关键词: Barrett’s esophagus GERD LSG bariatric surgery erosive esophagitis esophageal adenocarcinoma

来  源:   DOI:10.3390/jpm13081243   PDF(Pubmed)

Abstract:
BACKGROUND: The incidence of obesity is increasing in developed societies, and surgical treatment is one treatment option. The most common surgical treatment for obesity is laparoscopic sleeve gastrectomy (LSG). Gastroesophageal reflux disease (GERD) is a complication of both obesity and the surgical treatment of obesity.
METHODS: In this study, the PubMed database was searched using the keywords \"GERD\" and \"bariatric surgery\", and 987 papers published between 1 July 2017 and 30 June 2022 were retrieved.
RESULTS: Nine papers met the inclusion criteria and were included in the meta-analysis. The articles were analyzed for the de novo occurrence of GERD after the treatment of its symptoms, the occurrence of erosive esophagitis, and Barrett\'s esophagus. In addition, interesting conclusions are presented from the papers that did not meet the inclusion criteria but shed light on the pathophysiology of GERD in obese patients undergoing LSG.
CONCLUSIONS: In conclusion, the authors draw attention to the need for endoscopic surveillance in patients undergoing LSG, even in the absence of clinical signs of GERD.
摘要:
背景:在发达社会中,肥胖症的发病率正在增加,手术治疗是一种治疗选择。肥胖最常见的手术治疗是腹腔镜袖状胃切除术(LSG)。胃食管反流病(GERD)是肥胖和肥胖手术治疗的并发症。
方法:在本研究中,使用关键字“GERD”和“减肥手术”搜索PubMed数据库,并检索了2017年7月1日至2022年6月30日发表的987篇论文.
结果:9篇论文符合纳入标准,被纳入荟萃分析。本文对GERD的症状治疗后从头发生情况进行分析,糜烂性食管炎的发生,还有Barrett的食道.此外,从不符合纳入标准的论文中得出了有趣的结论,但这些论文揭示了接受LSG的肥胖患者GERD的病理生理学.
结论:结论:作者提请注意对接受LSG的患者进行内镜监测的必要性,即使没有GERD的临床症状。
公众号