Laparoscopic sleeve gastrectomy and gastroesophageal reflux

doi:10.3748/wjg.v21.i36.10348

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Sep 28, 2015; 21(36): 10348-10357
Published online Sep 28, 2015. doi: 10.3748/wjg.v21.i36.10348

Laparoscopic sleeve gastrectomy and gastroesophageal reflux

Fabien Stenard, Antonio Iannelli

Fabien Stenard, Digestive and Oncology Unit, Mutualiste Hospital, F-38000 Grenoble, France

Antonio Iannelli, Digestive Unit, Archet 2 Hospital, University Hospital of Nice, F-06202 Nice, France

Antonio Iannelli, Inserm, U1065, Team 8 “Hepatic complications of obesity”, F-06204 Nice, France

Antonio Iannelli, University of Nice Sophia-Antipolis, F-06107 Nice, France

Author contributions: Stenard F and Iannelli A performed the research and helped write the paper.

Conflict-of-interest statement: The authors have no conflicts of interest to declare for this paper.

Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

Correspondence to: Fabien Stenard, MD, PhD, Digestive and Oncology Unit, Mutualiste Hospital, Groupe Hospitalier Mutualiste, 8-10 rue Docteur Calmette, F-38000 Grenoble, France. fabienstenard@gmail.com

Telephone: +33-476707250

Received: March 19, 2015
Peer-review started: March 20, 2015
First decision: May 16, 2015
Revised: June 24, 2015
Accepted: August 28, 2015
Article in press: August 31, 2015
Published online: September 28, 2015
Processing time: 192 Days and 18.3 Hours

Core Tip

Core tip: Bariatric surgery is the only effective means to sustain weight loss. Sleeve gastrectomy (SG) has become popular because of its advantages over more complex bariatric procedures. However, an increased rate of gastroesophageal reflux (GERD) has been reported after SG that is either de novo or is caused by aggravation of preexisting symptoms. The literature is ambivalent about the implications for increased rates of GERD after SG. This article reviews the mechanisms of GERD in obese subjects, and the results from SG with respect to GERD. Future directions are discussed along with current surgical options for obese patients with GERD and undergoing bariatric surgery.