Abstract
Background:
De novo gastroesophageal reflux disease (GERD) is a common complication of bariatric and metabolic surgery. This retrospective study aimed to investigate the effectiveness of laparoscopic sleeve gastrectomy (LSG) with cruroplasty and single-suture omentopexy in reducing the incidence of de novo GERD and improving existing GERD symptoms.
Methods:
Seventy-five patients with a body mass index >30 kg/m2 or obesity-related comorbidities underwent LSG along with cruroplasty and single-suture omentopexy at the Istanbul Aydin University Obesity Surgery Center, Istanbul, Turkey. The GERD Health-Related Quality of Life questionnaire was used to assess GERD-related symptoms preoperatively and at 1-year follow-up.
Results:
Significant improvements in GERD-related symptoms were observed 1 year after surgery (p < 0.01). Both heartburn scores (p < 0.01) and regurgitation scores (p < 0.01) significantly decreased 1 year after surgery compared with preoperative scores. Only four patients developed de novo postoperative GERD, and five patients presented with preexisting GERD symptoms that persisted following surgery. At the 1-year follow-up assessment, 66 patients were without significant GERD symptoms, representing a notable improvement in the overall cohort.
Conclusion:
Our study suggests that LSG with cruroplasty and omentopexy may be effective in managing postoperative GERD symptoms in patients undergoing bariatric and metabolic surgery.
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