Surgical management of gastroesophageal reflux disease in obese patients

Philip Schauer, Giselle Hamad, Sayeed Ikramuddin

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

Obesity or morbid obesity is common among patients who are seeking surgery for refractory gastroesophageal reflux disease (GERD). Several surgical options for treating GERD in obese patients are available. Fundoplications may be effective, at least in the short-term, but have no effect on weight loss and comorbidity reduction. Silicone-adjustable gastric banding and Roux-en-Y gastric bypass have different antireflux mechanisms, but also have proven efficacy against GERD and result in significant weight loss and comorbidity reduction. Vertical banded gastroplasty is not an effective antireflux procedure, and it may induce GERD in some patients. The malabsorbtion operations have no proven efficacy against GERD. Patients with severe obesity who are seeking surgical treatment for GERD should be considered for silicone adjustable gastric banding or Roux-en-Y gastric bypass because of the added benefit of weight loss and consequent comorbidity reduction.

Original languageEnglish (US)
Pages (from-to)256-264
Number of pages9
JournalSeminars in Laparoscopic Surgery
Volume8
Issue number4
DOIs
StatePublished - Dec 2001

Keywords

  • Bariatric surgery
  • Biliopancreatic diversion
  • Gastric banding
  • Gastroesophageal reflux disease
  • Morbid obesity
  • Obesity
  • Roux-en-Y gastric bypass
  • Vertical banded gastroplasty

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