TY - JOUR ID - 92423 TI - Incidence of Esophageal Reflux after Laparoscopic Sleeve Gastrectomy for Morbid Obesity JO - International Journal of Medical Arts JA - IJMA LA - en SN - 2636-4174 AU - Orouk, Ahmed El-Sayed AU - Sayyouh, Ahmed Salama AU - Salem, Nagah Atwa AD - Department of General Surgery AD - Professor and Head Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt AD - Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt. Y1 - 2020 PY - 2020 VL - 2 IS - 3 SP - 493 EP - 502 KW - Bariatric KW - sleeve gastrectomy KW - Obesity KW - Gastroesophageal KW - Reflux DO - 10.21608/ijma.2020.26707.1112 N2 - Background: Obesity is considered as an epidemic globally, which associated with gastroesophageal reflux disease (GERD). Bariatrics surgery tends to reduce GERD manifestations. However, some reports noticed development of GERD after bariatric surgery; the problem which not addressed well in our community. Aim of the work: To estimate incidence of postoperative GERD after laparoscopic sleeve gastrectomy (SG) in patients with no history of GERD symptoms prior to surgery. Patients and Methods: Fifty morbidly obese patients who were scheduled for laparoscopic SG with no history of preoperative symptoms suggesting GERD and normal upper gastrointestinal endoscopy were included. All were assessed clinically and radiologically and followed-up for clinical or endoscopic GERD manifestations. Results: Females were predominant (76.0%). Weight, body mass index and waist/hip ratio were significantly reduced after SG. Postoperative complications were leak (2.0%), wound infection (2.0%), bleeding (2.0%), stricture (4.0%) with overall rate of 8.0%. Incidence of GERD was 22.0% (11 patients; 4 grade A, 5 grade B and 2 grade C). There was significant increase of Waist/hip ratio (both pre-and postoperatively) in patients who developed GERD when compared to those who did not develop GERD. In addition, there was significant increase of sleep related problems and stricture in patients who developed GERD when compared to those did not develop GERD (63.6%, 18.2% vs 17.9%, 0.0% respectively).Conclusion: the incidence of GERD after SG was 22.0%. It was of mild or moderate nature, which denotes safety of SG. The procedure is also associated with marked weight reduction. UR - https://ijma.journals.ekb.eg/article_92423.html L1 - https://ijma.journals.ekb.eg/article_92423_0e4ced9dbbec6891526c3927b8bd1cdb.pdf ER -