Our Summary

This research paper is a systematic review that examines the impact of a type of weight loss surgery called sleeve gastrectomy on gastroesophageal reflux disease (GERD), a condition where stomach acid frequently flows back into the tube connecting your mouth and stomach, and related conditions. The relationship between the surgery and GERD is complex and has been a cause for concern due to the potential development of serious conditions like Barrett’s esophagus and esophageal adenocarcinoma over time.

In this study, the researchers looked at 49 different articles that met their criteria, such as being in English, dealing with patients who had undergone the surgery, and describing the symptoms of GERD before and after the surgery.

The results of the review were mixed. While there is a complicated relationship between the surgery and GERD, the most recent studies showed that most patients had satisfactory control of their reflux symptoms after surgery, and there were low rates of new cases of GERD. These results are leading to more acceptance of sleeve gastrectomy as a weight loss surgery option, even for obese patients with GERD.

FAQs

  1. What is the relationship between sleeve gastrectomy and gastroesophageal reflux disease (GERD)?
  2. What were the findings of the research paper in relation to GERD symptoms after sleeve gastrectomy?
  3. Can obese patients with GERD opt for sleeve gastrectomy as a weight loss surgery option?

Doctor’s Tip

A helpful tip a doctor might give a patient about gastric sleeve surgery is to follow a strict diet plan and make healthy lifestyle changes to ensure successful weight loss and minimize the risk of developing GERD or other complications. It is important to work closely with a healthcare provider to monitor your progress and address any concerns that may arise post-surgery. Additionally, regular follow-up appointments and ongoing support from a multidisciplinary team can help ensure long-term success and overall health improvement.

Suitable For

Overall, patients who are typically recommended for gastric sleeve surgery are those who have a 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. Patients who have not been successful with other weight loss methods, such as diet and exercise, may also be considered for gastric sleeve surgery.

Additionally, patients who have a history of GERD may still be considered for gastric sleeve surgery, as more recent studies suggest that the surgery can effectively manage reflux symptoms in many patients. However, it is important for patients with GERD to discuss the risks and benefits of the surgery with their healthcare provider to determine if gastric sleeve surgery is the best option for them.

Timeline

Before gastric sleeve surgery:

  1. Patient consults with a medical professional to determine if they are a candidate for the surgery.
  2. Patient undergoes pre-operative testing and evaluation to assess their overall health and readiness for surgery.
  3. Patient receives counseling on the risks and benefits of the surgery, as well as lifestyle changes that will be necessary post-surgery.
  4. Patient undergoes the sleeve gastrectomy procedure, where a portion of the stomach is removed to create a smaller, sleeve-shaped stomach.

After gastric sleeve surgery:

  1. Patient stays in the hospital for a few days to recover from the surgery.
  2. Patient follows a strict liquid diet for the first few weeks post-surgery, gradually transitioning to soft foods and then solid foods.
  3. Patient is required to make significant lifestyle changes, including adopting a healthier diet and incorporating regular exercise into their routine.
  4. Patient attends follow-up appointments with their medical team to monitor their progress and address any concerns.
  5. Over time, the patient experiences significant weight loss and improvements in their overall health, including potential resolution of conditions like GERD.
  6. Patient may require additional surgeries or procedures to address complications or issues that arise post-surgery.

Overall, the gastric sleeve surgery process involves thorough evaluation and preparation before the surgery, followed by a significant commitment to lifestyle changes and ongoing monitoring and support after the surgery to ensure long-term success and health outcomes for the patient.

What to Ask Your Doctor

  1. How will gastric sleeve surgery impact my GERD symptoms?
  2. What are the potential risks and complications of gastric sleeve surgery for patients with GERD?
  3. Will I need to continue taking medication for GERD after the surgery?
  4. How long will it take for my GERD symptoms to improve after the surgery?
  5. Will I need to have additional follow-up appointments or tests to monitor my GERD after surgery?
  6. Are there any dietary or lifestyle changes I should make to help manage my GERD post-surgery?
  7. How common is it for patients with GERD to experience complications or worsening of symptoms after gastric sleeve surgery?
  8. Will the surgery increase my risk of developing Barrett’s esophagus or esophageal adenocarcinoma in the future?
  9. What is the long-term outlook for patients with GERD who undergo gastric sleeve surgery?
  10. Are there alternative weight loss surgery options that may be more suitable for patients with GERD?

Reference

Authors: Pavone G, Tartaglia N, Porfido A, Panzera P, Pacilli M, Ambrosi A. Journal: Ann Med Surg (Lond). 2022 Apr 5;77:103584. doi: 10.1016/j.amsu.2022.103584. eCollection 2022 May. PMID: 35432994