess the patient’s individual health needs and determine the best course of action for weight loss and overall health improvement.
Timeline
Before undergoing a gastric sleeve surgery, a patient will typically go through a series of consultations with a healthcare provider to determine if they are a suitable candidate for the procedure. They may also be required to undergo various medical tests to assess their overall health and readiness for surgery.
After the surgery, patients will typically experience some pain and discomfort in the days following the procedure. They will be placed on a liquid diet for a period of time before gradually transitioning to solid foods. Patients will also need to follow a strict diet and exercise regimen to ensure successful weight loss and long-term health benefits.
In terms of acid reflux specifically, patients may experience an increase in symptoms following a sleeve gastrectomy due to changes in the stomach structure. However, there are several options available to help manage and reduce acid reflux both before and after the surgery, as mentioned earlier.
Overall, the timeline before and after a gastric sleeve surgery involves thorough preparation and evaluation, followed by a period of recovery and adjustment to a new lifestyle. It is important for patients to work closely with their healthcare team to ensure the best possible outcomes and long-term success.
What to Ask Your Doctor
- What are the potential risks and complications associated with a gastric sleeve surgery?
- How effective is a sleeve gastrectomy in helping me lose weight compared to other weight loss surgeries?
- Will I need to make any lifestyle changes before or after the surgery to ensure its success?
- How likely am I to experience acid reflux after the surgery, and what can be done to prevent or manage it?
- Are there any alternative treatments or procedures that could be more suitable for me if I have severe acid reflux?
- How long will it take for me to recover from the surgery, and what kind of follow-up care will I need?
- What kind of dietary and exercise regimen should I follow post-surgery to maintain a healthy weight?
- Are there any long-term risks or complications I should be aware of after undergoing a gastric sleeve surgery?
- How soon can I expect to see weight loss results after the surgery, and what should I do if I experience any difficulties or setbacks?
- Are there any support groups or resources available to help me navigate the physical and emotional challenges of undergoing a weight loss surgery like a gastric sleeve?
Reference
Authors: Crawford C, Gibbens K, Lomelin D, Krause C, Simorov A, Oleynikov D. Journal: Surg Endosc. 2017 Mar;31(3):1012-1021. doi: 10.1007/s00464-016-5092-6. Epub 2016 Jul 20. PMID: 27440196