Copyright
©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 7, 2019; 25(33): 4805-4813
Published online Sep 7, 2019. doi: 10.3748/wjg.v25.i33.4805
Published online Sep 7, 2019. doi: 10.3748/wjg.v25.i33.4805
Gastroesophageal reflux disease, obesity and laparoscopic sleeve gastrectomy: The burning questions
Halim Bou Daher, Ala I Sharara, Division of Gastroenterology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon
Author contributions: Sharara AI conceived the idea for the manuscript; Bou Daher H and Sharara AI reviewed the literature and drafted the manuscript.
Conflict-of-interest statement: The authors declare no conflict of interests.
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/
Corresponding author: Ala I Sharara, AGAF, FACG, FRCP, MD, Professor, Division of Gastroenterology, Department of Internal Medicine, American University of Beirut Medical Center, Cairo Street, P.O. Box 11-0236/16-B, Beirut 1107 2020, Lebanon. ala.sharara@aub.edu.lb
Telephone: +961-1-3500005351
Received: February 27, 2019
Peer-review started: February 27, 2019
First decision: April 30, 2019
Revised: August 3, 2019
Accepted: August 19, 2019
Article in press: August 19, 2019
Published online: September 7, 2019
Processing time: 192 Days and 21.7 Hours
Peer-review started: February 27, 2019
First decision: April 30, 2019
Revised: August 3, 2019
Accepted: August 19, 2019
Article in press: August 19, 2019
Published online: September 7, 2019
Processing time: 192 Days and 21.7 Hours
Core Tip
Core tip: The convenience and ease of sleeve gastrectomy comes at a risk of de novo or worsening of pre-existing gastroesophageal reflux disease. Candidates for bariatric surgery should have a thorough evaluation of reflux symptoms as well as esophageal anatomy and pathology. This should be followed by an informed and open discussion with the patient about risks and benefits of different bariatric surgical options leading to optimal shared decision making.